Abstract

This study aimed to investigate whether the miR-198 expression level is related to clinicopathological factors and prognosis of esophageal cancer. MicroRNA was extracted from esophageal cancer patients who underwent surgery for assessment using the Taqman@ MicroRNA assay. The correlation between miR-198 expression and clinicopathological features was analyzed, and the significance of miR-198 as a prognostic factor and its relationship with survival was determined. MicroRNA-198 (miR-198) expression was higher in patients with poor prognosis than those with good prognosis (P < 0.05). Kaplan-Meier analysis results showed that the miR-198 expression level had a significant correlation with survival time (P = 0.030) and that patients with a higher expression of miR-198 had a shorter survival time. Cox multi-factor model analysis showed that patient prognosis (P = 0.014), tumor length (P = 0.040) and expression (P = 0.012), and survival time had a significant correlation; the corresponding risks were 7.268, 1.246, and 3.524, respectively. miR- 198 overexpression is involved in the poor prognosis of esophageal cancer and can be used as a biomarker for selection of cases requiring especial attention.

Highlights

  • Esophageal cancer (EC) is one of the eight most common tumors in the world

  • This study aimed to investigate whether the miR-198 expression level is related to clinicopathological factors and prognosis of esophageal cancer

  • Cox multi-factor model analysis showed that patient prognosis (P = 0.014), tumor length (P = 0.040) and expression (P = 0.012), and survival time had a significant correlation; the corresponding risks were 7.268, 1.246, and 3.524, respectively

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Summary

Introduction

Esophageal cancer (EC) is one of the eight most common tumors in the world. The incidence of EC is high in China, and mortality due to EC is high in the world, with an average case fatality rate of 15.59/10,0000 (Parkin et al, 2005). The disease is usually determined by clinical diagnosis in the middle-late period, and the fiveyear survival rate is lower than 20%. Its clinical treatments mainly include surgery, radiation therapy, and chemotherapy. The disease has a low survival rate. To determine a specific biomarker at the gene level and establish effective prevention, obtaining an early diagnosis method has become one of the research focuses in the field of tumor and EC prevention (Matsushima et al, 2010)

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