文章摘要
Yunzhang Ge,Tao Xie,Bin Yang,Qianxia Li,Qingrong Ren,Xiaoyi Zhou,Desheng Hu,Zhongshu Tu. Correlation between miR-564, TGF-β1, and radiationinduced lung injury. Oncol Transl Med, 2019, 5: 204-210.
miR-564、TGF-β1与放射性肺损伤的相关性研究
Correlation between miR-564, TGF-β1, and radiationinduced lung injury
Received:October 23, 2018  Revised:November 17, 2019
DOI:10.1007/s10330-018-0311-1
中文关键词: 放射性肺损伤; miR-564; TGF-β1
英文关键词: radiation-induced lung injury; miR-564; TGF-β1
基金项目:1.医学信息分析及肿瘤诊疗湖北省重点实验室 项目批号:PJS140011604; 2.湖北陈孝平科技发展基金会 项目批号:CXPJJH11800004-015
Author NameAffiliationE-mail
Yunzhang Ge* Hubei Province Tongcheng County Hospital of Traditional Chinese Medicine gezi432@163.com 
Tao Xie Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, HuBei Key Laboratory of Medical Information Analysis and Tumor Diagnosis DdDd Treatment,  
Bin Yang Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, HuBei Key Laboratory of Medical Information Analysis and Tumor Diagnosis DdDd Treatment,  
Qianxia Li Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology  
Qingrong Ren Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, HuBei Key Laboratory of Medical Information Analysis and Tumor Diagnosis & Treatment,  
Xiaoyi Zhou Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, HuBei Key Laboratory of Medical Information Analysis and Tumor Diagnosis & Treatment,  
Desheng Hu Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, HuBei Key Laboratory of Medical Information Analysis and Tumor Diagnosis & Treatment,  
Zhongshu Tu Hubei Cancer Hospital, TongJi Medical College, Huazhong University of Science and Technology, HuBei Key Laboratory of Medical Information Analysis and Tumor Diagnosis DdDd Treatment,  
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中文摘要:
  目的 分析miR-564、TGF-β1在放射性肺损伤患者癌组织中表达及血清中含量,探讨两者与放射性肺损伤的关系。 方法 采用原位杂交法、实时荧光定量法检测患者癌组织及血清中miR-564基因表达,同时通过免疫组化法、酶联免疫吸附法检测上述标本中TGF-β1蛋白表达。 结果 急性放射性肺炎总发生率为55.9 %(100/179),2级及以上放射性肺炎发生率为24.0 %(43/179),1级放射性肺炎发生率为31.8 %(57/179)。miR-564在2级及以上放射性肺炎患者的癌组织中miR-564的表达略高于无或1级放射性肺炎患者,但统计学无差异(P =0.86);miR-564在2级及以上放射性肺炎患者血清中含量及其比率均高于无或1级放射性肺炎患者,差异有统计学意义(分别P = 0.005,P = 0.025)。TGF-β1在2级及以上放射性肺炎患者的癌组织中TGF-β1的表达高于无或1级放射性肺炎患者,差异有统计学意义(P = 0.017)。TGF-β1在2级及以上放射性肺炎患者的血清中含量高于无或1级放射性肺炎患者,差异有统计学意义(P = 0.038);虽然TGF-β1比率在2级及以上放射性肺炎患者放疗前后高于无或1级放射性肺炎患者,但差异无统计学意义(P = 0.24)。miR-564高表达患者预后优于低表达者,而TGF-β1低表达者预后优于高表达者。 结论 miR-564,TGF-β1是放射性肺损伤的预测因子,监测其变化趋势能提高放射性肺损伤预测的准确性,而且血清中miR-564含量及其比率,TGF-β1含量与放射性肺损伤的严重程度存在一定的关系。
英文摘要:
    Objective Our study aimed to analyze the expression of miR-564 and TGF- β1 in cancer tissues and the serum of patients with radiation-induced lung injury, and to investigate the relationship between them and radiation-induced lung injury. Methods In situ hybridization and real-time fluorescence quantitative method were used to detect the expression of miR-564. Additionally, immunohistochemistry and enzyme-linked immunosorbent assay (ELISA) were performed to detect the expression of TGF- β1. Results The overall incidence of acute radiation pneumonia was 55.9% (100/179). The incidence of ≥ grade 2 radioactive pneumonia was 24.0% (43/179) and that of grade 1 was 31.8% (57/179). The expression of miR-564 in grade ≥ 2 was slightly higher than that in patients without or with grade 1, but there was no statistical difference (P = 0.86). The serum level and ratio of miR-564 in patients with grade ≥ 2 were significantly higher than those without or with grade 1 (P = 0.005, P = 0.025, respectively). The expression of TGF- β1 in grade ≥ 2 was significantly higher than that of patients without or with grade 1 (P = 0.017). The serum levels of TGF- β1 in grade ≥ 2 were significantly higher than those in patients without or with grade 1 (P = 0.038). Although the ratio of TGF- β1 in radiation pneumonia of grade ≥ 2 was significantly higher than that of without or with grade 1, there was no significant difference (P = 0.24). Moreover, patients with higher expression of miR-564 and lower expression of TGF-β1 had better prognosis. Conclusion MiR-564 and TGF-β1 are predictors of radiation-induced lung injury. Monitoring its changing trend can improve the accuracy of predicting radiation-induced lung injury. The levels and ratio of serum miR-564 and TGF- β1 in patients with radiation-induced lung injury are related to the severity of radiationinduced lung injury.
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