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Mortalin 升高与肝细胞癌不良预后相关。

Elevated Mortalin correlates with poor outcome in hepatocellular carcinoma.

机构信息

Department of Hematologic and Oncology, the Center Hospital of Karamay City, Karamay 834000, Xinjiang, China.

Department of General Surgery, the Center Hospital of Karamay City, Karamay 834000, Xinjiang, China.

出版信息

Ann Diagn Pathol. 2019 Oct;42:59-63. doi: 10.1016/j.anndiagpath.2019.06.011. Epub 2019 Jul 4.

Abstract

Although several lines of evidence existed suggesting that Mortalin was linked with survival in malignant tumors; it has been barely described regarding the prognostic involvement of its expression in hepatocellular carcinoma (HCC). Herein, to understand the prognostic meaning of Mortalin expression, Immunohistochemistry was undertaken to observe the immunohistochemical characteristics of Mortalin on HCC tissue microarray consisting of 90 cases of HCC and its paired normal control dots, followed by detailed statistical analysis with the accompanying clinicopathological variables available, including gender, age, tumor size, differentiation, cirrhosis, vascular invasion, clinical stage, T classification and intrahepatic metastases. Meanwhile, Kaplan-Meier survival curve was plotted to analyze the prognostic difference for patients with high and low expression of Mortalin. It was exhibited that Mortalin was over-expressed in HCC tissues relative to paired normal control and elevated Mortalin significantly correlated with vascular invasion, clinical stage and intrahepatic metastasis. Kaplan-Meier survival analysis revealed that Mortalin was remarkably associated with overall survival and disease-free survival. Multivariate Cox regression analysis showed that expression of Mortalin was an independent prognostic factor in HCC. Collectively, the data we provided here support the prognostic prediction value of Mortalin in HCC.

摘要

尽管有几条证据表明 Mortalin 与恶性肿瘤的生存有关,但关于其在肝细胞癌 (HCC) 中的表达与预后的关系几乎没有描述。在此,为了了解 Mortalin 表达的预后意义,我们进行了免疫组织化学分析,观察了 90 例 HCC 及其配对正常对照点的 HCC 组织微阵列中 Mortalin 的免疫组织化学特征,随后对可用的伴随临床病理变量进行了详细的统计分析,包括性别、年龄、肿瘤大小、分化、肝硬化、血管侵犯、临床分期、T 分类和肝内转移。同时,绘制 Kaplan-Meier 生存曲线分析 Mortalin 高表达和低表达患者的预后差异。结果表明,Mortalin 在 HCC 组织中过表达,与配对的正常对照相比明显升高,且 Mortalin 的升高与血管侵犯、临床分期和肝内转移显著相关。Kaplan-Meier 生存分析显示 Mortalin 与总生存和无病生存显著相关。多因素 Cox 回归分析显示 Mortalin 的表达是 HCC 的独立预后因素。总之,我们提供的数据支持 Mortalin 在 HCC 中的预后预测价值。

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