博碩士論文 102233008 詳細資訊




以作者查詢圖書館館藏 以作者查詢臺灣博碩士 以作者查詢全國書目 勘誤回報 、線上人數:8 、訪客IP:3.94.21.209
姓名 詹曜寧(Chan YaoNing)  查詢紙本館藏   畢業系所 系統生物與生物資訊研究所
論文名稱 以miRNA為基礎開發偵測放射線治療抗性及預後的生物標記
(Develop the miRNAs as the biomarkers for diagnostic prediction and prognosis of cancer radiation therapy)
相關論文
★ 探討牛樟芝CCM111對細胞訊息傳遞之影響★ Tyloxapol 在大腸癌細胞中的特異性及作用機制之研究
★ MAPK傳導路徑相關微型RNA在黑色素瘤細胞中功能之研究★ 利用MAPK訊息傳導路徑相關的miRNAs來治療BRAF抑制劑的抗藥性在黑色素瘤細胞中之研究
★ 探討miR-567在黑色素細胞瘤中的調控機制★ 探索微型核糖核酸與慢性腎臟病及血液透析病人泌尿道上皮癌生物標記的相關性
★ 偵測微型核糖核酸 miR-524-5p表現量利用原位雜交染色法來作為輔助診斷惡性黑色素瘤的生物標記之研究★ 研究黑色素瘤細胞中 miR-524-5p 及 miR-596 的機制及功能
★ 研究牛樟芝萃取物 CCM111 的作用機制★ 探討黑色素腫瘤中p53調控miR-524-5p及miR-596表現之機制
★ 泌尿道上皮癌相關的miRNAs在膀胱癌之研究★ 探討BRAF抑制劑透過細胞間訊息誘導腫瘤形成之研究
★ 微型核糖核酸成為放射線治療的預後生物標記之研究★ 發展以血中微型 RNA 作為冠心症(CAD)的非侵入性疾病指標
檔案 [Endnote RIS 格式]    [Bibtex 格式]    [相關文章]   [文章引用]   [完整記錄]   [館藏目錄]   至系統瀏覽論文 (2020-12-31以後開放)
摘要(中) 微型RNA又稱MicroRNAs (miRNAs)是一群高度保守非編碼的RNA,長度約為18~25個核苷酸所組成,目前已經被證實微型RNA可以透過後轉錄調控的方式,調控基因的表現,因此微型RNA表現也影響細胞的許多功能。最近的一些研究中指出,以微型RNA的表現為基礎的生物標記,會比傳統mRNA的表現或蛋白質的表現為基礎更具有潛力。另外因為微型RNA可以同時扮演抑癌基因的角色,或是致癌基因的角色,所以微型RNA很有機會用於癌症治療。
目前癌症的治療方法主要有三種,分別是放射線治療與化學治療和手術,大約有50%的癌症病患需要接受放射線治療,其中也包含頭頸癌與大腸直腸癌的病患,但是在一些案例中會有部份腫瘤產生對放射治療的抗性,在治療後容易出現復發的情形,導致預後狀況不佳。因此我們希望可以開發一套以偵測微型RNA為基礎,預測癌症病患對放射線治療反應好壞的生物標記,這個研究的結果可以影響癌症病患的存活率,並且改善生活品質。
目前研究微型RNA的表現量的方法,主要是依賴即時定量PCR方法,此種方法其實也早已被大量應用在做DNA及mRNA基因定量的研究之中。藉由壢新醫院提供頭頸癌及大腸直腸癌的病患血液為研究對象,其中包含對放射線治療反應良好的19位病患,以及對放射線治療反應不良的10位共29位病患,先利用高通量即時定量PCR方法來篩選出一群與放射線治療抗性相關的微型RNA,再進一步對這一群微型RNA做驗證,了解這些候選的微型RNA,對於判斷放射線治療反應好壞的靈敏度與特異度和正確率。最後此研究找出了兩組微型RNA的組合(panel),一組用於治療前病患的診斷,能預測放射線治療反應良好與不良,正確率約為85%,和另一組用於治療後病患的預後,正確率約為80%。期望此研究的成果未來能夠直接應用在臨床做診斷,及預測癌症放射線治療預後,並對癌症病患有實質上的幫助。
摘要(英) MicroRNAs (miRNAs) are a large family of high conserved non-coding RNAs. The length of miRNAs are about 18 ~ 25 nuleotides. miRNAs can regulate gene expression through post-transcriptional regulation and thus miRNAs can affect a lot of cell functions. Recent study reported that miRNA profiles displayed more potential as biomakers than mRNA profile. Moreover, miRNAs can act as oncomirs or tumor suppressors, it can be applied in therapeutic application such as cancer.
