Fang Chia-Lang, Uen Yih-Huei, Chen Han-Kun, Hseu You-Cheng, Lin Chih-Chan, Hung Shih-Ting, Sun Ding-Ping, Lin Kai-Yuan
Department of Pathology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Department of Pathology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Cancer Med. 2018 Jul;7(7):2993-3002. doi: 10.1002/cam4.1577. Epub 2018 May 23.
Cyclin-dependent kinase-like 2 (CDKL2), a new member of the cyclin-dependent kinase family, may be involved in gastric cancer (GC) progression. Thus, we conducted this study to explore the clinical effect of CDKL2 in GC. Immunohistochemistry was used to measure CDKL2 levels in gastric tissues. The association of a high CDKL2 level with clinical and pathological characteristics, and the correlation between the CDKL2 level and disease-free and overall survival were analyzed. Transfection was employed to overexpress CDKL2 in GC cells and to investigate the effect of CDKL2 overexpression on cell proliferation and invasion. Loss of CDKL2 was positively correlated with several clinical and pathological characteristics, and patients with a low CDKL2 level had significantly poorer disease-free and overall survival than those with a high level (P = .005 and .001, respectively). Univariate analysis using the Cox proportional hazards model indicated that a low CDKL2 level was a prognosticator for inferior disease-free survival (P = .007). Based on immmunoblotting data, AGS and HGC-27 GC cells were chosen for CDKL2 overexpression. Cellular studies revealed that CDKL2 overexpression impaired cell proliferation and invasion. Loss of CDKL2 may serve as a biomarker for predicting GC patient outcomes and a potential therapeutic target for GC treatment.
细胞周期蛋白依赖性激酶样 2(CDKL2)是细胞周期蛋白依赖性激酶家族的新成员,可能参与胃癌(GC)的进展。因此,我们开展了本研究以探讨 CDKL2 在胃癌中的临床作用。采用免疫组织化学法检测胃组织中 CDKL2 的水平。分析了高 CDKL2 水平与临床和病理特征的相关性,以及 CDKL2 水平与无病生存期和总生存期的相关性。通过转染使 CDKL2 在胃癌细胞中过表达,并研究 CDKL2 过表达对细胞增殖和侵袭的影响。CDKL2 的缺失与多种临床和病理特征呈正相关,CDKL2 水平低的患者无病生存期和总生存期明显比水平高的患者差(分别为 P = 0.005 和 0.001)。使用 Cox 比例风险模型进行的单因素分析表明,低 CDKL2 水平是无病生存期较差的预后指标(P = 0.007)。基于免疫印迹数据,选择 AGS 和 HGC-27 胃癌细胞进行 CDKL2 过表达。细胞研究表明,CDKL2 过表达会损害细胞增殖和侵袭。CDKL2 的缺失可能作为预测胃癌患者预后的生物标志物以及胃癌治疗的潜在靶点。