Sun Changqing, Deng Fang, Meng Lingjun, Chen Guohua
Department of Oncology, Dezhou People's Hospital, Dezhou, Shandong 253000, P.R. China.
Oncol Lett. 2018 Feb;15(2):1616-1620. doi: 10.3892/ol.2017.7496. Epub 2017 Nov 28.
The aim of the present study was to investigate the clinical significance of abnormal sugar-chain glycoprotein tumor abnormal protein (TAP) in the screening of common digestive tract pre-cancer colon adenocarcinoma lesions. A total of 50 colitis patients, 50 colon polyp patients and 50 colon adenocarcinoma patients admitted to our hospital from March, 2012 to May, 2014 were included. Fresh blood from patient's fingertips was collected and condensation staining was used to detect TAP expression. Positive expressions of TAP in patients in the colitis, colon polyp and colon adenocarcinoma groups prior to treatment were 6,76 and 92%, respectively. The TAP-positive expression rate comparisons between the three groups were statistically significant (P<0.05), and TAP-positive expression showed an increasing trend. TAP-positive expression was not significantly correlated with sex, age or ethnic group (P>0.05). Patient follow-up revealed that the tumor incidence rate in TAP-positive patients was significantly higher than that in TAP-negative in the colitis and colon polyp groups (P<0.05), and the postoperative tumor recurrence rate in TAP-positive patients was significantly higher than that in TAP-negative in the colon adenocarcinoma group (P<0.05). TAP had a higher expression in colon pre-adenocarcinoma lesions. Additionally, TAP participated in the processes from intestinal mucosal inflammation to colon polyp formation to tissue canceration, and was correlated with these. Thus, TAP can be used for the screening of digestive tract precancerous lesions.
本研究旨在探讨异常糖链糖蛋白肿瘤异常蛋白(TAP)在常见消化道癌前病变结肠腺癌病变筛查中的临床意义。纳入2012年3月至2014年5月在我院收治的50例结肠炎患者、50例结肠息肉患者和50例结肠腺癌患者。采集患者指尖新鲜血液,采用凝集染色法检测TAP表达。结肠炎组、结肠息肉组和结肠腺癌组患者治疗前TAP阳性表达率分别为6%、76%和92%。三组间TAP阳性表达率比较差异有统计学意义(P<0.05),且TAP阳性表达呈上升趋势。TAP阳性表达与性别、年龄或种族无明显相关性(P>0.05)。患者随访显示,结肠炎和结肠息肉组中TAP阳性患者的肿瘤发生率显著高于TAP阴性患者(P<0.05),结肠腺癌组中TAP阳性患者的术后肿瘤复发率显著高于TAP阴性患者(P<0.05)。TAP在结肠腺癌前病变中表达较高。此外,TAP参与了从肠黏膜炎症到结肠息肉形成再到组织癌变的过程,并与之相关。因此,TAP可用于消化道癌前病变的筛查。