Chen J, Zhou Z C, Liu W B, Wang J, Chen X J, Shen Y Y, Zhong Z X
Department of Hepatobiliary Surgery, Second Hospital of Jiaxing Affiliated to Jiaxing University, Jiaxing 314000, Zhejiang Province, China.
Zhonghua Wai Ke Za Zhi. 2017 Nov 1;55(11):863-867. doi: 10.3760/cma.j.issn.0529-5815.2017.11.009.
To detect the expression of B cell transposition gene 3(BTG3) in pancreatic ductal adenocarcinoma(PDAC), and explore its relationship with postoperative recurrence and metastasis of tumor. Six self-paired frozen PDAC specimens and 3 normal pancreatic tissues from the Second Hospital of Jiaxing Affiliated to Jiaxing University were collected and the expression of BTG3 was detected by qPCR. Ten normal pancreatic tissues and 52 cases of PDAC tumor and paracarcinomatous tissues from the Second Hospital of Jiaxing Affiliated to Jiaxing University were collected from June 2009 to December 2016. The expression of BTG3 and relationship among BTG3 and clinicopathological characteristics of PDAC and patients' prognosis were detected and analyzed using immunohistochemistry.χ(2) test, Kaplan-Meier method and Cox regression model were used to analyzed the data. The results of qPCR showed that expression level of BTG3 in PDAC (0.63±0.17) was lower significantly than that in paracarcinomatous (0.96±0.04) and normal tissues (1.00)(=4.673, 5.502; both <0.05). Immunohistochemistrv showed that BTG3 mainly expressed in the cytoplasm.The high expression rate of BTG3 in PDAC tumor tissues was 25.0%(13/52), which was remarkably lower than that in paracarcinomatous tissues(65.4%) and normal liver tissues(7/10)(χ(2)=17.120 and 5.849, both <0.05). The low expression of BTG3 in PDAC was correlated with primary tumor, and TNM stage(χ(2)=7.704, =0.006; =154.000, =0.018, respectively). Survival analysis showed that disease free survival rate of patients with low expression of BTG3 was significantly less than that with high expression(χ(2)=192.493, <0.01). The Cox multivariate analysis demonstrated that low expression of BTG3 was independent risk factors for disease free survival in patients with PDAC after a curative resection(=3.366, 95%: 1.040-10.889, =0.043). BTG3 may be involved in the occurence and development of tumor, and its low expression may be associated with poor prognosis in patients with PDAC.
检测B细胞易位基因3(BTG3)在胰腺导管腺癌(PDAC)中的表达,并探讨其与肿瘤术后复发及转移的关系。收集嘉兴学院附属嘉兴市第二医院6例自配对的PDAC冷冻标本及3例正常胰腺组织,采用qPCR检测BTG3的表达。收集嘉兴学院附属嘉兴市第二医院2009年6月至2016年12月的10例正常胰腺组织、52例PDAC肿瘤及癌旁组织,采用免疫组织化学法检测BTG3的表达,并分析BTG3与PDAC临床病理特征及患者预后的关系。采用χ²检验、Kaplan-Meier法和Cox回归模型进行数据分析。qPCR结果显示,PDAC中BTG3的表达水平(0.63±0.17)显著低于癌旁组织(0.96±0.04)和正常组织(1.00)(F=4.673、5.502,均P<0.05)。免疫组织化学显示,BTG3主要表达于细胞质中。PDAC肿瘤组织中BTG3的高表达率为25.0%(13/52),显著低于癌旁组织(65.4%)和正常肝组织(7/10)(χ²=17.120、5.849,均P<0.05)。PDAC中BTG3低表达与原发肿瘤、TNM分期相关(χ²=7.704,P=0.006;χ²=154.000,P=0.018)。生存分析显示,BTG3低表达患者的无病生存率显著低于高表达患者(χ²=192.493,P<0.01)。Cox多因素分析表明,BTG3低表达是PDAC患者根治性切除术后无病生存的独立危险因素(β=3.366,95%CI:1.040~10.889,P=0.043)。BTG3可能参与肿瘤的发生发展,其低表达可能与PDAC患者预后不良有关。