Investigating the Association between LncRNA NR2F2-AS1, miR-320b, and BMI1 in Gastric Cancer: Insights into Expression Profiles as Potential Biomarkers for Disease Management.

Shadi Ghorbanzadeh, Navid Pourghasem, Roghayeh Amiz, Masoomeh Afsa, Kianoosh Malekzadeh
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Abstract

Aim: This study aims to investigate the potential role of lncRNA NR2F2-AS1 in the development of gastric cancer by affecting the levels of miR-320b and BMI1.

Background: Gastric cancer is a high-mortality malignancy, and understanding the underlying molecular mechanisms is crucial. Non-coding RNAs play an important role in gene expression, and their dysregulation can lead to tumor initiation and progression.

Objective: This study aims to determine the pathological role of LncRNA NR2F2-AS1 in gastric cancer progression and its association with the clinicopathological characteristics of patients.

Methods: Bioinformatics databases were used to predict the expression levels and interactions between the studied factors to achieve this objective. The expression pattern of NR2F2-AS1/miR- 320b/BMI1 in 40 pairs of tumor and adjacent normal tissues was examined using RT-PCR, IHC, and western blot. The correlation, ROC curve, and survival analyses were also conducted for the aforementioned factors.

Results: The results showed an increase of more than 2-fold for BMI-1 and lncRNA NR2F2-AS1 in lower stages, and the elevation continued with the increasing stage of the disease. This correlated with significant downregulation of miR-320b and PTEN, indicating their association with gastric cancer progression and decreased patient survival. LncRNA NR2F2-AS1 acts as an oncogene by influencing the level of miR-320b, altering the amount of BMI1. A reduction in the amount of miR-320b against lncRNA NR2F2-AS1 and BMI1 directly correlates with a reduced overall survival rate of patients, especially if this disproportion is more than 3.0. ROC curve analysis indicated that alteration in the lncRNA NR2F2-AS1 level showed more than 98.0% sensitivity and specificity to differentiate the lower from higher stages of GC and predict the early onset of metastasis.

Conclusion: In conclusion, these results suggest that NR2F2-AS1/miR-320b/BMI1 has the potential to be a prognostic as well as diagnostic biomarker for gastric cancer.

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调查胃癌中 LncRNA NR2F2-AS1、miR-320b 和 BMI1 之间的关联:洞察作为疾病管理潜在生物标记物的表达谱。
目的:本研究旨在通过影响miR-320b和BMI1的水平,探讨lncRNA NR2F2-AS1在胃癌发病中的潜在作用:背景:胃癌是一种高死亡率的恶性肿瘤,了解其潜在的分子机制至关重要。非编码 RNA 在基因表达中发挥着重要作用,其失调可导致肿瘤的发生和发展:本研究旨在确定 LncRNA NR2F2-AS1 在胃癌进展中的病理作用及其与患者临床病理特征的关联:为实现这一目标,研究人员利用生物信息学数据库预测了所研究因素的表达水平和相互作用。采用 RT-PCR、IHC 和 Western 印迹法检测了 40 对肿瘤和邻近正常组织中 NR2F2-AS1/miR- 320b/BMI1 的表达模式。此外,还对上述因素进行了相关性分析、ROC 曲线分析和生存分析:结果显示,BMI-1和lncRNA NR2F2-AS1在低分期时升高超过2倍,并随着疾病分期的增加而持续升高。这与 miR-320b 和 PTEN 的明显下调有关,表明它们与胃癌进展和患者生存率下降有关。LncRNA NR2F2-AS1通过影响miR-320b的水平,改变BMI1的数量,从而起到癌基因的作用。针对lncRNA NR2F2-AS1和BMI1的miR-320b数量的减少与患者总生存率的降低直接相关,尤其是当这一比例失调超过3.0时。ROC曲线分析表明,lncRNA NR2F2-AS1水平的改变在区分GC低分期和高分期以及预测早期转移方面的敏感性和特异性均超过98.0%:总之,这些结果表明,NR2F2-AS1/miR-320b/BMI1有可能成为胃癌的预后和诊断生物标志物。
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