Observational Study
Copyright ©The Author(s) 2020.
World J Gastroenterol. Feb 14, 2020; 26(6): 670-685
Published online Feb 14, 2020. doi: 10.3748/wjg.v26.i6.670
Table 1 Comparison of baseline data
FactorsNormal group (n = 50)Patient group (n = 78)t / χ2P value
Gender0.1610.688
Male30 (60.00)44 (56.41)
Female20 (40.00)34 (43.59)
Age (yr)60.4 ± 4.858.7 ± 5.40.3100.757
Smoking history0.2950.587
Yes30 (60.00)43 (55.13)
No20 (40.00)35 (44.87)
History of alcoholism0.0810.776
Yes8 (16.00)14 (17.95)
No42 (84.00)64 (82.05)
Location
The upper thoracic area19 (24.36)
The middle thoracic area34 (43.59)
The lower thoracic area25 (32.05)
Tumor size
≥ 3 cm45 (57.69)
< 3 cm33 (42.31)
Differentiation
Low differentiation25 (32.05)
Moderate + high differentiation53 (67.95)
TNM stage
Stage I27 (34.62)
Stage II + III51 (65.38)
Table 2 Relationship between miR-1304 and pathological data
FactorsHigh expression (n = 39)Low expression (n = 39)χ2P value
Gender0.8340.361
Male (n = 44)20 (51.28)24 (61.54)
Female (n = 34)19 (48.72)15 (38.46)
Age (yr)0.8210.365
≥ 60 (n = 38)17 (43.59)21 (53.85)
< 60 (n = 40)22 (56.41)18 (46.15)
Lesion location1.5230.467
The upper thoracic area (n = 19)10 (25.64)9 (23.08)
The middle thoracic area (n = 34)19 (48.72)15 (38.46)
The lower thoracic area (n = 25)10 (25.64)15 (38.46)
Tumor size6.3560.001
≥ 3 cm (n = 45)28 (71.79)17 (43.59)
< 3 cm (n = 33)11 (28.21)22 (56.41)
Differentiation4.7680.029
Low differentiation (n = 25)17 (43.59)8 (20.51)
Moderate + high differentiation (n = 53)22 (56.41)31 (79.49)
TNM stage6.8540.009
Stage I (n = 27)8 (20.51)19 (48.72)
Stage II + III (n = 51)31 (79.49)20 (51.28)
Table 3 Receiver operating characteristic parameters
ParametersAUC95%CIP valueSensitivity (%)Specificity (%)Cut-off
Tumor size0.7100.591-0.8290.00242.4295.56< 1.158
Differentiation0.7730.665-0.8810.00177.3668.00< 1.363
TNM staging0.7880.687-0.889< 0.00147.0696.30> 1.393
Table 4 Univariate analysis
FactorsRecurrence group (n = 33)Non-recurrence group (n = 45)t /χ2P value
Gender2.7920.095
Male (n = 44)15 (45.45)29 (64.44)
Female (n = 34)18 (54.55)16 (35.56)
Age (yr)0.1790.672
≥ 60 (n = 38)17 (51.52)21 (46.67)
< 60 (n = 40)16 (48.48)24 (53.33)
Smoking history0.6940.405
Yes (n=43)20 (60.61)23 (51.11)
No (n=35)13 (39.39)22 (48.89)
History of alcoholism1.3190.251
Yes (n=14)4 (12.12)10 (22.22)
No (n=64)29 (87.88)35 (77.78)
Lesion location0.6020.740
The upper thoracic area (n = 19)7 (21.21)12 (26.67)
The middle thoracic area (n = 34)16 (48.49)18 (40.00)
The lower thoracic area (n = 25)10 (30.30)15 (33.33)
Tumor size7.6480.006
≥ 3 cm (n = 45)25 (75.76)20 (44.44)
< 3 cm (n = 33)8 (24.24)25 (55.56)
Differentiation7.0930.008
Low differentiation (n = 25)16 (48.48)9 (20.00)
Moderate + high differentiation (n = 53)17 (51.52)36 (80.00)
TNM staging6.8250.009
Stage I (n = 27)6 (18.18)21 (46.67)
