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胃腺癌中 CD24 和半乳糖凝集素-1 的表达及临床病理意义。

CD24 and galectin-1 expressions in gastric adenocarcinoma and clinicopathologic significance.

机构信息

Department of Pathology, School of Medicine, Zonguldak Karaelmas University, 67600 Kozlu, Zonguldak, Turkey.

出版信息

Pathol Oncol Res. 2010 Dec;16(4):569-77. doi: 10.1007/s12253-010-9248-8. Epub 2010 Feb 23.

Abstract

CD24 and galectin-1 expression in gastric adenocarcinoma and their clinicopathologic significance remained largely unknown. We aimed to evaluate expressions and staining intensities of CD24 and galectin-1 in gastric adenocarcinoma and to investigate the interrelation with clinicopathologic parameters including survival. 93 cases with gastric adenocarcinoma were reevaluated histopathologically and immunohistochemistry was performed with antibodies against CD24 and galectin-1. Staining intensities of both markers in tumor cells and staining intensity of galectin-1 in tumor-associated stromal cells were scored semiquantitatively. The relationship between expression and staining intensity of CD24 and galectin-1 and clinicopathologic variables were assessed. CD24 staining intensity was associated with lymphovascular invasion (p = 0.007), serosal invasion (p = 0.001), stage (p = 0.001) and lymph node metastasis (p = 0.005). Galectin-1 staining intensity in tumor-associated stromal cells was associated with tumor location (p = 0.031), lymphovascular invasion (p = 0.001), perineural invasion (p = 0.001), serosal invasion (p = 0.001), differentiation (p = 0.003), stage (p = 0.001) and lymph node metastasis (p = 0.001). Staining intensity of CD24 (p = 0.019) and gal-1 (p = 0.018) were associated with patient survival. Staining intensity of CD24 in tumor cells and galectin-1 in tumor-associated stromal cells were related with certain clinicopathologic variables. Our findings suggest that these markers are independent prognostic indicators of poor survival and may serve as useful targets for novel therapies.

摘要

CD24 和半乳糖凝集素-1 在胃腺癌中的表达及其临床病理意义在很大程度上仍不清楚。我们旨在评估 CD24 和半乳糖凝集素-1 在胃腺癌中的表达和染色强度,并研究其与包括生存在内的临床病理参数的相互关系。对 93 例胃腺癌病例进行了重新组织病理学评估,并使用针对 CD24 和半乳糖凝集素-1 的抗体进行了免疫组织化学染色。肿瘤细胞中两种标志物的染色强度和肿瘤相关基质细胞中半乳糖凝集素-1 的染色强度均进行半定量评分。评估了 CD24 和半乳糖凝集素-1 的表达和染色强度与临床病理变量之间的关系。CD24 染色强度与血管淋巴管侵犯(p = 0.007)、浆膜侵犯(p = 0.001)、分期(p = 0.001)和淋巴结转移(p = 0.005)有关。肿瘤相关基质细胞中半乳糖凝集素-1 的染色强度与肿瘤位置(p = 0.031)、血管淋巴管侵犯(p = 0.001)、神经周围侵犯(p = 0.001)、浆膜侵犯(p = 0.001)、分化(p = 0.003)、分期(p = 0.001)和淋巴结转移(p = 0.001)有关。CD24(p = 0.019)和 gal-1(p = 0.018)的染色强度与患者的生存有关。肿瘤细胞中 CD24 的染色强度和肿瘤相关基质细胞中半乳糖凝集素-1 的染色强度与某些临床病理变量有关。我们的发现表明,这些标志物是预后不良的独立预后指标,可能成为新疗法的有用靶点。

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