Huang Ju, Lin Hao, En Lin Ming
Department of Gynaecology, The First Affiliated Hospital of Shantou University Medical College, Shantou, PR China.
Department of Urology, The First Affiliated Hospital, Sun Yat-sen University.
Afr J Tradit Complement Altern Med. 2016 Jul 3;13(4):81-87. doi: 10.21010/ajtcam.v13i4.12. eCollection 2016.
Ovarian cancer is associated with poor survival, because patients are diagnosed at an advanced stage of the disease, and in addition, tumors develop chemoresistance, which carries a poor prognosis for the patient.
We hypothesize that high expression of SDF-1, survivin and smac is associated with ovarian cancers development and could be used as a biomarker to identify this disease. The expressions of SDF-1, survivin and smac in normal ovarian (NO) tissue, benign tumor (BT) tissue and epithelial ovarian cancer (EOC) tissue were immunohistochemically analysed.
Positive expressions of SDF-1, survivin and smac were significantly higher in EOC tissue than those in NO and BT tissues. SDF-1 expressions were significantly more weaker in advanced ovarian carcinomas (FIGO stage III-IV), and in high-grade carcinomas. There was a positive correlation between EOC patients with lymph node metastasis and with ascites and SDF-1 positivity ( < 0.05). Survivin expressions were significantly more stronger in advanced ovarian carcinomas (FIGO stage III-IV), and in high-grade carcinomas. There was a positive correlation between EOC patients with lymph node metastasis and with ascites and surviving positivity ( < 0.05). Smac expressions were significantly more stronger in advanced ovarian carcinomas (FIGO stage III-IV), and in high-grade carcinomas. There was a positive correlation between EOC patients with lymph node metastasis and with ascites and smac positivity ( < 0.05).
These results indicate that SDF-1, surviving and smac are closely associated with EOC metastasis.
卵巢癌患者生存率较低,因为患者确诊时疾病已处于晚期,此外,肿瘤会产生化疗耐药性,这对患者预后不利。
我们假设SDF-1、生存素和Smac的高表达与卵巢癌的发生相关,可作为识别该疾病的生物标志物。采用免疫组织化学方法分析SDF-1、生存素和Smac在正常卵巢(NO)组织、良性肿瘤(BT)组织和上皮性卵巢癌(EOC)组织中的表达。
EOC组织中SDF-1、生存素和Smac的阳性表达显著高于NO和BT组织。在晚期卵巢癌(国际妇产科联盟分期III-IV期)和高级别癌中,SDF-1表达明显较弱。EOC有淋巴结转移和腹水的患者与SDF-1阳性之间存在正相关(<0.05)。在晚期卵巢癌(国际妇产科联盟分期III-IV期)和高级别癌中,生存素表达明显较强。EOC有淋巴结转移和腹水的患者与生存素阳性之间存在正相关(<0.05)。在晚期卵巢癌(国际妇产科联盟分期III-IV期)和高级别癌中,Smac表达明显较强。EOC有淋巴结转移和腹水的患者与Smac阳性之间存在正相关(<0.05)。
这些结果表明,SDF-1、生存素和Smac与EOC转移密切相关。