For the cancer treatment, radiotherapy, surgery and chemotherapy are the three primary modalities. Approximately 50% cancer patients will receive the radiation treatment including head and neck cancer and colorectal cancer. However, in some case, the cancer will recurrent with radioresistance and cause poor outcome. We try to develop the miRNAs cohort profiles as prognostic biomarkers for cancer patients. The results of this project could impact the survival rate for cancer patients and improve the quality of life.
The detection method for miRNA expression usually rely on quantitative RT-PCR. This method has been applied in many research of DNA or mRNA expression. we utilized the blood samples from head and neck cancer and colorectal cancer patients which provide from landseed hospital. There are twenty-nine cancer patient’s plasma samples, including nineteen patients who resulted in the good response to radiation therapy, and ten patients who resulted in the poor response in radiation therapy samples. We characterized a group of miRNAs which be involved in radioresistant by using RT-qPCR. Moreover, We used those candidate miRNAs to test the sensitivity, specificity and accuracy. The results discovered two sets of miRNAs. One is the diagnosis set , which can predict the good response or poor response before radiation therapy perform and the other is prognosis set which can predict the good response or poor response after radiation therapy, The accuracy of this diagnosis set is about 87% and the accuracy of prognosis set is about 75%. We hope the result from this study can be apply to clinical diagnosis and prognosis, and give some benefit to cancer patients in the future.
關鍵字(中) ★ 微型核醣核酸
★ 放射線治療
★ 癌症
★ 生物標記
關鍵字(英) ★ miRNA
★ microRNA
★ cancer
★ radiation therapy
★ biomarker
論文目次 中文摘要 v
Abstract vi
誌 謝 viii
表目錄 xii
圖目錄 xiii
符號說明 xv
一、 緒論 1
1-1 頭頸癌與大腸直腸癌 1
1-2 放射線治療 1
1-3 以微型RNA為基礎之生物標記 2
1-4 偵測微型RNA的方法 4
1-5 研究目的 5
二、 實驗材料及方法 7
2-1 實驗材料 (Material): 7
2-2-1 癌症病患檢體 (Patients and samples) 7
2-2-2 及時定量聚合酶連鎖反應用於微型RNA偵測 (RT-qPCR system and miRNA assays) 7
2-2-3 核酸萃取試劑 (Reagents) 7
2-2-4 分析軟體 (Software) 8
2-2 實驗方法 (Methods): 8
2-2-1 實驗步驟 (Experimental step) 8
2-2-2 分離檢體中的血漿 (Separate plasma from blood sample) 8
2-2-3 微型RNA的萃取 (miRNA extraction) 9
2-2-4 微型RNA之RT-qPCR實驗 (miRNA expression profiling) 9
2-2-5 資料分析 (Data analysis) 10
2-2-6 資料正規化與羅吉斯回歸 (Data normalization and logistic regression analysis) 11
三、 實驗結果 13
3-1 癌症病患背景資料 13
3-2 查篩組之微型RNA體剖析 13
3-3 查篩組”C”組之微型RNA分析 15
3-4 查篩組”D”組之微型RNA分析 15
3-5 查篩組放射線治療前後差異分析 16
3-6 查篩組之候選微型RNA相對比值分析 16
3-7 查篩組候選之微型RNA總覽 17
3-8 訓練組之候選微型RNA集群熱圖分析 17
3-9 訓練組候選之微型RNA相對比值分析 17
3-10 訓練組接收者操作特徵曲線(ROC)分析 18
四、 問題與討論 19
4-1 候選微型RNA在頭頸癌與大腸直腸癌的樣本中當作放射線治療之生物標記的潛力 19
4-2 候選微型RNA在其它癌症的發展狀況 21
4-3 候選微型RNA在頭頸癌與大腸直腸癌於臨床的應用 22
4-4 未來研究方向 22
五、 結論 23
六、 參考資料與參考文獻 24
七、 圖 27
八、 表 57
九、 附錄 58
參考文獻 Ayaz, L., Gorur, A., Yaroglu, H. Y., Ozcan, C., & Tamer, L. (2013). Differential expression of microRNAs in plasma of patients with laryngeal squamous cell carcinoma: potential early-detection markers for laryngeal squamous cell carcinoma. J Cancer Res Clin Oncol, 139(9), 1499-1506. doi: 10.1007/s00432-013-1469-2
