Case Control Study
Copyright ©The Author(s) 2019.
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
GroupForward primerReverse primer
miR-4895'-ACACTCCAGCTGGGG TGACATCACATA-3'5'-TGGTGTCGTGGAGTCG-3'
miR-215'-GCGGCGGTAGCTTATCAGACTG⁃3'5'-ATCCAGTGCAGGGTCCGAGG⁃3'
U65'-CTCGCTTCGGCAGCACA-3'5'-AACGCTTCACGAATTTGCGT-3'
Table 2 General clinical data of patients
VariableResearch group (n = 60)Control group (n = 40)tP-value
Age (yr)0.7330.392
≤ 5023 (38.33)(30.00)
> 5037 (61.67)28 (70.00)
Gender0.0001.000
Male30 (50.00)20 (50.00)
Female30 (50.00)20 (50.00)
Tumor size (cm)
≤ 217 (28.33)---
> 243 (71.67)---
Lesion site
Non-acral44 (73.33)---
Acral16 (26.67)---
TNM stage
I7 (11.67)---
II8 (13.33)---
III25 (41.67)---
IV20 (33.33)---
Lymph node metastasis
Yes45 (75.00)---
No15 (25.00)---
Table 3 Relationship between expression of miR-489 and clinicopathological characteristics of melanoma
VariablenmiR-489t/FP-value
Age (yr)1.3410.185
≤ 50230.43 ± 0.26
> 50370.51 ± 0.20
Gender1.9750.063
Male300.54 ± 0.18
Female300.42 ± 0.28
Tumor size (cm)0.4390.779
≤ 2170.45 ± 0.30
> 2430.39 ± 0.16
Lesion site0.9120.366
Non-acral440.50 ± 0.22
Acral160.44 ± 0.24
TNM stage4.2690.009
I70.62 ± 0.29
II80.48 ± 0.24
III250.47 ± 0.22
IV200.31 ± 0.17
Metastasis5.622< 0.001
Yes450.30 ± 0.16
No150.64 ± 0.30
Table 4 Relationship between clinicopathological characteristics of melanoma and miR-21 expression
VariablenmiR-21t/FP-value
Age (yr)1.9840.052
≤ 50234.72 ± 2.00
> 50375.84 ± 2.20
Gender0.5820.563
Male305.12 ± 1.75
Female305.44 ± 2.45
Tumor size (cm)0.3860.873
≤ 2174.99 ± 1.68
> 2435.57 ± 2.52
Lesion site0.3860.873
Non-acral445.16 ± 1.55
Acral165.40 ± 2.65
TNM stage5.0400.004
I73.60 ± 1.79
II85.23 ± 2.13
III255.28 ± 2.01
IV207.01 ± 2.47
Metastasis3.2950.002
Yes456.38 ± 2.35
No154.18 ± 1.85
Table 5 Diagnostic value of serum miR-489 and miR-21 in patients before treatment
IndexmiR-489miR-21
AUC0.8520.844
95%CI0.7678-0.93590.7633-0.9256
Std. Error0.04290.0414
Cut-off value0.4514.841
Sensitivity (%)75.5677.78
Specificity (%)80.0082.22
Table 6 Assignment description of related factors of melanoma metastasis
Correlative factorAssignment description
Age (yr)< 50 = 0; ≥ 50 = 1
GenderMale = 0; female = 1
Tumor size (cm)≤ 2 = 0; > 2 = 1
Lesion siteNon-arcal = 0; arcal =1
TNM stageI-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
FactorMetastasis of melanoma (n = 45)Melanoma is non-metastatic (n = 15)t/X2P-value
Age (yr)6.7920.009
≤ 5013 (28.89)10 (66.67)
> 5032 (71.11)5 (33.33)
Gender2.2220.136
Male25 (55.56)5 (33.33)
Female20 (44.44)10 (66.67)
Tumor size (cm)14.470< 0.001
≤ 27 (15.56)10 (66.67)
> 238 (84.44)5 (33.33)
Lesion site0.0001.000
Non-acral33 (73.33)11 (73.33)
Acral12 (26.67)4 (26.67)
TNM stage35.920< 0.001
I0 (0.00)7 (46.67)
II3 (6.67)5 (33.33)
III22 (48.89)3 (20.00)
IV20 (44.44)0 (0.00)
miR-4890.64 ± 0.300.30 ± 0.164.179< 0.001
miR-216.38 ± 2.354.18 ± 1.853.2950.002
Table 8 Multivariate analysis of melanoma metastasis
FactorβSEWaldPExp (β)95%CI
TNM stage1.3930.7524.1720.0414.8901.038-19.304
miR-4891.3851.6250.7620.5293.1460.182-34.021
mir-21-2.0371.2326.5140.0380.3910.059-1.449