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Lewis X 相关抗原的显著表达模式作为低分期肾细胞癌的预后预测指标。

Significant expression patterns of lewis X-related antigens as a prognostic predictor of low-stage renal cell carcinomas.

机构信息

Department of Urology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan.

出版信息

Anticancer Res. 2010 Feb;30(2):593-9.

PMID:20332476
Abstract

AIM

To examine expression profiles of LewisX(Le(x))-related antigens, which have a possible role in hematogenous metastatic spread in various malignancies, in renal cell cancer (RCC) tissue in order to evaluate their prognostic value for patients with low-stage RCC.

PATIENTS AND METHODS

Fifty-two patients with pT1-2N0M0 disease were evaluated for their expression patterns of Le(x)-related antigens using FH6 and CSLEX1 antibodies for sLe(x) and AG223 for 6-sulfo Le(x), immunohistochemically.

RESULTS

None of the expression levels of Le(x)-related antigens directed by the three antibodies related to the clinical outcomes of patients with low-stage RCC. However, combined use of FH6 and CSLEX1 antibodies enabled prognostic prediction, namely that patients with low intensity with FH6 and high intensity with CSLEX1 had a higher chance of disease progression and poor survival.

CONCLUSION

Expression levels Le(x)-related antigens determined by combined use of FH6 and CSLEX1 antibodies could be of value as a prognostic indicator for patients with low-stage RCC.

摘要

目的

检测路易斯 X 相关抗原(Le(x))的表达谱,这些抗原在各种恶性肿瘤的血源性转移扩散中可能具有作用,从而评估其在低分期肾细胞癌(RCC)患者中的预后价值。

方法

使用 FH6 和 CSLEX1 抗体检测 sLe(x),AG223 检测 6-硫酸-Le(x),对 52 例 pT1-2N0M0 期疾病患者的 Le(x)相关抗原表达模式进行评估。

结果

三种抗体所指向的 Le(x)相关抗原的表达水平均与低分期 RCC 患者的临床结局无关。然而,FH6 和 CSLEX1 抗体的联合使用可进行预后预测,即 FH6 低强度和 CSLEX1 高强度的患者发生疾病进展和生存不良的可能性更高。

结论

联合使用 FH6 和 CSLEX1 抗体确定的 Le(x)相关抗原表达水平可能是低分期 RCC 患者的一种有价值的预后指标。

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