Differential expression of chromatin-remodeling complex subunit SNF5 in serum and its role in early diagnosis of breast cancers
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摘要: 目的 探究染色体重塑分子SNF5血清差异性表达用于早期诊断乳腺癌的可行性。 方法 选择2010年8月-2015年8月间于宁波大学医学院附属鄞州人民医院病理检查证实的196例乳腺癌患者(0期23例、Ⅰ期46例、Ⅱ期29例、Ⅲ期67例、Ⅳ期31例,平均年龄36.3岁)为研究对象,并选择同期在该院健康体检的64名志愿者(平均年龄37.9岁)为对照组。采用实时定量PCR检测2组外周血血清中SNF5的表达水平。采用统计学软件对2组SNF5水平进行统计学分析,并采用ROC曲线分析SNF5诊断乳腺癌的价值,进而探究染色体重塑分子SNF5血清差异性表达用于早期诊断乳腺癌的可行性。 结果 乳腺癌患者外周血血清中SNF5水平显著性高于对照组(P<0.05),0、Ⅰ、Ⅱ、Ⅲ、Ⅳ期乳腺癌患者SNF5水平分别是对照组的13、15、15、16、23倍(均P<0.05)。ROC曲线结果显示,SNF5诊断乳腺癌的敏感度与特异度分别为82%和93%,曲线下面积为0.8734(95%CI:0.923~0.944)。 结论 染色体重塑分子SNF5在乳腺癌患者中的表达明显升高,其可作为早期诊断乳腺癌肿瘤的生物标志物,具有敏感度、特异度高的优点。Abstract: Objective To explore the feasibility of chromatin-remodeling complex subunit SNF5 in the early diagnosis of breast cancer. Methods A total of 196 cases of breast cancer (0 stage 23 cases,Ⅰ stage 46 cases,Ⅱ stage 29 cases,Ⅲ stage 67 cases,Ⅳ stage 31cases,average age of 36.3) confirmed by pathological examination in Yinzhou people's Hospital Affiliated to Ningbo University from August,2010 to August,2015 were selected as study subject,and 64 cases of volunteer with health examination (average age of 37.9) in the same period were selected as control group.The peripheral blood serum SNF5 levels of two groups were detected with real-time quantitative PCR.The SNF5 levels of two groups were statistical analyzed by statistical software,and the diagnosis of SNF5 in breast cancer was analyzed by ROC curve to explore the feasibility of SNF5 in the early diagnosis of breast cancer by chromosome remodeling. Results The peripheral blood serum level of SNF5 in breast cancer patients were significantly higher than that in the control group (P<0.05),and the SNF5 level of five stage breast cancer patients were 13,15,15,16 and 23 times higher than that of control group,respectively (P<0.05).ROC curve results showed that sensitivity and specificity of SNF5 in diagnosis of in breast cancer were 82% and 93%,the area under the curve was 0.8734(95% confidence interval:0.923-0.944). Conclusion The high expression of SNF5 was commonly in breast cancer,and could be used as the biomarkers for early diagnosis of breast cancer with high sensitivity and specificity.
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Key words:
- SNF5 /
- Breast cancer /
- Early diagnosis /
- Biomarkers
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