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miRNA markers and their application related to early recurrence and prognosis of esophageal cancer

An esophageal cancer and marker technology, applied in the field of genetic engineering and oncology, can solve the problems of lack of specific and sensitive molecular markers, lack of early recurrence and metastasis of esophageal cancer, and different molecular biological changes, etc. The effect of improving sensitivity and specificity, simple method, and convenient operation

Active Publication Date: 2014-10-01
河南普诺易生物制品研究院有限公司 +1
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  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0004] At present, there are many studies and reports on tumor molecular markers of esophageal cancer, except for the traditional tumor markers carcinoembryonic antigen (CEA), squamous cell carcinoma-related antigen (SCC), cytokeratin fragment 19 (CYFRA2l–l ), p53 protein antibody (p53-Ab), etc., hot molecular markers EGFR (epidermal growth factor receptor), CycIinDl (cyclin Dl), COX-2 (cyclooxygenase 2), PCNA ( Proliferating cell nuclear antigen), VEGF (vascular endothelial growth factor) and so on all have certain clinical significance in judging the prognosis of esophageal cancer, but the above molecular markers mainly focus on the research on different tumor pathological stages, as well as on lymph node metastasis and tumor infiltration depth. There is a lack of research on molecular markers with different prognosis for the same pathological stage, the same operator, the same operation method, and the same postoperative treatment plan. There is a lack of research on early recurrence and metastasis of esophageal cancer after surgery. There is a lack of specificity. Molecular markers with high sensitivity and high sensitivity can be used to predict the occurrence, development and prognosis of esophageal cancer, and the process of esophageal cancer and development is the result of polygenic changes, and the molecular biological changes are not completely the same. The combination of molecular marker detection is helpful. To improve the sensitivity of judging the prognosis

Method used

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  • miRNA markers and their application related to early recurrence and prognosis of esophageal cancer
  • miRNA markers and their application related to early recurrence and prognosis of esophageal cancer
  • miRNA markers and their application related to early recurrence and prognosis of esophageal cancer

Examples

Experimental program
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Effect test

Embodiment

[0028] 1. Selection of samples

[0029] Two paraffin specimens were selected from the First Affiliated Hospital of Xinxiang Medical College from 2006 to 2007 with the same pathological stage and significantly different prognostic survival. These two specimens were all paraffin specimens made from the first surgical resection of the primary tumor. At the same time, the normal esophageal mucosa that was 8cm away from the edge of the tumor tissue of the two paraffin samples was selected as a control. In 2 cases, no distant metastasis was diagnosed by physical examination and imaging before the operation. They did not receive radiotherapy or chemotherapy before the operation. They all used esophageal cancer resection + thoracic-abdominal lymph node dissection, and neck manual anastomosis. Postoperative chemotherapy was performed twice. Postoperative pathological examinations showed that the middle esophagus was well-differentiated squamous cell carcinoma, ulcer type, adventitious, an...

experiment example 1

[0068] Experimental example 1. Verification of differential expression of has-miR-382 in patients with esophageal cancer with the same stage but different prognosis

[0069] 1. Selection of samples

[0070] The 46 paraffin specimens of the first affiliated hospital of Xinxiang Medical College who received the same pathological stage from 2006 to 2009 and had significant differences in prognostic survival were all paraffin specimens prepared from the first surgical resection of the primary tumor; the whole body physical physique was taken before the operation. There was no distant metastasis diagnosed by the inspection machine, and no radiotherapy or chemotherapy was received before the operation. Among them, 18 cases were esophageal cancer specimens that were alive 5 years after surgery and had a good prognosis, and 28 cases were esophageal cancer specimens that recurred early within 1 year after surgery and had a poor prognosis. The patient information is shown in Table 7. At the...

experiment example 2

[0099] Experimental example 2: The expression level of has-miR-382 and the risk scoring method for early recurrence and prognosis of esophageal cancer after surgery

[0100] SPSS17.0 established a database and analyzed it. Kaplan-Meier was used to analyze the survival curve of has-miR-382 expression. Take P figure 2 Shown.

[0101] The prognosis, gender, age, TNM stage, postoperative T, N0-N1 stage, tumor size, degree of differentiation, and has-miR-382 expression in patients with esophageal cancer were analyzed by Cox single factor related risk analysis. The results are shown in Table 9. Show. The results showed that the patient's prognosis (P=0.000), postoperative T (p=0.008), tumor size (p=0.007) and has-miR-382 expression (P=0.021) were significantly correlated with the patient's survival time.

[0102] Table 9: Single factor analysis of the risk scoring method between the expression of has-miR-382 and early recurrence and prognosis of esophageal cancer after surgery

[0103] ...

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Abstract

The invention discloses an esophagus cancer postoperative early-stage recurrence and prognosis related miRNA marker and its application, and concretely discloses an miRNA marker has-miR-382, an application of the miRNA marker in the making of an esophagus cancer postoperative early-stage recurrence and prognosis auxiliary diagnosis kit, an application of the primer of the esophagus cancer postoperative early-stage recurrence and prognosis related miRNA marker in the making of the esophagus cancer postoperative early-stage recurrence and prognosis auxiliary diagnosis kit, and the esophagus cancer postoperative early-stage recurrence and prognosis auxiliary diagnosis kit of the primer of the esophagus cancer postoperative early-stage recurrence and prognosis related miRNA marker. A screening method in the invention is simple and is convenient to operate, and the screened has-miR-382 can auxiliarily determine the prognosis or death risk of an esophagus cancer patient, and promotes the development of the esophagus cancer diagnosis and treatment.

Description

Technical field [0001] The invention relates to a miRNA marker related to the early recurrence and prognosis of esophageal cancer after operation, and also relates to the application of the marker, and belongs to the fields of genetic engineering and oncology. Background technique [0002] Esophageal carcinoma (Esophageal carcinoma, EC) is a common malignant tumor of the digestive tract. It accounts for the second leading cause of tumor deaths in various parts of the digestive system. There are 300,000 deaths from this disease every year in the world, of which about 150,000 deaths per year in China. It is the country with the highest incidence of esophageal cancer in the world. Although great progress has been made in chemotherapy, radiotherapy and concurrent radiotherapy and chemotherapy for esophageal cancer in recent years, surgery is still the most important treatment for esophageal cancer. However, the treatment effect is not satisfactory. The 5-year survival rate is only a...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): C12N15/113C12Q1/68
Inventor 赵宝生秦秀广齐博刘尚国王天云李汉臣
Owner 河南普诺易生物制品研究院有限公司
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