MT1-MMP、LncRNA SNHG15、YAP联合检测在甲状腺癌中的诊断价值

摘要

Objective To explore the diagnostic value of combined detection of MT1-MMP, LncRNA SNHG15and YAP in thyroid carcinoma.Methods A total of 186thyroid carcinoma patients from July 2015to July 2017were selected as the observation group and 50healthy patients were selected as control group.The expression levels of MT1-MMP, LncRNA SNHG15, and YAP in tissues of the two groups were compared.The relationships between the clinical pathological parameters of thyroid carcinoma and the expression levels of MT1-MMP, LncRNA SNHG15, YAP were analyzed.Results The positive rate of MT1-MMP, YAP and LncRNA SNHG15in observation group were significantly higher than those in control group (P<0.05) .The expression level of YAP in tumors larger than 2cm diameter was significantly higher than that in tumors less than 2cm (P<0.05) .The expression level of YAP and LncRNA SNHG15with envelope infiltration were significantly higher than those without envelope infiltration (P<0.05) .The expression level of MT1-MMP in lymph node metastasis group was significantly higher than that in non-lymphatic metastasis group (P<0.05) .The expression level of YAP in gradesⅢandⅣof TNM were significantly higher than those in gradesⅠandⅡ (P<0.05) .Conclusion High expression level of MT1-MMP is associated with infiltration of thyroid carcinoma capsules and lymphatic metastasis.YAP is associated with greater proliferative capacity of papillary thyroid carcinoma, and LncRNA SNHG15is closely associated with infiltration of capsules.%目的 探究模型基质金属蛋白酶1 (MT1-MMP) 、长链非编码RNA SNG15 (LncRNA SNHG15) 、Yes相关蛋白 (YAP) 联合检测在甲状腺癌中的诊断价值.方法 选取该院2015年7月至2017年7月确诊的甲状腺癌患者共186例作为观察组, 与同期健康者50例作为对照组, 比较两组研究对象组织MT1-MMP、LncRNA SNHG15、YAP表达水平, 并比较甲状腺癌不同临床病理参数与MT1-MMP、LncRNA SNHG15、YAP表达水平的关系.结果 观察组组织MT1-MMP、LncRNA SNHG15及YAP表达阳性率均明显高于对照组 (P<0.05) .瘤体直径大于2cm的YAP表达水平明显高于瘤体直径小于2cm (P<0.05) .出现包膜浸润的YAP及LncRNA SNHG15表达水平明显高于未出现包膜浸润的组织, 差异有统计学意义 (P<0.05) .出现淋巴转移的组织MT1-MMP表达水平明显高于未出现淋巴转移的组织, 差异有统计学意义 (P<0.05) .TNM分级为Ⅲ级和Ⅳ级的组织YAP表达水平明显高于Ⅰ和Ⅱ级的组织, 差异有统计学意义 (P<0.05) .结论 MT1-MMP的高表达与甲状腺癌包膜浸润和淋巴转移有关, YAP与甲状腺癌更强的增殖能力有关, LncRNA SNHG15与包膜浸润密切相关.