Department of Gynecology, the First Affiliated Hospital, Sun Yat-Sen University, No, 78, Zhongshan Road II, 510080 Guangzhou, China.
BMC Cancer. 2012 Sep 29;12:437. doi: 10.1186/1471-2407-12-437.
Our recent studies suggested that the chromodomain helicase DNA binding protein 1-like (CHD1L) gene plays an oncogenic role in human hepatocellular carcinoma. However, the status of CHD1L protein expression in ovarian cancer and its clinical/prognostic significance are obscure.
In this study, immunohistochemistry (IHC) for CHD1L was performed on a tissue microarray (TMA) containing 102 primary ovarian carcinomas and 44 metastatic lesions (omental metastasis). Receiver-operator curve (ROC) analysis was used to evaluate patients' survival status.
There is an augmented tendency of CHD1L expression in ovarian carcinoma metastasis than in primary lesions (P<0.05). A significant association was found between positive expression of CHD1L and tumors histological type (P <0.05). By univariate survival analysis of the ovarian carcinoma cohorts, positive expression of CHD1L was significantly correlated with shortened patient survival (mean 66.7 months versus 97.4 months, P<0.05). Moreover, CHD1L expression was evaluated to be a significant and independent prognostic factor in multivariate analysis (P<0.05).
These findings provide evidence that positive expression of CHD1L protein is significantly correlated with the metastasis proceeding of ovarian carcinoma, and CHD1L protein expression, as examined by IHC, may act as a novel prognostic biomarker for patients with ovarian carcinoma.
我们最近的研究表明,染色质解旋酶 DNA 结合蛋白 1 样(CHD1L)基因在人肝细胞癌中发挥致癌作用。然而,CHD1L 蛋白在卵巢癌中的表达状态及其临床/预后意义尚不清楚。
本研究采用免疫组织化学(IHC)方法对包含 102 例原发性卵巢癌和 44 例转移性病变(网膜转移)的组织微阵列(TMA)进行了 CHD1L 检测。受试者工作特征(ROC)曲线分析用于评估患者的生存状态。
卵巢癌转移组织中 CHD1L 表达呈增强趋势,明显高于原发性病变(P<0.05)。CHD1L 的阳性表达与肿瘤组织学类型显著相关(P<0.05)。通过对卵巢癌队列的单因素生存分析,CHD1L 的阳性表达与患者生存时间缩短显著相关(平均 66.7 个月与 97.4 个月,P<0.05)。此外,CHD1L 表达在多因素分析中被评估为一个显著的独立预后因素(P<0.05)。
这些发现提供了证据表明,CHD1L 蛋白的阳性表达与卵巢癌的转移进展显著相关,通过 IHC 检测 CHD1L 蛋白表达可能成为卵巢癌患者的一种新的预后生物标志物。