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[Gal-3和CD82/KAI1蛋白在非小细胞肺癌中的表达及其临床意义]

[Expression of Gal-3 and CD82/KAI1 proteins in non-small cell lung cancer and their clinical significance].

作者信息

Wu Shi-wu, Yu Lan, Zhou Lei, Cheng Ze-nong, Tao Yi-sheng

机构信息

Department of Pathology, the First Affiliated Hospital of Bengbu Medical College, Bengbu, China.

出版信息

Zhonghua Zhong Liu Za Zhi. 2013 Feb;35(2):124-8. doi: 10.3760/cma.j.issn.0253-3766.2013.02.010.

DOI:10.3760/cma.j.issn.0253-3766.2013.02.010
PMID:23714667
Abstract

OBJECTIVE

To study the expression of galectin 3 (Gal-3) and CD82/KAI1 proteins in non-small cell lung cancer (NSCLC) and the correlation between their expression and clinical significance.

METHODS

The expression of Gal-3 and CD82/KAI1 proteins was detected by immunohistochemistry in 160 specimens of NSCLC and 20 specimens of normal lung tissue.

RESULTS

The positive rates of Gal-3 and CD82/KAI1 proteins in the NSCLC were 63.8% and 37.5%, respectively, the positive rates of Gal-3 and CD82/KAI1 proteins in the normal lung tissue were 25.0% and 95.0%, respectively, and there was a significant difference between the two groups (P < 0.01). The expression of Gal-3 and CD82/KAI1 proteins was significantly correlated with the grade of tumor, lymph node metastasis, and pathological-TNM stages (all P < 0.05). Spearman analysis showed that there was a negative correlation between expressions of Gal-3 and CD82/KAI1 in NSCLC (r = -0.732, P < 0.01). Overexpression of Gal-3 and low expression of CD82/KAI1 were related to poor prognosis: the survival rate was significantly lower in the positive Gal-3 group (survival time: 23.0 ± 17.5 months) than that in the negative group (survival time: 71.6 ± 21.6 months) (P < 0.01). The survival rates of the CD82/KAI1-positive group (survival time: 72.5 ± 19.5 months) and CD82/KAI1-negative group (survival time: 21.6 ± 16.1 months) were significantly different (P < 0.01). Multivariate analysis indicated that pTNM stage and positive expression of Gal-3 and CD82/KAI1 are independent prognostic factors of NSCLC (P < 0.01).

CONCLUSIONS

The expression of Gal-3 and CD82/KAI1 may be related to the initiation, development and metastasis of NSCLC. Combined detection of Gal-3 and CD82/KAI1 has an important role in predicting the progression and prognosis of NSCLC.

摘要

目的

研究半乳糖凝集素3(Gal-3)和CD82/KAI1蛋白在非小细胞肺癌(NSCLC)中的表达情况及其表达与临床意义之间的相关性。

方法

采用免疫组织化学法检测160例NSCLC标本和20例正常肺组织标本中Gal-3和CD82/KAI1蛋白的表达。

结果

NSCLC中Gal-3和CD82/KAI1蛋白的阳性率分别为63.8%和37.5%,正常肺组织中Gal-3和CD82/KAI1蛋白的阳性率分别为25.0%和95.0%,两组间差异有统计学意义(P < 0.01)。Gal-3和CD82/KAI1蛋白的表达与肿瘤分级、淋巴结转移及病理TNM分期均显著相关(均P < 0.05)。Spearman分析显示,NSCLC中Gal-3与CD82/KAI1的表达呈负相关(r = -0.732,P < 0.01)。Gal-3高表达和CD82/KAI1低表达与预后不良相关:Gal-3阳性组的生存率(生存时间:23.0 ± 17.5个月)显著低于阴性组(生存时间:71.6 ± 21.6个月)(P < 0.01)。CD82/KAI1阳性组(生存时间:72.5 ± 19.5个月)和CD82/KAI1阴性组(生存时间:21.6 ± 16.1个月)的生存率差异有统计学意义(P < 0.01)。多因素分析表明,pTNM分期以及Gal-3和CD82/KAI1的阳性表达是NSCLC的独立预后因素(P < 0.01)。

结论

Gal-3和CD82/KAI1的表达可能与NSCLC的发生、发展及转移有关。联合检测Gal-3和CD82/KAI1对预测NSCLC的进展及预后具有重要作用。

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