The expression levels and clinical significance of miR-605-5p and TNFAIP3 in non-small cell lunccancer tissues
Author:Yu Feng Li Liang Li Hongyan Chu Xin
keyword:Non-small cell lung cancer; MicroRNA-605-5p; Tumor necrosis factor-α-induced protein 3;Survival rate;
Objective To investigate micro RNA-605-5p(miR-605-5p) and tumor necrosis factor α in non-small cell lung cancer(NSCLC) tissue and relationship between the expression level of inducible protein 3(TNFAIP3) and the 5-year survival of patients. Methods From February 2014 to January 2018, 87 patients with NSCLC who underwent surgical resection in Jiangbei Hospital, Affiliated Zhongda Hospital of Southeast University were selected. During the operation, NSCLC tissue and normal tissue adjacent to the cancer were taken. Immunohistochemical method was used to detect the expression of TNFAIP3 in NSCLC tissue and normal tissue adjacent to cancer. Real time fluorescence quantitative PCR was used to detect the expression of miR-605-5p and TNFAIP3 mRNA in NSCLC tissue and normal tissue adjacent to cancer; Follow up for 5 years after surgery and calculate the overall survival rate; Compare the expression levels of miR-605-5p and TNFAIP3 mRNA in NSCLC tissues between the survival group and the death group; Analyze the relationship between miR-605-5p, TNFAIP3 mRNA expression and clinical pathological characteristics in NSCLC tissue, the correlation between miR-605-5p and TNFAIP3 mRNA expression levels, the relationship between miR-605-5p, TNFAIP3 mRNA expression and patient survival, factors affecting 5-year survival of NSCLC patients, and the predictive value of miR-605-5p, TNFAIP3 mRNA expression levels on 5-year survival of patients. Results The positive rate of TNFAIP3 in NSCLC tissue was 25.29%, significantly lower than 57.47% in normal tissues adjacent to cancer(χ2/P=18.575/<0.001); The expression level of miR-605-5p in NSCLC tissue was significantly higher than that in normal tissue adjacent to cancer, while the expression level of TNFAIP3 mRNA was significantly lower than that in normal tissue adjacent to cancer(t/P=16.316/<0.001, 26.746/<0.001); The proportion of stage III and lymph node metastasis in TNM staging in the high expression group of miR-605-5p was significantly higher than that in the low expression group of miR-605-5p(χ2/P=21.611/<0.001, 6.472/<0.001); The proportion of stage III and lymph node metastasis in TNM staging was significantly higher in the low expression group of TNFAIP3 mRNA than in the high expression group of TNFAIP3 mRNA(χ2/P=15.783/<0.001, 13.839/<0.001); There is a negative correlation between miR-605-5p and TNFAIP3 mRNA expression level in NSCLC tissue(r/P=-0.453/<0.001); The 5-year overall survival rate of the miR-605-5p low expression group was 52.38%(22/42), significantly higher than the 26.67%(12/45) of the miR-605-5p high expression group, and the difference was statistically significant(χ2/P=6.034/0.014); The 5-year overall survival rate of the low expression group of TNFAIP3 mRNA was 21.95%(9/41), significantly lower than 54.35%(25/46) of the high expression group of TNFAIP3 mRNA, and the difference was statistically significant(χ2/P=9.557/0.002); The expression level of miR-605-5p in NSCLC tissue of the death group was significantly higher than that of the survival group, while the expression level of TNFAIP3 mRNA was significantly lower than that of the survival group(t/P=2.515/0.014, 6.678/<0.001); TNM stage III, lymph node metastasis, high expression of miR-605-5p, and low expression of TNFAIP3 mRNA are risk factors affecting 5-year survival in NSCLC patients [OR(95% CI)=1.998(1.326-3.010), 2.845(1.577-5.132), 1.760(1.206-2.569), 2.534(1.618-3.969)]; The AUC predicted by miR-605-5p, TNFAIP3 mRNA, and their combination for 5-year survival in patients were 0.761, 0.837, and 0.910, respectively. The combined AUC of miR-605-5p and TNFAIP3 mRNA was higher than the AUC predicted by miR-605-5p and TNFAIP3 mRNA alone(Z/P=2.716/0.007, 1.986/0.047). Conclusion High expression of miR-605-5p and low expression of TNFAIP3 in NSCLC tissue may jointly affect the 5-year survival of NSCLC patients, which has high predictive value for 5-year survival.