Lv Dan, Tan Lin, Zhang Qihe, Ma Hongying, Zhang Yun, Zhang Qiaoli, Yu Yiming, Chen Zhongbo, Ding Qunli, Deng Zaichun
Clin Lab. 2019 Jan 1;65(1). doi: 10.7754/Clin.Lab.2018.180712.
Previous studies have found that vascular endothelial growth factor (VEGF) is associated with lung cancer, yet little is known about vascular endothelial growth factor-D (VEGF-D) in bronchoalveolar lavage fluid (BALF) of lung cancer patients. In this study, we aim to investigate the expression and evaluation of VEGF-D in BALF for lung cancer diagnosis.
BALF samples were acquired from 81 patients: 40 with benign diseases and 41 with lung cancer. The expression of VEGF-D in BALF was measured using sandwich enzyme-linked immune sorbent assays (ELISA), and the evaluation of VEGF-D in BALF for lung cancer diagnosis was also investigated.
In the BALF samples, the levels of VEGF-D in the lung cancer group were higher than in the benign disease group; however, there was no statistical significance between the two groups (p > 0.05). In the pathological classification of lung cancer, the levels of VEGF-D in the BALF differed significantly between the lung squamous carcinoma group and the benign disease group (p < 0.05). The diagnostic accuracies of VEGF-D in BALF for discrimination between patients with squamous cell carcinoma and benign disease were reasonable based on receiver operating characteristic (ROC curve) analysis, with a corresponding sensitivity of 64.7% and specificity of 60%, respectively.
This study demonstrated that the detection of VEGF-D levels in BALF is a valuable diagnostic tool for lung squamous carcinoma.
既往研究发现血管内皮生长因子(VEGF)与肺癌有关,但对于肺癌患者支气管肺泡灌洗液(BALF)中的血管内皮生长因子-D(VEGF-D)了解甚少。在本研究中,我们旨在探讨VEGF-D在BALF中的表达及评估其对肺癌诊断的价值。
收集81例患者的BALF样本,其中40例为良性疾病患者,41例为肺癌患者。采用夹心酶联免疫吸附测定(ELISA)法检测BALF中VEGF-D的表达,并对VEGF-D在BALF中用于肺癌诊断的价值进行评估。
在BALF样本中,肺癌组VEGF-D水平高于良性疾病组,但两组间差异无统计学意义(p>0.05)。在肺癌的病理分类中,肺鳞癌组与良性疾病组BALF中VEGF-D水平差异有统计学意义(p<0.05)。基于受试者工作特征(ROC曲线)分析,BALF中VEGF-D对鉴别鳞状细胞癌患者和良性疾病患者具有一定的诊断准确性,相应的敏感性分别为64.7%,特异性为60%。
本研究表明,检测BALF中VEGF-D水平是诊断肺鳞癌的一种有价值的诊断工具。