上海口腔医学 ›› 2019, Vol. 28 ›› Issue (5): 499-503.doi: 10.19439/j.sjos.2019.05.010

• 论著 • 上一篇    下一篇

mTOR及Tfr1 mRNA在腮腺黏液表皮样癌组织中的表达及与预后的关系

常攀辉1, 艾克白尔·吐日洪2, 李崴嵬3   

  1. 1.首都医科大学附属北京口腔医院 综合科,北京 100006;
    2.和田地区人民医院 口腔科,新疆 和田 848000;
    3.唐山市工人医院 口腔科,河北 唐山 063000
  • 收稿日期:2019-01-16 出版日期:2019-10-25 发布日期:2019-12-11
  • 通讯作者: 常攀辉,E-mail:jxbtwq@163.com
  • 作者简介:常攀辉(1978-),女,硕士,副主任医师
  • 基金资助:
    北京市科技新星计划(Z151100000315045)

Expression of mTOR mRNA and Tfr1 mRNA in mucoepidermoid carcinoma of parotid gland and their relationship with prognosis

CHANG Pan-hui1, AKBEL Turgesjon2, LI Wei-wei3   

  1. 1.Department of General Dentistry,Beijing Stomatological Hospital affiliated to Capital Medical University.Beijing 100006;
    2.Department of Stomatology,Hotan People's Hospital.Hotan 848000, Xinjiang Uygur Autonomous Region;
    3.Department of Stomatology, Tangshan Workers' Hospital.Tangshan 063000, Hebei Province, China
  • Received:2019-01-16 Online:2019-10-25 Published:2019-12-11

摘要: 目的 探讨雷帕霉素靶蛋白(rapamycin target protein,mTOR) mRNA、转铁蛋白受体1(transferrin receptor 1,Tfr1) mRNA在腮腺黏液表皮样癌中的表达及与预后的关系。方法 选取2013年6月—2015年7月唐山市工人医院口腔科收治的35例腮腺黏液表皮样癌患者为研究对象,检测腮腺组织mTOR及Tfr1 mRNA的相对表达量,分析mTOR及Tfr1 mRNA与腮腺黏液表皮样癌患者临床病理及预后的关系。采用SPSS 19.0 软件包对数据进行统计学处理。结果 腮腺黏液表皮样癌组织mTOR及Tfr1 mRNA相对表达量显著高于癌旁组织(P<0.05)。mTOR及Tfr1 mRNA相对表达量与肿瘤浸润深度、肿瘤级别、临床分期及淋巴结转移相关(P<0.05)。预后良好组患者,mTOR及Tfr1 mRNA相对表达量显著低于预后不良组患者(P<0.05)。mTOR mRNA评估患者预后不良的AUC为0.815,高于Tfr1 mRNA的AUC(0.813),两者联合检测评估患者预后不良的AUC为0.922,高于两者单独检测。Cox单因素及多因素分析显示,分化程度、TNM分期、mTOR mRNA、Tfr1 mRNA与腮腺黏液表皮样癌患者预后不良关系密切。结论 腮腺黏液表皮样癌患者mTOR mRNA、Tfr1 mRNA相对表达量是否显著升高,可用于评估患者预后。

关键词: 雷帕霉素靶蛋白 mRNA, 转铁蛋白受体1 mRNA, 腮腺黏液表皮样癌, 预后, 相对表达量

Abstract: PURPOSE: To investigate the expression of rapamycin target protein (mTOR) mRNA and transferrin receptor 1(Tfr1) mRNA in mucoepidermoid carcinoma of parotid gland and its relationship with prognosis. METHODS: From June 2013 to July 2015 in Tangshan Workers' Hospital, 35 patients with mucoepidermoid carcinoma of parotid gland were selected. The relative expression of mTOR and Tfr1 mRNA in mucoepidermoid carcinoma of parotid gland was detected. The relationship between mTOR mRNA, Tfr1 mRNA and the clinicopathology and prognosis of mucoepidermoid carcinoma of parotid gland was analyzed using SPSS19.0 software package. RESULTS: The relative expression levels of mTOR mRNA and Tfr1 mRNA in mucoepidermoid carcinoma of parotid gland were significantly higher than those in adjacent tissues(P<0.05). The relative expression of mTOR mRNA and Tfr1 mRNA was correlated with invasion depth, tumor grade, TNM stage and cervical lymphatic metastasis(P<0.05). The relative expressions of mTOR and Tfr1 in patients with good prognosis were significantly lower than those in patients with poor prognosis (P<0.05). The AUC of mTOR mRNA was 0.815, higher than that of Tfr1 mRNA(0.813). The AUC of mTOR mRNA combined with Tfr1 mRNA was 0.922, higher than that of mTOR mRNA and Tfr1 mRNA alone. Cox univariate and multivariate analysis showed that differentiation, TNM stage, mTOR mRNA and Tfr1 mRNA were closely related to poor prognosis of mucoepidermoid carcinoma of parotid gland. CONCLUSIONS: The relative expression of mTOR mRNA and Tfr1 mRNA in patients with mucoepidermoid carcinoma of parotid gland was significantly increased, which can be used to evaluate the prognosis of patients.

Key words: Rapamycin target protein mRNA, Transferrin receptor 1 mRNA, Mucoepidermoid carcinoma of parotid gland, Prognosis, Relative expression

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