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CDKN2B 的过表达与胃癌不良预后相关。

Overexpression of CDKN2B is involved in poor gastric cancer prognosis.

机构信息

Department of Pathology, Taizhou Municipal Hospital, Taizhou, Zhejiang, China.

出版信息

J Cell Biochem. 2019 Dec;120(12):19825-19831. doi: 10.1002/jcb.29287. Epub 2019 Jul 11.

Abstract

The objective of this investigation is to elucidate the clinical significance of cyclin-dependent kinase inhibitor 2B (CDKN2B) expression regarding gastric cancer (GC), as well as to detect the involvement of CDKN2B expression in the clinicopathological indexes and prognosis of GC. Immunohistochemical analysis was used for identification of CDKN2B expression in GC specimens. Chi-square (χ ) test was applied to detect the association of CDKN2B expression and clinicopathological parameters of GC. The involvement of CDKN2B expression in the prognosis was analyzed via univariate and multivariate analysis. It was indicated that relative to the corresponding para-carcinoma tissues, CDKN2B expression was notably upregulated in GC specimens. Moreover, the expression of CDKN2B was strongly correlated with the differentiation (r = -0.182; P = .015), invasion (r = -0.157; P = .038), distant metastases (r = -0.196; P = .004), and TNM stage (r = -0.204; P = .005). Nevertheless, no remarkable variance was related to age, tumor loci, or sex. Kaplan-Meier survival curve and univariate analysis showed that CDKN2B overexpression predicted poorer disease-free survival (P = .007) and overall survival (P = .005) in those with GC. In addition, Cox proportional hazards regression model revealed that CDKN2B was an isolated biomarker of disease-free survival and overall survival in patients with GC. Taken together, our data demonstrated that the overexpression of CDKN2B could be an isolated factor for GC prognostic in patients. CDKN2B gene may be a useful target and new treatment for improving the prognosis of GC.

摘要

本研究旨在阐明细胞周期蛋白依赖性激酶抑制剂 2B(CDKN2B)在胃癌(GC)中的表达的临床意义,并检测 CDKN2B 表达在 GC 临床病理指标和预后中的作用。采用免疫组织化学方法检测 GC 标本中 CDKN2B 的表达。应用卡方检验(χ 检验)检测 CDKN2B 表达与 GC 临床病理参数的关系。通过单因素和多因素分析探讨 CDKN2B 表达对预后的影响。结果表明,与相应的癌旁组织相比,GC 组织中 CDKN2B 的表达明显上调。此外,CDKN2B 的表达与分化(r = -0.182;P =.015)、浸润(r = -0.157;P =.038)、远处转移(r = -0.196;P =.004)和 TNM 分期(r = -0.204;P =.005)密切相关。然而,与年龄、肿瘤部位或性别无明显相关性。Kaplan-Meier 生存曲线和单因素分析显示,CDKN2B 过表达预示 GC 患者无病生存率(P =.007)和总生存率(P =.005)较差。此外,Cox 比例风险回归模型显示,CDKN2B 是 GC 患者无病生存和总生存的独立预后标志物。综上所述,我们的数据表明 CDKN2B 的过表达可能是 GC 患者预后的一个独立因素。CDKN2B 基因可能是改善 GC 预后的一个有用的治疗靶点和新方法。

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