Stage II + III (n = 51)27 (81.82)24 (53.33)
Adjuvant therapy0.9460.331
Chemotherapy (n = 52)24 (72.73)28 (62.22)
Radiotherapy (n = 26)9 (27.27)17 (37.78)
Expression of miR-13048.8770.003
High expression (n = 39)23 (69.70)16 (35.56)
Low expression (n = 39)10 (30.30)29 (64.44)
Table 5 Assignment
FactorsAssignment
Tumor size≥ 3 cm = 1, < 3 cm = 0
DifferentiationLow differentiation = 1, Moderate + high differentiation = 0
TNM stageStage I = 1, stage II + III = 0
Expression of miR-1304High differentiation = 1, low differentiation = 0
RecurrenceRecurrence = 1, non-recurrence = 0
Table 6 Logistic regression analysis
FactorsβSDχ2P valueExp (HR)HR 95%CI
UpDown
Tumor size1.8610.6468.2970.0046.4291.81222.803
Differentiation1.8110.6657.4140.0066.1141.66122.506
TNM stage-1.8010.6757.1180.0080.1650.0440.620
Expression of miR-13041.8380.6278.5860.0036.2861.83821.501
Table 7 Cox regression analysis
Factors3-yr univariate Cox
3-yr multivariate Cox
P valueH (95%CI)P valueHR (95%CI)
Gender (male vs female)0.8031.075 (0.608-1.903)
Age (≥ 60 yr vs < 65 yr)0.5340.835 (0.473-1.474)
Lesion location (upper vs middle vs lower)0.4271.166 (0.798-1.705)
Tumor size (≥ 3 cm vs < 3 cm)0.0003.473 (1.827-6.601)0.0102.402 (1.237-4.665)
Differentiation (low differentiation vs moderate + high differentiation)0.0003.09 (1.724-5.539)0.0152.153 (1.159-4.002)
TNM stage (stage I vs stage II + III)0.0600.543 (0.287-1.027)
Adjuvant therapy plan (chemotherapy vs radiotherapy)0.9391.025 (0.549-1.911)
Recurrence (recurrence vs non-recurrence)0.0022.561 (1.408-4.657)0.0341.949 (1.05-3.619)
miR-1304 (high expression vs low expression)0.0012.614 (1.448-4.717)0.0361.93 (1.044-3.565)
Table 8 Target genes of miR-1304
GeneTarget gene
miR-1304LYPD3, MYC, LMNB1, KLHL15, ZNF99, SPRYD4, CCNT2, PLEKHF2, DSEL, ADIPOR2, CBX5, DDX3X, SMAD5, DARS, PCGF3, FAM83H, RRAS, PDE3A, CALM2, and TMBIM6
Table 9 Gene ontology enrichment analysis
IDTermGeneCountP value
GO: 0043392Negative regulation of DNA bindingWFIKKN2, SP100, HAND2, HMOX1, HMGA250.001
GO: 0051091Positive regulation of sequence-specific DNA binding transcription factor activityIL6, SP100, HIPK2, PYCARD, HMGA2, TRIM22, TCF3, ATF280.001
GO: 0000122Negative regulation of transcription from RNA polymerase II promoterATF7IP, SATB1, BACH2, SP100, GABPA, DICER1, YBX3, KLF16, ZEB2, HMGA2, ZNF345, ATF2, SUV39H2, VDR, OLIG3, MLX, PRMT6, HIPK2, ZNF431, TCF3, SMARCA2, SUDS3220.002
GO: 0006351Transcription, DNA-templatedXRCC5, ZNF555, IRX5, CCNT1, YBX3, BBX, TTLL5, ZNF250, ZEB2, ZNF652, ZNF184, VDR, OLIG3, PRMT6, ZNF426, KDM3B, BAZ2A, TCF3, MAP2K6, ATF7IP, SATB1, SP100, ZNF620, ZNF92, KLF16, SCAI, TRIM22, ATMIN, ZNF585B, FAM208A, SUV39H2, ZBTB25, EYA4, ZNF439, MLX, PARP14, HIPK2, ZNF431, ZNF432, SMARCA2, FOXD4L6, SUDS3, ZNF573, ZBTB8A440.002
