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血管内皮生长因子-D(VEGF-D)在肺鳞癌患者支气管肺泡灌洗液中升高。

Vascular Endothelial Growth Factor-D (VEGF-D) is Elevated in Bronchoalveolar Lavage Fluid of Patients with Lung Squamous Carcinoma.

作者信息

Lv Dan, Tan Lin, Zhang Qihe, Ma Hongying, Zhang Yun, Zhang Qiaoli, Yu Yiming, Chen Zhongbo, Ding Qunli, Deng Zaichun

出版信息

Clin Lab. 2019 Jan 1;65(1). doi: 10.7754/Clin.Lab.2018.180712.

DOI:10.7754/Clin.Lab.2018.180712
PMID:30775896
Abstract

BACKGROUND

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.

METHODS

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.

RESULTS

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.

CONCLUSIONS

This study demonstrated that the detection of VEGF-D levels in BALF is a valuable diagnostic tool for lung squamous carcinoma.

摘要

背景

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。

方法

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。

结果

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%。

结论

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。

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