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miR-93在多囊卵巢综合征患者血清中的表达及临床意义
引用本文:李英1,2,张学军1. miR-93在多囊卵巢综合征患者血清中的表达及临床意义[J]. 天津医科大学学报, 2018, 0(3): 209-211,215
作者姓名:李英1  2  张学军1
作者单位:1.天津医科大学免疫学系, 天津 300070;2.天津市中心妇产科医院检验科,天津 300100
摘    要:目的:探讨miR-93在多囊卵巢综合征(PCOS)患者血清中的表达及临床意义。方法:利用实时荧光定量PCR分别检测PCOS患者(25例)和正常对照(25例)血清中miR-93的相对表达量,并分析miR-93与PCOS临床特征(高雄激素血症、胰岛素抵抗)的关系;绘制 ROC曲线评价血清miR-93诊断PCOS的价值。结果:与对照组相比,miR-93在PCOS患者血清中的相对表达量明显升高(Z =7.614,P < 0.01);体质指数(BMI)、空腹血糖(FBG)、血清总睾酮(TT)和胰岛素抵抗指数(HOMA-IR)在PCOS患者中均升高(P < 0.05)。在对照组,血清miR-93的水平与TT、HOMA-IR的相关系数r值分别为0.03、0.39(均P > 0.05);在PCOS组,血清miR-93的水平与TT、HOMA-IR的相关系数r值分别为0.33、0.28(均P > 0.05)。ROC曲线分析显示,血清miR-93用于诊断PCOS的曲线下面积为0.73,敏感度为70%,特异度为78%。结论:miR-93在PCOS患者血清中表达上调,可能与PCOS的发生发展相关,且用于诊断PCOS具有一定的价值。

关 键 词:多囊卵巢综合征  miR-93  高雄激素血症  胰岛素抵抗

Expression and clinical significance of miR-93 in the serum of patients with polycystic ovary syndrome
LI Ying1,' target="_blank" rel="external">2,ZHANG Xue-jun1. Expression and clinical significance of miR-93 in the serum of patients with polycystic ovary syndrome[J]. Journal of Tianjin Medical University, 2018, 0(3): 209-211,215
Authors:LI Ying1,' target="  _blank"   rel="  external"  >2,ZHANG Xue-jun1
Affiliation:1.Department of Immunology, Tianjin Medical University, Tianjin 300070,China; 2. Department of Clinical Laboratory; Tianjin Central Hospital of Gynecology and Obstetrics, Tianjin 300100,China
Abstract:Objective: To investigate the expression and clinical significance of serum miR-93 in patients with polycystic ovary syndrome (PCOS). Methods: The relative expression level of serum miR-93 was detected in PCOS group(n=25) and control group(n=25) by quantitative real time PCR, and the relationship between miR-93 and clinical features of PCOS (hyperandrogenemia and insulin resistance) were analyzed. Furthermore, the value of serum miR-93 was evaluated in the diagnosis of PCOS using ROC curve. Results: Compared with the control group, the relative levels of serum miR-93 in PCOS patients were significantly increased (Z =7.614, P < 0.01), and body mass index (BMI), fasting blood-glucose (FBG), serum total testosterone (TT) and insulin resistance index were elevated in PCOS patients (P < 0.05). In control group, correlation coefficient r values of serum miR-93 with TT and HOMA-IR were 0.03 and 0.39(both P > 0.05), respectively. In PCOS group, correlation coefficient r values of serum miR-93 with TT and HOMA-IR were 0.33 and 0.28 (both P > 0.05), respectively. ROC curve analysis showed that the area under the curve, sensitivity and specificity of serum miR-93 for the diagnosis of PCOS were 0.73, 70%, and 78%, respectively. Conclusion: The expression levels of miR-93 in PCOS patients are up-regulated, therefore the increment of miR-93 may be associated with the occurrence and development of PCOS, and it has certain value for the diagnosis of PCOS.
Keywords:polycystic ovary syndrome  miR-93  hyperandrogenemia  insulin resistance
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