Brunner, T. B., Hahn, S. M., McKenna, W. G., & Bernhard, E. J. (2004). Radiation sensitization by inhibition of activated Ras. Strahlenther Onkol, 180(11), 731-740. doi: 10.1007/s00066-004-9198-8
Fornari, F., Milazzo, M., Chieco, P., Negrini, M., Marasco, E., Capranico, G., . . . Gramantieri, L. (2012). In hepatocellular carcinoma miR-519d is up-regulated by p53 and DNA hypomethylation and targets CDKN1A/p21, PTEN, AKT3 and TIMP2. J Pathol, 227(3), 275-285. doi: 10.1002/path.3995
Gupta, A. K. (2001). The Ras Radiation Resistance Pathway. Cancer Res.
Hou, Y. Y., Cao, W. W., Li, L., Li, S. P., Liu, T., Wan, H. Y., . . . Tang, H. (2011). MicroRNA-519d targets MKi67 and suppresses cell growth in the hepatocellular carcinoma cell line QGY-7703. Cancer Lett, 307(2), 182-190. doi: 10.1016/j.canlet.2011.04.002
Hui, A. B., Lenarduzzi, M., Krushel, T., Waldron, L., Pintilie, M., Shi, W., . . . Liu, F. F. (2010). Comprehensive MicroRNA profiling for head and neck squamous cell carcinomas. Clin Cancer Res, 16(4), 1129-1139. doi: 10.1158/1078-0432.CCR-09-2166
Ishigami, T., Uzawa, K., Higo, M., Nomura, H., Saito, K., Kato, Y., . . . Tanzawa, H. (2007). Genes and molecular pathways related to radioresistance of oral squamous cell carcinoma cells. Int J Cancer, 120(10), 2262-2270. doi: 10.1002/ijc.22561
Karaayvaz, M., Pal, T., Song, B., Zhang, C., Georgakopoulos, P., Mehmood, S., . . . Ju, J. (2011). Prognostic significance of miR-215 in colon cancer. Clin Colorectal Cancer, 10(4), 340-347. doi: 10.1016/j.clcc.2011.06.002
Kuner, R., Brase, J. C., Sultmann, H., & Wuttig, D. (2013). microRNA biomarkers in body fluids of prostate cancer patients. Methods, 59(1), 132-137. doi: 10.1016/j.ymeth.2012.05.004
Kwak, S. Y., Yang, J. S., Kim, B. Y., Bae, I. H., & Han, Y. H. (2014). Ionizing radiation-inducible miR-494 promotes glioma cell invasion through EGFR stabilization by targeting p190B rhoGAP. Biochim Biophys Acta, 1843(3), 508-516. doi: 10.1016/j.bbamcr.2013.11.021
Li, S., Gao, J., Gu, J., Yuan, J., Hua, D., & Shen, L. (2013). MicroRNA-215 inhibits relapse of colorectal cancer patients following radical surgery. Med Oncol, 30(2), 549. doi: 10.1007/s12032-013-0549-0
Li, T., Cao, H., Zhuang, J., Wan, J., Guan, M., Yu, B., . . . Zhang, W. (2011). Identification of miR-130a, miR-27b and miR-210 as serum biomarkers for atherosclerosis obliterans. Clin Chim Acta, 412(1-2), 66-70. doi: 10.1016/j.cca.2010.09.029
Lin, P. Y., Yu, S. L., & Yang, P. C. (2010). MicroRNA in lung cancer. Br J Cancer, 103(8), 1144-1148. doi: 10.1038/sj.bjc.6605901
Nohata, N., Hanazawa, T., Kikkawa, N., Sakurai, D., Fujimura, L., Chiyomaru, T., . . . Seki, N. (2011). Tumour suppressive microRNA-874 regulates novel cancer networks in maxillary sinus squamous cell carcinoma. Br J Cancer, 105(6), 833-841. doi: 10.1038/bjc.2011.311
Overgaard, J. (1998). A randomized double-blind phase III study of nimorazole as a hypoxic radiosensitizer of primary radiotherapy in supraglottic larynx and pharynx carcinoma. Results of the Danish Head and Neck Cancer Study (DAHANCA) Protocol 5-85. Radiotherapy and Oncolog.
