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GINS复合物在结直肠癌中的表达及临床意义

[Expression and clinical significance of GINS complex in colorectal cancer].

作者信息

Wei Hong-bo, Wen Ji-zhi, Wei Bo, Han Xiao-yan, Zhang Shi

机构信息

Department of Gastrointestinal Surgery, The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2011 Jun;14(6):443-7.

Abstract

OBJECTIVE

To investigate the expression and clinical significance of GINS complex in colorectal cancer (CRC).

METHODS

The expression level of GINS complex including PSF1, PSF2, PSF3 and SLD5 in CRC specimens (n=76) were detected by real-time fluorescent quantitative polymerase chain reaction. The association of GINS complex with clinicopathological parameters and prognosis of CRC patients were analyzed.

RESULTS

The relative expression level of PSF1, PSF2, PSF3, and SLD5 mRNA in CRC tissues was 0.001 853±0.000 651, 0.007 757±0.004 260, 0.000 967±0.000 481 and 0.003 248±0.001 721, which was significantly higher than that in normal colorectal mucosa tissues (0.000 352±0.000 169, 0.002 951±0.001 216, 0.000 472±0.000 271, and 0.001 675±0.001 156) (all P<0.01). PSF1 mRNA expression was associated with tumor size (P<0.01), and PSF2 mRNA expression with age (P<0.05) and lymph node metastasis (P<0.05). No correlations between PSF3 mRNA expression and clinicopathological parameters were observed. SLD5 mRNA expression was associated with lymph node metastasis (P<0.01). Patients with high expression of PSF1, PSF2 and SLD5 had worse 5-year overall survival rate (57.1%, 54.3%, and 54.3%) than those with low expression (77.1%, 80.0%, and 80.0%) (all P<0.05). Multivariable Cox regression analysis indicated that PSF1 mRNA expression (P<0.05) was an independent factor associated with prognosis of colorectal cancer.

CONCLUSIONS

Overexpression of GINS complex in CRC is associated with clinicopathological characteristics and prognosis of colorectal cancer. PSF1 expression is prognostic for CRC patients.

摘要

目的

探讨GINS复合体在结直肠癌(CRC)中的表达及其临床意义。

方法

采用实时荧光定量聚合酶链反应检测76例CRC标本中GINS复合体(包括PSF1、PSF2、PSF3和SLD5)的表达水平。分析GINS复合体与CRC患者临床病理参数及预后的关系。

结果

CRC组织中PSF1、PSF2、PSF3和SLD5 mRNA的相对表达水平分别为0.001 853±0.000 651、0.007 757±0.004 260、0.000 967±0.000 481和0.003 248±0.001 721,显著高于正常结直肠黏膜组织(0.000 352±0.000 169、0.002 951±0.001 216、0.000 472±0.000 271和0.001 675±0.001 156)(均P<0.01)。PSF1 mRNA表达与肿瘤大小有关(P<0.01),PSF2 mRNA表达与年龄(P<0.05)和淋巴结转移(P<0.05)有关。未观察到PSF3 mRNA表达与临床病理参数之间的相关性。SLD5 mRNA表达与淋巴结转移有关(P<0.01)。PSF1、PSF2和SLD5高表达患者的5年总生存率(57.1%、54.3%和54.3%)低于低表达患者(77.1%、80.0%和80.0%)(均P<0.05)。多因素Cox回归分析表明,PSF1 mRNA表达(P<0.05)是结直肠癌预后的独立相关因素。

结论

CRC中GINS复合体的过表达与结直肠癌的临床病理特征及预后相关。PSF1表达对CRC患者具有预后评估价值。

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