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[磷脂酶Cε-1在胃癌中的表达及其与预后的关系]

[Expression of phospholipase C epsilon-1 in gastric cancer and its association with prognosis].

作者信息

Yu Sheng, Wu Fang, Guo Kun, Shao Qinshu, Tao Houquan

机构信息

Department of Gastrointestinal Surgery, Zhejiang Provincial People's Hospital, Key Laboratory of Gastroenterology of Zhejiang Province, Hangzhou 310014, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2014 Apr;17(4):378-82.

Abstract

OBJECTIVE

To study the expression of phospholipase C epsilon-1(PLCE1) and its clinical significance in gastric cancer.

METHODS

Surgical specimens were collected from 125 patients who underwent radical gastrectomy between 2005 and 2007 in the Zhejiang Provincial Peoples' Hospital. Expression level of PLCE1 protein was measured by immunohistochemistry in these 125 surgical specimens, which included primary gastric cancer and matched adjacent normal gastric mucosa tissues, and then 41 pairs of above specimens were selected randomly to examine the expression level of PLCE1 mRNA by quantitative reverse transcription PCR(qRT-PCR).

RESULTS

Immunohistochemistry and qRT-PCR showed that both protein and mRNA level of PLCE1 were up-regulated in gastric cancer compared with paired normal gastric mucosa. Univariate analysis demonstrated that the expression of PLCE1 was significantly associated with differentiation degree, invasion depth, lymph node metastasis, distant metastasis, and TNM stage (all P<0.01). The 5-year survival rate of positive PLCE1 group was significantly lower as compared to negative group (31.2% vs. 54.0%, P<0.01). However, the expression of PLCE1 was not an independent prognostic factor for gastric cancer (P>0.05).

CONCLUSIONS

PLCE1 is up-regulated in gastric cancer, which is associated with the malignant biological behaviors of gastric cancer. High expression of PLCE1 suggests poor prognosis.

摘要

目的

研究磷脂酶Cε-1(PLCE1)在胃癌中的表达及其临床意义。

方法

收集2005年至2007年在浙江省人民医院接受根治性胃切除术的125例患者的手术标本。采用免疫组织化学法检测这125例手术标本(包括原发性胃癌及配对的癌旁正常胃黏膜组织)中PLCE1蛋白的表达水平,然后随机选取其中41对标本,采用定量逆转录聚合酶链反应(qRT-PCR)检测PLCE1 mRNA的表达水平。

结果

免疫组织化学和qRT-PCR结果显示,与配对的正常胃黏膜相比,胃癌组织中PLCE1的蛋白和mRNA水平均上调。单因素分析表明,PLCE1的表达与分化程度、浸润深度、淋巴结转移、远处转移及TNM分期均显著相关(均P<0.01)。PLCE1阳性组的5年生存率显著低于阴性组(31.2%对54.0%,P<0.01)。然而,PLCE1的表达并非胃癌的独立预后因素(P>0.05)。

结论

PLCE1在胃癌中表达上调,与胃癌的恶性生物学行为相关。PLCE1高表达提示预后不良。

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