Pilbrow, A. P., Cordeddu, L., Cameron, V. A., Frampton, C. M., Troughton, R. W., Doughty, R. N., . . . Foo, R. S. (2014). Circulating miR-323-3p and miR-652: candidate markers for the presence and progression of acute coronary syndromes. Int J Cardiol, 176(2), 375-385. doi: 10.1016/j.ijcard.2014.07.068
Pritchard, C. C., Cheng, H. H., & Tewari, M. (2012). MicroRNA profiling: approaches and considerations. Nat Rev Genet, 13(5), 358-369. doi: 10.1038/nrg3198
Srivastava, A., Goldberger, H., Dimtchev, A., Marian, C., Soldin, O., Li, X., . . . Kumar, D. (2014). Circulatory miR-628-5p is downregulated in prostate cancer patients. Tumour Biol, 35(5), 4867-4873. doi: 10.1007/s13277-014-1638-1
Suh, Y. E., Raulf, N., Gaken, J., Lawler, K., Urbano, T. G., Bullenkamp, J., . . . Tavassoli, M. (2014). MicroRNA-196a promotes an oncogenic effect in head and neck cancer cells by suppressing annexin A1 and enhancing radioresistance. Int J Cancer. doi: 10.1002/ijc.29397
Tijsen, A. J. (2015). MiR423-5p As a Circulating Biomarker for Heart Failure. Circulation Research.
Wang, D., Fan, Z., Liu, F., & Zuo, J. (2015). Hsa-miR-21 and Hsa-miR-29 in Tissue as Potential Diagnostic and Prognostic Biomarkers for Gastric Cancer. Cell Physiol Biochem, 37(4), 1454-1462. doi: 10.1159/000438514
Wang, F., Wang, X. S., Yang, G. H., Zhai, P. F., Xiao, Z., Xia, L. Y., . . . Zhang, J. W. (2012). miR-29a and miR-142-3p downregulation and diagnostic implication in human acute myeloid leukemia. Mol Biol Rep, 39(3), 2713-2722. doi: 10.1007/s11033-011-1026-5
Wu, C. (2014). Serum Levels of miR-19b and miR-146a as Prognostic Biomarkers for Non-Small Cell Lung Cancer. Tohoku University Medical Press.
Zhang, Y. (2014). MiR-124 Radiosensitizes Human Colorectal Cancer Cells
by Targeting PRRX1. doi: 10.1371/journal.pone.0093917.g001
Zhao, W. (2015). Serum miR-21 level: a potential diagnostic and prognostic biomarker for non-small cell lung cancer. International Journal of Clinical and Experimental Medicine.
指導教授 馬念涵(Ma Nianhan) 審核日期 2016-1-15
推文 facebook   plurk   twitter   funp   google   live   udn   HD   myshare   reddit   netvibes   friend   youpush   delicious   baidu   
網路書籤 Google bookmarks   del.icio.us   hemidemi   myshare   

若有論文相關問題,請聯絡國立中央大學圖書館推廣服務組 TEL:(03)422-7151轉57407,或E-mail聯絡  - 隱私權政策聲明