Niu Huanjiang, Wang Kun, Wang Yirong
Department of Neurosurgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine Hangzhou 310016, China.
Department of Neurosurgery, Hangzhou Xiasha Hospital Affiliated to Sir Run Run Shaw Hospital, Zhejiang University School of Medicine Hangzhou 310016, China.
Int J Clin Exp Med. 2014 Aug 15;7(8):2185-90. eCollection 2014.
Although there have been recent advances in surgery, radiotherapy, and chemotherapy, the survival of patient with glioma remains poor. Increased expression of polymeric immunoglobulin receptor (pIgR) in tumor tissue has been detected in various cancer forms. However, the clinical relevance of pIgR in glioma remains unclear. The aim of this study was to assess the prognostic value of pIgR in patients with glioma after surgical resection. pIgR expression was evaluated by immunohistochemistry in paraffin-embedded glioma tissues from 146 patients. The relation between pIgR expression and clinicopathologic factors and long-term prognosis in these 146 patients was retrospectively examined. The prognostic significance of negative or positive pIgR exspression in glioma was assessed using Kaplan-Meier survival analysis and log-rank tests. Positive expression of pIgR was statistically significantly associated with poor prognosis of patients with glioma. Our results indicated that pIgR could be a novel predictor for poor prognosis of patients with glioma after surgical resection.
尽管近年来手术、放疗和化疗都取得了进展,但胶质瘤患者的生存率仍然很低。在各种癌症类型中均检测到肿瘤组织中聚合免疫球蛋白受体(pIgR)的表达增加。然而,pIgR在胶质瘤中的临床相关性仍不清楚。本研究的目的是评估手术切除后pIgR在胶质瘤患者中的预后价值。通过免疫组织化学对146例患者石蜡包埋的胶质瘤组织中的pIgR表达进行评估。回顾性分析这146例患者中pIgR表达与临床病理因素及长期预后之间的关系。采用Kaplan-Meier生存分析和对数秩检验评估胶质瘤中pIgR阴性或阳性表达的预后意义。pIgR的阳性表达与胶质瘤患者的不良预后在统计学上显著相关。我们的结果表明,pIgR可能是手术切除后胶质瘤患者预后不良的一个新的预测指标。