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Expression of serum miR-374b-5p and VEGF-C in patients with non-small cell lung cancer and the relationship with prognosis |
LI Minjie1 LIU Shuhong2 CHEN Hongyun1 YU Haiqing1 |
1.Ward Three, Department Internal Medicine, Linyi Tumor Hospital, Shandong Province, Linyi 276000, China;
2.Ward Five, Department of Internal Medicine, Linyi Tumor Hospital, Shandong Province, Linyi 276000, China
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Abstract Objective To investigate the expression of serum microRNA-374b-5p (miR-374b-5p) and vascular endothelial growth factor-C (VEGF-C) in patients with non-small cell lung cancer (NSCLC) and the relationship with prognosis. Methods A total of 105 patients with NSCLC admitted to Linyi Cancer Hospital of Shandong Province (hereinafter referred to as “our hospital”) from February 2018 to September 2019 were selected as NSCLC group, and 54 healthy individuals with physical examination during the same period in our hospital were control group. Serum miR-374b-5p and VEGF-C expression between two groups were detected and compared; the relationship between miR-374b-5p and VEGF-C was predicted by TargetScan database; the correlation between serum miR-374b-5p and VEGF-C expression was analyzed by Pearson correlation coefficient; the survival curves of NSCLC patients with different expression of miR-374b-5p and VEGF-C were plotted by K-M method; the influencing factors of NSCLC death were analyzed by Cox regression. Results Serum miR-374b-5p expression in NSCLC group was lower than that in control group, and VEGF-C expression was higher than that in control group, with statistical significance (P<0.05). MiR-374b-5p and VEGF-C had binding sites in the 3’-untranslated regions of 381-388 and 585-591. Serum miR-374b-5p was negatively correlated with VEGF-C expression in NSCLC patients (r=-0.735, P<0.01). The expression of serum miR-374b-5p and VEGF-C of NSCLC patients with different differentiation degrees, TNM stages, and lymph node metastasis were statistically significant (P<0.05). The survival curves of NSCLC patients with different expression of miR-374b-5p and VEGF-C were significantly different (P<0.05). TNM stage Ⅲ, lymph node metastasis, and increased VEGF-C were independent risk factors for NSCLC death (HR=3.195, 4.212, 1.102, P<0.05), and miR-374b-5p was independent protective factor (HR=0.988, P<0.05). Conclusion The expression of miR-374b-5p is low and expression of VEGF-C is high in serum of NSCLC patients, and it is related to differentiation degree, TNM stage, lymph node metastasis, and prognosis.
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