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人原发性胆囊癌中星形细胞上调基因-1 的过表达:一个不利的、独立的预后因素。

Astrocyte elevated gene-1 overexpression in human primary gallbladder carcinomas: an unfavorable and independent prognostic factor.

机构信息

Department of Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, PR China.

出版信息

Oncol Rep. 2011 Nov;26(5):1133-42. doi: 10.3892/or.2011.1387. Epub 2011 Jul 11.

DOI:10.3892/or.2011.1387
PMID:21750868
Abstract

Astrocyte elevated gene-1 (AEG-1), as an HIV-1 or TNF-α-inducible transcript, is correlated with various aspects of tumor malignancy. However, the status of AEG-1 expression and its clinical significance in human gallbladder carcinoma (GBC) remains unknown. In the present study, we investigated AEG-1 expression in two GBC cell lines (GBC-SD and SGC-996) and GBC tissues by immunohistochemical, Western blot and real-time PCR analysis. We found that AEG-1 was highly expressed in GBC samples (63.4%, 26 of 41) compared with normal gallbladder mucosa (p=0.0003) and highly invasive GBC-SD cell lines at both the protein (p=0.0043) and mRNA levels (p=0.0001), and strongly correlated with differentiation degree (p=0.006), Nevin stage (p=0.0344), Ki-67 expression (p=0.0024) and liver infiltration (p=0.0332) in these patients. Multivariate analysis indicated that AEG-1 overexpression was an independent prognostic marker for GBC patients. Moreover, patients with high AEG-1 levels had shorter survival time (p=0.008). Our results suggest that the AEG-1 protein is a valuable marker of GBC progression and could be a potential therapeutic target.

摘要

星形细胞上调基因-1(AEG-1)作为 HIV-1 或 TNF-α诱导的转录物,与肿瘤恶性的各个方面相关。然而,AEG-1 在人类胆囊癌(GBC)中的表达状态及其临床意义尚不清楚。在本研究中,我们通过免疫组织化学、Western blot 和实时 PCR 分析研究了 AEG-1 在两种 GBC 细胞系(GBC-SD 和 SGC-996)和 GBC 组织中的表达。我们发现,与正常胆囊黏膜相比,AEG-1 在 GBC 样本中高表达(63.4%,41 例中有 26 例)(p=0.0003),并且在蛋白水平(p=0.0043)和 mRNA 水平(p=0.0001)上均高度表达于侵袭性强的 GBC-SD 细胞系,并且与分化程度(p=0.006)、Nevin 分期(p=0.0344)、Ki-67 表达(p=0.0024)和肝浸润(p=0.0332)密切相关。多因素分析表明,AEG-1 过表达是 GBC 患者的独立预后标志物。此外,AEG-1 水平高的患者生存时间更短(p=0.008)。我们的结果表明,AEG-1 蛋白是 GBC 进展的有价值标志物,可能是潜在的治疗靶点。

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