Carcinogenesis, Teratogenesis & Mutagenesis ›› 2024, Vol. 36 ›› Issue (2): 124-128,137.doi: 10.3969/j.issn.1004-616x.2024.02.007

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Expression and significance of miR-544a in patients with colorectal cancer

TONG Jing1, WANG Dan2   

  1. 1. Pathology Department of Yangzhou Jiangdu People's Hospital, Yangzhou, 225299, Jiangsu;
    2. Pathology Department of Shangqiu First People's Hospital, Shangqiu 476005, Henan, China
  • Received:2023-06-09 Revised:2023-09-25 Published:2024-04-11

Abstract: OBJECTIVE: To explore expression level and clinical prognostic value of microRNA-544a (miR-544a) in tissues of colorectal cancer patients. METHODS:From January 2016 to February 2019, 150 patients with colorectal cancer were selected. Real time fluorescence quantitative PCR was used to detect expression levels of miR-544a in tissues, and immunohistochemistry was used to detect the expression of Ki67,CD4,and CD8 in tissues. Mann Whitney U-test,chi square test,and Fisher′s exact test were used to analyze relationships between miR-544a expression level in cancer tissue and clinical pathological indicators of patients. Univariate and multivariate Cox regressions were used to analyze factors affecting the prognosis of colorectal cancer. The Kaplan-Meier method was used to analyze relationships between expression levels of miR-544a in tissues and disease-free survival (DFS) and overall survival (OS) of patients. RESULTS: The relative expression level of miR-544a in colorectal cancer tissue (1.85±0.15) was significantly higher than that in the adjacent normal tissues (1.06 ± 0.21) (P<0.01). The expression level of miR-544a was related to the incidence of peripheral nerve invasion,T staging,and N staging (all P<0.01),while the high expression group of miR-544a had a higher incidence of nerve invasion and a later T and N staging. The immunohistochemical results showed that the Ki67 score of the miR-544a high expression group was 120.2±33.7,while the Ki67 score of the low expression group was 112.4±40.8,with no significant difference between the two groups (P> 0.05). The CD4 and CD8 scores of patients in the miR-544a high expression group were 15.5±5.3 and 24.8± 7.6, respectively, lower than those in the miR-544a low expression group (21.3 ± 7.2 and 29.6 ± 8.9, respectively), with statistically significant differences (all P<0.05). Univariate and multivariate COX regression showed significant correlations between tumor N,M staging,and miR-544a expression levels and postoperative DFS and OS in CRC patients (all P<0.01). CONCLUSION: Upregulation of miR-544a expression in colorectal cancer tissue may be associated with delayed N and M stagings in colorectal cancer patients,and miR-544a may be a potential biomarker for immunotherapy efficacy.

Key words: colorectal cancer, miRNA, miR-544a, prognosis, tumor biomarker

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