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[可溶性B7-H3在原发性肝癌患者血清中的表达及临床意义]

[Expression and clinical significance of soluble B7-H3 in sera of patients with primary hepatocellular carcinoma].

作者信息

Wang Feifei, Yu Guohua, Liu Tongshen, Wang Guoyan, Yang Jing, Zhang Guangbo, Luan Xiying

机构信息

Department of Immunology, Binzhou Medical College, Yantai 264003, China.

出版信息

Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi. 2013 Jun;29(6):629-32.

Abstract

OBJECTIVE

To detect the expression and clinical significance of co-stimulatory molecule B7-H3 in sera and tissues of patients with hepatocellular carcinoma (HCC).

METHODS

We collected 63 samples of sera and liver tissue from HCC patients, 5 adjacent normal tissues of hepatic hemangioma as controls, and the other 50 sera samples of healthy people in the same time. The expression of soluble B7-H3 (sB7-H3) in sera from HCC patients and healthy people was detected by ELISA. Immunohistochemistry was performed to analyze the expression of B7-H3 on normal liver and HCC tissues.

RESULTS

The level of sB7-H3 from HCC patients was significantly higher than that from healthy people [(4143.47±976.27) pg/mL vs (2076.18±605.42) pg/mL, P<0.05]; and sB7-H3 level was related to clinical stage, distant metastasis and the positive expression of B7-H3 in HCC tissues (P<0.05), while there was no significant difference between its expression and the other clinical pathological parameters, such as the patients' age, gender, histological type, lymphatic metastasis and size of tumor. Furthermore, a positive correlation was found between the level of sB7-H3 and CA19-9 in HCC patients (P<0.05), but it was not associated with AFP and CEA.

CONCLUSION

The level of sB7-H3 in HCC patients was significantly higher than that in healthy people, and B7-H3 expression was correlated with clinical pathological indexes, which implicated that detecting the expression of sB7- H3 might be helpful for the diagnosis of primary HCC.

摘要

目的

检测共刺激分子B7-H3在肝细胞癌(HCC)患者血清及组织中的表达及其临床意义。

方法

收集63例HCC患者的血清及肝组织样本、5例肝血管瘤旁正常组织作为对照,同时收集50例健康人血清样本。采用酶联免疫吸附测定(ELISA)法检测HCC患者及健康人血清中可溶性B7-H3(sB7-H3)的表达。采用免疫组织化学法分析正常肝组织及HCC组织中B7-H3的表达。

结果

HCC患者血清中sB7-H3水平显著高于健康人[(4143.47±976.27)pg/mL比(2076.18±605.42)pg/mL,P<0.05];sB7-H3水平与临床分期、远处转移及HCC组织中B7-H3的阳性表达相关(P<0.05),而其表达与患者年龄、性别、组织学类型、淋巴转移及肿瘤大小等其他临床病理参数之间无显著差异。此外,HCC患者血清中sB7-H3水平与CA19-9呈正相关(P<0.05),但与甲胎蛋白(AFP)和癌胚抗原(CEA)无关。

结论

HCC患者血清中sB7-H3水平显著高于健康人,且B7-H3表达与临床病理指标相关,提示检测sB7-H3的表达可能有助于原发性肝癌的诊断。

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