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[非小细胞肺癌患者淋巴管密度、微血管密度、癌胚抗原mRNA、KAI1和Kiss-1的表达与预后的关系]

[Relationship among the expression of lymphatic vessel density, microvessel density, carcinoembryonic antigenic mRNA, KAI1, and Kiss-1, and prognosis in patients with non-small cell lung cancer].

作者信息

Wang Guowen, Wang Zuyi, Li Chuankui, Wang Ping, Chai Damin, Cheng Zenong

机构信息

Department of Cardiothoracic Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2012 Jun;15(6):348-54. doi: 10.3779/j.issn.1009-3419.2012.06.05.

Abstract

BACKGROUND AND OBJECTIVE

In recent years, many studies have revealed the prognosis in patients with non-small cell lung cancer (NSCLC). In general, some clinic-pathological parameters have been related with prognosis. The aim of this study is to detect the relationship among lymphatic vessel density (LVD), microvessel density (MVD), expression of carcinoembryonic antigen (CEA) mRNA, metastasis suppressor genes (KAI1 and Kiss-1), and the prognosis of NSCLC patients.

METHODS

Blood samples were collected from 57 cases of NSCLC. The transcription of CEA mRNA was detected via nested reverse transcriptase-polymerase chain reaction and micro-fluid chip. Immunohistochemistry was performed to detect the expression of LVD, MVD, KAI1 and Kiss-1 in the patients. All follow-up data were collected and analyzed.

RESULTS

The overall five-year survival rate was 18%, and the median survival was 34 months. TNM stage, lymph node metastasis, and expression of MVD, LVD, CEA mRNA and Kiss-1 were factors to survival, as determined via single survival analysis. Multivariate analysis demonstrated that TNM stage, lymph node metastasis, and expression of CEA mRNA were independent prognostic factors for NSCLC patients.

CONCLUSIONS

The expression of MVD, LVD, Kiss-1 and CEA mRNA is related to the prognosis of NSCLC.

摘要

背景与目的

近年来,许多研究揭示了非小细胞肺癌(NSCLC)患者的预后情况。一般来说,一些临床病理参数与预后相关。本研究旨在检测淋巴管密度(LVD)、微血管密度(MVD)、癌胚抗原(CEA)mRNA表达、转移抑制基因(KAI1和Kiss-1)与NSCLC患者预后之间的关系。

方法

收集57例NSCLC患者的血液样本。通过巢式逆转录聚合酶链反应和微流控芯片检测CEA mRNA的转录情况。采用免疫组织化学法检测患者LVD、MVD、KAI1和Kiss-1的表达。收集并分析所有随访数据。

结果

总体五年生存率为18%,中位生存期为34个月。单因素生存分析显示,TNM分期、淋巴结转移以及MVD、LVD、CEA mRNA和Kiss-1的表达是影响生存的因素。多因素分析表明,TNM分期、淋巴结转移和CEA mRNA表达是NSCLC患者的独立预后因素。

结论

MVD、LVD、Kiss-1和CEA mRNA的表达与NSCLC的预后相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fb3/6000308/9910022cba3c/zgfazz-15-6-348-1.jpg

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