Mo H, Guan J, Yuan ZC, Lin X, Wu ZJ, Liu B, He JL. Expression and predictive value of miR-489 and miR-21 in melanoma metastasis. World J Clin Cases 2019; 7(19): 2930-2941 [PMID: 31624741 DOI: 10.12998/wjcc.v7.i19.2930]
Corresponding Author of This Article
Ju-Liang He, MD, Doctor, Department of Bone and Soft Tissue Surgery, Guangxi Medical University Cancer Hospital, No. 71, Hedi Road, Nanning 530021, Guangxi Zhuang Autonomous Region, China. hejuliang0@qq.com
Research Domain of This Article
Dermatology
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2019; 7(19): 2930-2941 Published online Oct 6, 2019. doi: 10.12998/wjcc.v7.i19.2930
Table 1 Primer sequences of miR-489, miR-21, and internal reference U6
Group
Forward primer
Reverse primer
miR-489
5'-ACACTCCAGCTGGGG TGACATCACATA-3'
5'-TGGTGTCGTGGAGTCG-3'
miR-21
5'-GCGGCGGTAGCTTATCAGACTG⁃3'
5'-ATCCAGTGCAGGGTCCGAGG⁃3'
U6
5'-CTCGCTTCGGCAGCACA-3'
5'-AACGCTTCACGAATTTGCGT-3'
Table 2 General clinical data of patients
Variable
Research group (n = 60)
Control group (n = 40)
t
P-value
Age (yr)
0.733
0.392
≤ 50
23 (38.33)
(30.00)
> 50
37 (61.67)
28 (70.00)
Gender
0.000
1.000
Male
30 (50.00)
20 (50.00)
Female
30 (50.00)
20 (50.00)
Tumor size (cm)
≤ 2
17 (28.33)
-
-
-
> 2
43 (71.67)
-
-
-
Lesion site
Non-acral
44 (73.33)
-
-
-
Acral
16 (26.67)
-
-
-
TNM stage
I
7 (11.67)
-
-
-
II
8 (13.33)
-
-
-
III
25 (41.67)
-
-
-
IV
20 (33.33)
-
-
-
Lymph node metastasis
Yes
45 (75.00)
-
-
-
No
15 (25.00)
-
-
-
Table 3 Relationship between expression of miR-489 and clinicopathological characteristics of melanoma
Variable
n
miR-489
t/F
P-value
Age (yr)
1.341
0.185
≤ 50
23
0.43 ± 0.26
> 50
37
0.51 ± 0.20
Gender
1.975
0.063
Male
30
0.54 ± 0.18
Female
30
0.42 ± 0.28
Tumor size (cm)
0.439
0.779
≤ 2
17
0.45 ± 0.30
> 2
43
0.39 ± 0.16
Lesion site
0.912
0.366
Non-acral
44
0.50 ± 0.22
Acral
16
0.44 ± 0.24
TNM stage
4.269
0.009
I
7
0.62 ± 0.29
II
8
0.48 ± 0.24
III
25
0.47 ± 0.22
IV
20
0.31 ± 0.17
Metastasis
5.622
< 0.001
Yes
45
0.30 ± 0.16
No
15
0.64 ± 0.30
Table 4 Relationship between clinicopathological characteristics of melanoma and miR-21 expression
Variable
n
miR-21
t/F
P-value
Age (yr)
1.984
0.052
≤ 50
23
4.72 ± 2.00
> 50
37
5.84 ± 2.20
Gender
0.582
0.563
Male
30
5.12 ± 1.75
Female
30
5.44 ± 2.45
Tumor size (cm)
0.386
0.873
≤ 2
17
4.99 ± 1.68
> 2
43
5.57 ± 2.52
Lesion site
0.386
0.873
Non-acral
44
5.16 ± 1.55
Acral
16
5.40 ± 2.65
TNM stage
5.040
0.004
I
7
3.60 ± 1.79
II
8
5.23 ± 2.13
III
25
5.28 ± 2.01
IV
20
7.01 ± 2.47
Metastasis
3.295
0.002
Yes
45
6.38 ± 2.35
No
15
4.18 ± 1.85
Table 5 Diagnostic value of serum miR-489 and miR-21 in patients before treatment
Index
miR-489
miR-21
AUC
0.852
0.844
95%CI
0.7678-0.9359
0.7633-0.9256
Std. Error
0.0429
0.0414
Cut-off value
0.451
4.841
Sensitivity (%)
75.56
77.78
Specificity (%)
80.00
82.22
Table 6 Assignment description of related factors of melanoma metastasis
Correlative factor
Assignment description
Age (yr)
< 50 = 0; ≥ 50 = 1
Gender
Male = 0; female = 1
Tumor size (cm)
≤ 2 = 0; > 2 = 1
Lesion site
Non-arcal = 0; arcal =1
TNM stage
I-II = 0; III-IV =1
miR-489
< 0.451 = 0; > 0.451 = 1
miR-21
< 4.841= 0; > 4.841 = 1
Table 7 Single-factor analysis of melanoma metastasis
Factor
Metastasis of melanoma (n = 45)
Melanoma is non-metastatic (n = 15)
t/X2
P-value
Age (yr)
6.792
0.009
≤ 50
13 (28.89)
10 (66.67)
> 50
32 (71.11)
5 (33.33)
Gender
2.222
0.136
Male
25 (55.56)
5 (33.33)
Female
20 (44.44)
10 (66.67)
Tumor size (cm)
14.470
< 0.001
≤ 2
7 (15.56)
10 (66.67)
> 2
38 (84.44)
5 (33.33)
Lesion site
0.000
1.000
Non-acral
33 (73.33)
11 (73.33)
Acral
12 (26.67)
4 (26.67)
TNM stage
35.920
< 0.001
I
0 (0.00)
7 (46.67)
II
3 (6.67)
5 (33.33)
III
22 (48.89)
3 (20.00)
IV
20 (44.44)
0 (0.00)
miR-489
0.64 ± 0.30
0.30 ± 0.16
4.179
< 0.001
miR-21
6.38 ± 2.35
4.18 ± 1.85
3.295
0.002
Table 8 Multivariate analysis of melanoma metastasis
Factor
β
SE
Wald
P
Exp (β)
95%CI
TNM stage
1.393
0.752
4.172
0.041
4.890
1.038-19.304
miR-489
1.385
1.625
0.762
0.529
3.146
0.182-34.021
mir-21
-2.037
1.232
6.514
0.038
0.391
0.059-1.449
Citation: Mo H, Guan J, Yuan ZC, Lin X, Wu ZJ, Liu B, He JL. Expression and predictive value of miR-489 and miR-21 in melanoma metastasis. World J Clin Cases 2019; 7(19): 2930-2941