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C末端张力蛋白样蛋白表达与肝细胞癌预后的相关性

[Correlation between the expression of C-terminal tensin-like protein and the prognosis of hepatocellular carcinoma].

作者信息

Chen Jia, Zhang Yan, Deng Ganlu, Ma Junli, Wu Xiaoling, Qu Yanling, Zeng Shan

机构信息

Nursing School, Central South University, Changsha 410013, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2014 Dec;39(12):1233-9. doi: 10.11817/j.issn.1672-7347.2014.12.003.

Abstract

OBJECTIVE

To explore the correlation between the expression of C-terminal tensin-like protein (CTEN) and the prognosis of hepatocellular carcinoma (HCC).

METHODS

Using immunohistochemistry, we detected CTEN protein level in samples of primary lesion and adjacent non-tumor lesion collected from 240 patients with HCC. The relationship between CTEN expression and clinicopathology, 5 year recurrent-free survival, or overall survival was evaluated by Chi-square test, Kaplan-Meier, or Cox regression analysis.

RESULTS

High CTEN expression was detected in 55% of hepatocellular carcinoma tissues and 20% of adjacent carcinoma tissues (P< 0.001). CTEN expression was positively correlated with tumor diameter (P=0.022), venous invasion (P=0.007) or TNM stages (P=0.022). Five-year recurrence-free survival time (P< 0.001) and overall survival time (P< 0.001) in patients with high CTEN expression were significantly less than those in patients with low CTEN expression. Multivariate Cox regression analysis revealed that the CTEN expression was an independent prognostic marker for HCC (all P< 0.05).

CONCLUSION

CTEN protein may play a role in the genesis and development of HCC, and it can function as a prognostic marker.

摘要

目的

探讨C末端张力蛋白样蛋白(CTEN)的表达与肝细胞癌(HCC)预后之间的相关性。

方法

采用免疫组织化学方法,检测240例HCC患者的原发性病灶及癌旁非肿瘤病灶样本中的CTEN蛋白水平。通过卡方检验、Kaplan-Meier法或Cox回归分析评估CTEN表达与临床病理、5年无复发生存率或总生存率之间的关系。

结果

55%的肝细胞癌组织和20%的癌旁组织中检测到CTEN高表达(P<0.001)。CTEN表达与肿瘤直径(P=0.022)、静脉侵犯(P=0.007)或TNM分期(P=0.022)呈正相关。CTEN高表达患者的5年无复发生存时间(P<0.001)和总生存时间(P<0.001)显著短于CTEN低表达患者。多因素Cox回归分析显示,CTEN表达是HCC的独立预后标志物(所有P<0.05)。

结论

CTEN蛋白可能在HCC的发生发展中起作用,并且可作为一种预后标志物。

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