GO: 0006355Regulation of transcription, DNA-templatedZNF555, IRX5, YBX3, BBX, ZNF250, ZNF652, ATF2, VDR, ZNF184, ZNF426, KDM3B, BAZ2A, INSR, TCF3, MAP2K6, SATB1, ZNF620, ZNF92, SCAI, AFF1, HMGA2, TRIM22, ZNF585B, FAM208A, ZBTB25, EYA4, TULP4, ZNF439, PARP14, CDKN2AIP, MLX, ZNF431, ZNF432, SMARCA2, ZBTB8A, ZNF573360.003
GO: 0005138Interleukin-6 receptor bindingIL6, PYCARD, ADAM1730.004
GO: 0015031Protein transportSLC7A6OS, RAB9A, RAB3D, KIF17, DUOXA1, RAB39A, VPS52, PKDCC, HOOK3, GOPC, SNX30, SNX20, EXOC6B130.011
GO: 0050892Intestinal absorptionF11R, VDR, KCNQ130.016
GO: 0042147Retrograde transport, endosome to GolgiSPAG9, RAB9A, STX16, VPS52, VPS26A50.017
GO: 0032259MethylationMETTL8, TRMT10B, SETD9, CARNMT1, NNMT50.020
GO: 0032290Peripheral nervous system myelin formationNCMAP, DICER120.028
GO: 0005509Calcium ion bindingPCDH11Y, PCDH11X, RPH3AL, DAG1, STIM1, MMP17, FSTL4, TTN, IQGAP1, CALU, ITPR2, PLSCR1, CALML4, TPT1, SYTL2, EGF, CALM2, CACNA1B180.029
GO: 0008544Epidermis developmentSATB1, STS, ELF3, INSR, SCEL50.033
GO: 0003677DNA bindingXRCC5, ZNF555, AGFG1, KIAA1958, CCNT1, YBX3, BBX, ZNF250, ZEB2, ZNF345, ZNF652, ZNF184, VDR, OLIG3, HIST1H4C, ZNF426, BAZ2A, TCF3, SATB1, SP100, ZNF620, CHTF8, GABPA, HMGA2, ZBTB25, PLSCR1, ZNF439, RFC2, MLX, HIPK2, RAD18, ZNF432, ZNF573, ZBTB8A340.035
GO: 0046872Metal ion bindingZNF555, MGAT5B, AGFG1, DICER1, ZNF250, ZEB2, ZNF345, ZNF652, ATF2, ZFC3H1, ZNF184, CLEC17A, FGG, HMOX1, ZC3H12B, ZNF426, KDM3B, STS, KCND3, NRXN3, ZNF620, ZNF92, KLF16, RPH3AL, ATMIN, ZNF585B, ZBTB25, EYA4, ZNF439, GNAQ, ADAM17, ZNF431, YME1L1, ZNF432, ADAM12, ZNHIT6, CACNA1D, UGP2, ZBTB8A, ZNF573400.042
GO: 0070644Vitamin D response element bindingVDR, TCF320.042
GO: 0005794Golgi apparatusSTS, RAB39A, FGFRL1, VPS52, PKDCC, PRKG1, SART1, CALU, HOOK3, PLSCR1, NRAS, COPB1, STX16, GOPC, CNTNAP2, CAND1, B4GALT7, TRAPPC3, SLC30A7190.044
GO: 0007173Epidermal growth factor receptor signaling pathwayNRAS, ADAM17, EGF, IQGAP140.045
Table 10 Kyoto Encyclopedia of Genes, and Genomes pathway enrichment analysis
IDTermGenesCountP value
hsa04912GnRH signaling pathwayNRAS, GNAQ, CACNA1D, MAP2K6, CALM2, ITPR260.007
hsa04725Cholinergic synapseNRAS, GNAQ, CACNA1D, KCNQ1, ITPR2, CACNA1B60.015
hsa04022cGMP-PKG signaling pathwayGNAQ, PRKG1, CACNA1D, INSR, CALM2, ITPR2, ATF270.017
hsa04925Aldosterone synthesis and secretionGNAQ, CACNA1D, CALM2, ITPR2, ATF250.021
hsa04728Dopaminergic synapseGNAQ, CACNA1D, CALM2, ITPR2, ATF2, CACNA1B60.026
hsa05164Influenza AIL6, AGFG1, PYCARD, DNAJC3, MAP2K6, HLA-DRA, ATF270.026
hsa04540Gap junctionNRAS, GNAQ, PRKG1, EGF, ITPR250.028
hsa04066HIF-1 signaling pathwayIL6, PFKFB3, HMOX1, EGF, INSR50.037
hsa04915Estrogen signaling pathwayNRAS, GNAQ, CALM2, ITPR2, ATF250.040
hsa04922Glucagon signaling pathwayGNAQ, CALM2, G6PC2, ITPR2, ATF250.040
hsa04730Long-term depressionNRAS, GNAQ, PRKG1, ITPR240.043