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MUC15过表达与胶质瘤临床病理特征及预后的相关性

Correlations of MUC15 overexpression with clinicopathological features and prognosis of glioma.

作者信息

Yang Wen-Bing, Li Cheng-Yan

机构信息

Department of Radiology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.

Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.

出版信息

J Huazhong Univ Sci Technolog Med Sci. 2014 Apr;34(2):254-259. doi: 10.1007/s11596-014-1267-3. Epub 2014 Apr 8.

Abstract

The abnormal expression of MUC15, a novel cell membrane-associated mucin, has been reported to predict poor survival in several cancers. The aim of the present study was to examine the expression of MUC15 in glioma and its correlation with clinicopathological features, including the survival of patients with glioma. The mRNA expression level of MUC15 was determined by RT-PCR, quantitative RT-PCR (RT-qPCR) and Western blotting in seven normal brain tissues and seven glioma tissues, respectively. The protein expression level of MUC15 was immunohistochemically detected in paraffin-embedded samples of 317 glioma tissues and 115 noncancerous brain tissues. The association of MUC15 expression levels with the clinicopathologic features and the prognosis was analyzed. The results showed that both mRNA and protein levels of MUC15 were significantly increased in glioma as compared with those in noncancerous brain tissue. Moreover, MUC15 overexpression was positively correlated with the advanced clinical stages of glioam patients (P<0.01). Furthermore, MUC15 expression levels were significantly correlated with the progression of glioma (P<0.001). Survival analysis indicated that glioma patients with higher MUC15 expression had a significantly shorter overall and 5-year survival time than those with low MUC15 expression. Multivariate analysis suggested that MUC15 overexpression was an independent factor for prognosis (hazard risk: 3.216; P=0.009). It was concluded that MUC15 is overexpressed in glioma tissues. Its overexpression correlates with tumor progression and it is a potentially unfavorable prognostic factor for patients with glioma.

摘要

据报道,新型细胞膜相关粘蛋白MUC15的异常表达可预测多种癌症患者的不良生存情况。本研究旨在检测MUC15在胶质瘤中的表达及其与临床病理特征的相关性,包括胶质瘤患者的生存情况。分别采用逆转录聚合酶链反应(RT-PCR)、定量逆转录聚合酶链反应(RT-qPCR)和蛋白质免疫印迹法检测7例正常脑组织和7例胶质瘤组织中MUC15的mRNA表达水平。采用免疫组织化学方法检测317例胶质瘤组织和115例非癌性脑组织石蜡包埋样本中MUC15的蛋白表达水平。分析MUC15表达水平与临床病理特征及预后的相关性。结果显示,与非癌性脑组织相比,胶质瘤组织中MUC15的mRNA和蛋白水平均显著升高。此外,MUC15的过表达与胶质瘤患者的临床晚期呈正相关(P<0.01)。此外,MUC15表达水平与胶质瘤的进展显著相关(P<0.001)。生存分析表明,MUC15表达较高的胶质瘤患者的总生存期和5年生存期明显短于MUC15表达较低的患者。多因素分析表明,MUC15过表达是一个独立的预后因素(风险比:3.216;P=0.009)。研究得出结论,MUC15在胶质瘤组织中过表达。其过表达与肿瘤进展相关,是胶质瘤患者潜在的不良预后因素。

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