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ZBP-89 的高表达与透明细胞肾细胞癌患者的远处转移和不良预后相关。

High-expression of ZBP-89 correlates with distal metastasis and poor prognosis of patients in clear cell renal cell carcinoma.

机构信息

State Key Laboratory of Oncology in Southern China, Sun Yat-sen University Cancer Center, Guangzhou 510060, China.

出版信息

Biochem Biophys Res Commun. 2012 Oct 5;426(4):636-42. doi: 10.1016/j.bbrc.2012.08.146. Epub 2012 Sep 11.

DOI:10.1016/j.bbrc.2012.08.146
PMID:22982674
Abstract

ZBP-89, a Krüppel-type zinc-finger transcription factor, is found to participate in tumor development, invasion and metastasis. However, the expression status of ZBP-89 in clear cell renal cell carcinoma (CCRCC) remains elusive. Using quantitative real-time-PCR and Western Blot, we found that, in fresh cancer tissues, ZBP-89 was remarkably decreased in 79.2% (19/24) and 83.3% (5/6) of CCRCC at mRNA and protein level, respectively. Immunohistochemistry also revealed a significant decline of ZBP-89 expression in CCRCC, showing that low expression of ZBP-89 was present in 73.9% (105/142) of tumorous tissues but in 48.1% (52/108) of the corresponding adjacent kidney tissues. Furthermore, ZBP-89 expression in CCRCC was significantly correlated with several clinicopathological features, including TNM stage (P=0.005) and distal metastasis (P=0.001). Further study confirmed that ZBP-89 expression was markedly higher in metastatic CCRCC than that in non-metastatic tissue (P=0.002). In addition, CCRCC patients with low ZBP-89 expression survived longer than those with high ZBP-89 expression, as indicated by the result of univariate analysis (P<0.0001). More importantly, multivariate analysis revealed that ZBP-89 was an independent predictor of overall survival (HR, 2.871; 95% CI, 1.409-5.853; P=0.004). Collectively, our study provides vigorous evidence that ZBP-89 was significantly downregulated in CCRCC and could be served as a promising biomarker for prediction of distal metastasis and prognosis of patient with CCRCC.

摘要

ZBP-89 是一种 Kruppel 型锌指转录因子,被发现参与肿瘤的发生、侵袭和转移。然而,ZBP-89 在透明细胞肾细胞癌(ccRCC)中的表达状态仍不清楚。通过定量实时-PCR 和 Western blot,我们发现,在新鲜的癌组织中,ZBP-89 在 mRNA 和蛋白质水平上分别在 79.2%(24/24)和 83.3%(6/6)的 ccRCC 中显著降低。免疫组织化学也显示 ZBP-89 在 ccRCC 中的表达显著下降,表明低表达 ZBP-89 存在于 73.9%(105/142)的肿瘤组织中,但存在于 48.1%(52/108)的相应相邻肾组织中。此外,ZBP-89 在 ccRCC 中的表达与多种临床病理特征显著相关,包括 TNM 分期(P=0.005)和远处转移(P=0.001)。进一步的研究证实,ZBP-89 在转移性 ccRCC 中的表达明显高于非转移性组织(P=0.002)。此外,根据单因素分析的结果(P<0.0001),ZBP-89 低表达的 ccRCC 患者的生存时间明显长于 ZBP-89 高表达的患者。更重要的是,多因素分析显示 ZBP-89 是 ccRCC 患者总生存的独立预测因子(HR,2.871;95%CI,1.409-5.853;P=0.004)。综上所述,我们的研究提供了有力的证据,表明 ZBP-89 在 ccRCC 中显著下调,可作为预测 ccRCC 患者远处转移和预后的有前途的生物标志物。

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