Objective To investigate the expression pattern of growth arrest-specific transcript 5 (GAS5) in hepatocellular carcinoma and assess its pre-operation and post-operation levels. Methods Totally 243 patients were collected in Zhongnan Hospital in 2015, and were divided into 4 groups: pre-operation (117 cases), 1 weeks after operation (39 cases), patients with hepatitis B (55 cases) and cirrhosis (71 cases). Meanwhile, 129 controls were collected.The expression of GAS5 in plasma was detected by real-time quantitative PCR. The levels of GAS5 in subgroups were compared by Oneway ANOVA. The relationship between GAS5 and the clinical pathologic features, and its pre-operation and post-operation expression were analyzed by Student's t test. Results GAS5 was downregulated in HCC plasma and the levels of GAS5 were associated with tumor differentiation (R2=0.219, P=0.011) and TNM stage (R2=0.036, P=0.044). Compared with the levels in pre-operation group (3.958±0.282), GAS5 were upregulated after surgery (3.843±0.223), t=2.283, P=0.028.In addition, GAS5 expression in well and moderately differentiated HCC was higher than poorly differentiated ones before operation[(3.873±0.191)and(4.151±0.365), t=2.271, P=0.035], but there was no significant difference after operation[(3.880±0.154) and (3.879±0.246), t=0.032, P=0.975]. The ROC curves indicated that GAS5 had a good sensitivity to differentiate HCC from the healthy (88%, 88/100) and the cirrhosis (90%, 90/100). Conclusion GAS5 might be used to assess the treatment of HCC.(Chin J Lab Med, 2016, 39: 599-603) Key words: Carcinoma, hepatocellular; RNA, long noncoding
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