Clinical application value of serum LncRNA P53RRA in hepatocellular carcinoma
10.13602/j.cnki.jcls.2025.01.04
- VernacularTitle:血清LncRNA P53RRA在肝细胞癌中的临床价值
- Author:
Yafang PAN
1
;
Jing YANG
;
Wenqi SHAO
;
Te LIU
;
Baishen PAN
;
Beili WANG
;
Wei GUO
Author Information
1. 复旦大学附属中山医院检验科,上海 200032
- Publication Type:Journal Article
- Keywords:
hepatocellular carcinoma;
LncRNA;
P53RRA;
biomarker
- From:
Chinese Journal of Clinical Laboratory Science
2025;43(1):20-24
- CountryChina
- Language:Chinese
-
Abstract:
Objective To detect the expression level of serum LncRNA P53RRA in patients with primary hepatocellular carcinoma(HCC)and explore its clinical application value in the diagnosis of HCC.Methods Ninety-three patients with primary HCC visited Zhongshan Hospital Affiliated to Fudan University from November 2019 to December 2020 were selected as the HCC group and 88 healthy individuals undergone physical examination as the control group.Their serum samples were collected and the expression levels of serum LncRNA P53RRA were detected by real-time fluorescence quantitative PCR(qRT-PCR).The correlations of serum P53RRA levels with clinicopathological parameters and clinical biochemical indicators such as alanine aminotransferase(ALT),glutamate amin-otransferase(AST),gamma-glutamyl transpeptidase(GGT),and alkaline phosphatase(ALP)in HCC patients were analyzed.The diagnostic value of serum P53RRA for HCC was evaluated by the receiver operating characteristic(ROC)curve.Results The expres-sion levels of serum P53RRA in HCC patients(2.15±0.22)were significantly lower than that in healthy controls(3.54±0.33),and the difference was statistically significant(t=3.489,P<0.05).The analysis of clinicopathological parameters showed that the expres-sion levels of serum P53RRA in HCC patients were correlated with tumor staging(χ2=9.590,P<0.05),α-fetoprotein(AFP,χ2=5.732,P<0.05),and GGT(χ2=5.732,P<0.05).ROC curve analysis showed that the area under the ROC curve(AUCROC)of ser-um P53RRA in the diagnosis of HCC was 0.750(95%CI:0.679-0.821),with a sensitivity of 65.6%and specificity of 64.8%.The AUCROC,sensitivity and specificity of P53RRA combined with AFP and GGT in the diagnosis of HCC were 0.911(95%CI:0.867-0.953),88.2%and 70.5%,respectively,which were higher than those of single indicator.Conclusion LncRNA P53RRA is expec-ted to serve as a novel non-invasive biomarker,effectively assisting in the clinical diagnosis of HCC.