Basic & Clinical Medicine ›› 2023, Vol. 43 ›› Issue (9): 1417-1422.doi: 10.16352/j.issn.1001-6325.2023.09.1417

• Clinical Sciences • Previous Articles     Next Articles

Clinical value of plasma hsa_circ_005230 in the diagnosis and prognosis evaluation of primary hepatocellular carcinoma

Yimamaimaitijiang·ABRA, Pakhardin·BAIKERE, YI Chao, TONG Qing*   

  1. Department of Hepatopancreatobiliary Surgery, the Third Clinical Medical College of Xinjiang Medical University, Urumqi 830000, China
  • Received:2022-04-02 Revised:2022-11-13 Online:2023-09-05 Published:2023-09-01
  • Contact: *tongqing2001@126.com

Abstract: Objective To detect the expression level of circular RNA (circRNA) hsa_circ_005230 in the plasma of primary hepatocellular carcinoma (HCC), and to explore its clinical value in the diagnosis and prognosis of HCC. Methods The non-coding RNA high-throughput sequencing data in the GEO database was used to screen the circRNA expression in HCC (cancer tissue/paracancerous tissue). RT-qPCR was used to detect hsa_circ_005230 in the plasma of 60 HCC patients, 30 hepatitis B patients and 30 healthy people. Expression levels and their relationship with clinicopathological characteristics of HCC patients were evaluated. The receiver operating characteristic(ROC) curve to evaluate the clinical value of hsa_circ_005230 in the diagnosis of HCC. Survival analysis was performed by Kaplan-Meier method, and multivariate prognostic analysis was performed by Cox regression. Results The most significant up-regulated expression was found in hsa_circ_005230 from the GEO database. The expression level of hsa_circ_005230 in plasma of HCC patients was significantly higher than that of hepatitis B group and healthy control group (P<0.01); The increase of hsa_circ_005230 expression was related to tumor size (P<0.05) and to the stage of tumor lymph node metastasis(P<0.01); ROC analysis showed that the area under the ROC curve (AUC) of plasma hsa_circ_005230 in differentiating HCC from healthy people was 0.69, the sensitivity was 70%,and the specificity was 82 %.The overall survival rate of patients with high hsa_circ_005230 level was significantly lower than that of patients with low hsa_circ_005230 level. Univariate analysis showed that alpa-fetoprotein(AFP)(P<0.01) and hsa_circ_005230 (P<0.01) were related factors affecting the prognosis of HCC. Cox multivariate analysis revealed that hsa_circ_005230 was an independent prognostic indicator in HCC patients. Conclusions The hsa_circ_005230 may be used as a new biological marker for the diagnosis and prognostic evaluation of HCC.

Key words: hepatocellular carcinoma, circular RNA, hsa_circ_005230, diagnosis, prognosis

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