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在接受手术切除的左侧胰腺癌中,RON表达与肿瘤学结局之间的缺失环节。

A missing link between RON expression and oncological outcomes in resected left-sided pancreatic cancer.

作者信息

Han Dai Hoon, Kang Chang Moo, Lee Sung Whan, Hwang Ho Kyoung, Lee Woo Jung

机构信息

Department of Hepatobiliary and Pancreatic Surgery, Yonsei University College of Medicine, Pancreaticobiliary Cancer Clinic, Yonsei Cancer Center, Severance Hospital, Seoul 120-752, Republic of Korea.

出版信息

Oncol Lett. 2017 Oct;14(4):4225-4230. doi: 10.3892/ol.2017.6696. Epub 2017 Aug 1.

Abstract

Alteration and activation of (RON) expression is known to be associated with cancer progression and decreased survival in various types of human cancer, including pancreatic cancer. Therefore, in the present study, RON expression levels were determined in resected left-sided pancreatic cancer to evaluate the potential oncological role of RON in the clinical setting of distal pancreatic cancer. From January 2005 to December 2011, a total of 57 patients underwent radical distal pancreatectomy for left-sided pancreatic cancer. Ductal adenocarcinoma was confirmed in all patients. Among these patients, 17 patients who received preoperative neoadjuvant treatment and 7 patients without available paraffin-embedded tissue blocks were excluded from the present study. RON expression in a the pancreatic cancer cell lines ASPC-1, BxPC-3, MiaPaCa-3 and Panc-1, as well as in resected left-sided pancreatic cancer specimens was determined by Western blot analysis. RON and vascular endothelial growth factor (VEGF) overexpression in resected left-sided pancreatic cancer was also evaluated by immunohistochemistry using pre-diluted anti-RON and anti-VEGF antibodies. An association was identified between the oncological outcome and RON overexpression. Increased levels of RON expression were observed in two pancreatic cancer cell lines, AsPC-1 and BxPC-3. RON overexpression was detected in specimens from 15/33 patients (45.5%) using immunohistochemistry. No significant association was identified between RON overexpression and VEGF overexpression (25.5 vs. 87.9%; P=0.667). No significant differences in disease-free survival or disease-specific survival associated with RON overexpression were identified. Although the results of previous studies have suggested that RON is a potential target for the treatment of pancreatic cancer, in the present study no association between RON overexpression and any adverse oncological effect was identified.

摘要

已知(RON)表达的改变和激活与包括胰腺癌在内的多种人类癌症的进展及生存率降低有关。因此,在本研究中,测定了切除的左侧胰腺癌中RON的表达水平,以评估RON在远端胰腺癌临床环境中的潜在肿瘤学作用。2005年1月至2011年12月,共有57例患者接受了左侧胰腺癌的根治性远端胰腺切除术。所有患者均确诊为导管腺癌。在这些患者中,17例接受术前新辅助治疗的患者和7例没有可用石蜡包埋组织块的患者被排除在本研究之外。通过蛋白质印迹分析测定胰腺癌细胞系ASPC-1、BxPC-3、MiaPaCa-3和Panc-1以及切除的左侧胰腺癌标本中的RON表达。还使用预稀释的抗RON和抗VEGF抗体通过免疫组织化学评估切除的左侧胰腺癌中RON和血管内皮生长因子(VEGF)的过表达。确定了肿瘤学结果与RON过表达之间的关联。在两种胰腺癌细胞系AsPC-1和BxPC-3中观察到RON表达水平升高。使用免疫组织化学在15/33例患者(45.5%)的标本中检测到RON过表达。未发现RON过表达与VEGF过表达之间存在显著关联(25.5%对87.9%;P=0.667)。未发现与RON过表达相关的无病生存期或疾病特异性生存期有显著差异。尽管先前研究的结果表明RON是胰腺癌治疗的潜在靶点,但在本研究中未发现RON过表达与任何不良肿瘤学效应之间存在关联。

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