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CUG结合蛋白1表达及血管侵犯对ⅠB期非小细胞肺癌根治术后的预后影响

Prognostic impact of CUG-binding protein 1 expression and vascular invasion after radical surgery for stage IB nonsmall cell lung cancer.

作者信息

Zhao J, Zhao Y, Xuan Y, Jiao W, Qiu T, Wang Z, Luo Y

机构信息

Department of Thoracic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266003, P. R, China.

出版信息

Indian J Cancer. 2015 Dec;52 Suppl 2:e125-9. doi: 10.4103/0019-509X.172509.

Abstract

BACKGROUND

Nonsmall cell lung cancer is the leading cause of cancer mortality worldwide because of distant metastasis and frequent recurrence. Only few reliable and easily accessible tumor markers have been clinically implemented to the early nonsmall cell cancer prognosis.

OBJECTIVE

The purpose of this study is to detect the expression of CUG-binding protein (CUGBP1) and assess the prognostic significance of CUGBP1 in early stage (IB) lung adenocarcinoma patients.

MATERIALS AND METHODS

Using quantitative reverse transcription-polymerase chain reaction (PCR) and immunohistochemistry (IHC) analysis, we detect the expression of CUGBP1 and assess their correlation with clinicopathological parameters by Chi-square test. Time to progression (TTP) was used as a recurrent index and was evaluated by univariate and multivariate analysis in the Cox hazard model.

RESULTS

Using PCR and IHC analyses, the expression of CUGBP1 and CUGBP1 messenger RNA (mRNA) had a close relationship with differentiation and vascular-invasion (VI). However, there were no significant differences between the CUGBP1 mRNA expression and CUGBP1 protein expression in IB lung adenocarcinoma. Using univariate and multivariate survival analyses, we found that CUGBP1 and VI were independent prognostic factors for IB stage adenocarcinoma individuals postsurgically.

CONCLUSIONS

High expression of CUGBP1 could enhance the recurrence rate of adenocarcinoma and predicts an adverse postsurgical survival of TTP. Combination of CUGBP1 and VI detecting could be considered as indication to predict prognosis of IB stage adenocarcinoma in the clinical trial.

摘要

背景

非小细胞肺癌由于远处转移和频繁复发,是全球癌症死亡的主要原因。临床上仅实施了少数可靠且易于获取的肿瘤标志物用于早期非小细胞癌的预后评估。

目的

本研究旨在检测CUG结合蛋白(CUGBP1)的表达,并评估CUGBP1在早期(IB期)肺腺癌患者中的预后意义。

材料与方法

采用定量逆转录聚合酶链反应(PCR)和免疫组织化学(IHC)分析,检测CUGBP1的表达,并通过卡方检验评估其与临床病理参数的相关性。将疾病进展时间(TTP)用作复发指标,并在Cox风险模型中进行单因素和多因素分析。

结果

通过PCR和IHC分析,CUGBP1及其信使核糖核酸(mRNA)的表达与分化和血管侵犯(VI)密切相关。然而,在IB期肺腺癌中,CUGBP1 mRNA表达与CUGBP1蛋白表达之间无显著差异。通过单因素和多因素生存分析,我们发现CUGBP1和VI是IB期腺癌患者术后的独立预后因素。

结论

CUGBP1的高表达可提高腺癌的复发率,并预示TTP术后生存不良。在临床试验中,联合检测CUGBP1和VI可作为预测IB期腺癌预后的指标。

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