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Detection of peripheral blood human telomerase reverse transcriptase mRNA in colorectal cancer with real-time fluorescent quantitative RT-PCR and its clinical Significance

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Author:
No author available
Journal Title:
WORLD CHINESE JOURNAL OF DIGESTOLOGY
Issue:
36
DOI:
10.3969/j.issn.1009-3079.2008.36.008
Key Word:
结直肠癌;微转移;外周血端粒酶逆转录酶(hTERT)mRNA;实时荧光定量逆转录聚合酶锚反应

Abstract: 目的:建立外周血端粒酶逆转录酶(hTERT)mRNA表达量检测的实时荧光定量逆转录聚合酶链反应(RT-PCR)系统,检测结直肠癌患者hTERT mRNA的表达并探讨其对结直肠癌微转移的诊断价值.方法:用实时荧光定量RT-PCR技术检测53例结直肠癌患者和21名健康人的外周血标本hTERT mRNA表达情况,分析其表达与肿瘤临床病理特征的关系并应用接受者操作特征曲线(ROC曲线)分析hTERT mRNA检测对结直肠癌的诊断价值.结果:结直肠癌组外周血hTERT mRNA表达水平显著高于正常对照组(t1=7.953,P<0.05).其表达与肿瘤淋巴结转移、血行转移和TNM分期相关(t'/t=2.334,2.149,2.460,均P<0.05)hTERT mRNA诊断结直肠癌的ROC曲线下面积0.91,诊断界值为Ct≤32.结论:应用实时荧光定量RT-PCR技术克服了传统PCR只能定性检测而不能定量检测的缺-点:外周血hTERT mRNA可作为诊断结直肠癌微转移的标记物.

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