Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China,
Gynecol Obstet Invest. 2020;85(1):34-40. doi: 10.1159/000502787. Epub 2019 Sep 5.
To explore the expression of Galectin-1 and -9 and clinicopathological features in endometrial carcinoma (EC).
Normal endometrium (NE), atypical endometrial hyperplasia (AH), and endometrial cancer were collected, and immunohistochemistry was used to detect the expression of Galectin-1 and -9 in all specimens in the same condition.
The positive rate of Galectin-1 expression in NE, AH, and endometrial cancer was 30, 70, and 90.2%. The positive rate of Galectin-9 expression in them was 20, 75, and 78.4%, respectively. The expression of Galectin-1 and -9 in the EC and AH was significantly higher than that in the NE (p< 0.05). However, there was no significant difference between the EC and the AH (p > 0.05). The expression of Galectin-1 in endometrial adenocarcinoma was significantly different among tissues of different histological grades, pathological stages, degrees of myometrial infiltration, or lymph node metastasis (p > 0.05). The expression of Galectin-9 in endometrial adenocarcinoma was significantly different among different historical grades, pathological stages, degrees of myometrial infiltration, and lymph node metastasis (p < 0.05). The expression of Galectin-9 in tissues at an early stage, with the degree of myometrial infiltration <1/2, and without lymph node metastasis, was significantly stronger than in those in the late stage, with a degree of myometrial infiltration ≥1/2 and lymph node metastasis.
Both Galectin-1 and -9 were associated with the occurrence of EC and its pathological behavior. High expression of Galectin-1 suggests a poor prognosis, whereas high expression of Galectin-9 was associated with early pathological changes. Galectin-1 and -9 can provide references for early screening and indicate the prognosis of endometrial lesions, which are of great significance for patients' quality of life.
探讨半乳糖凝集素-1 和 -9 的表达与子宫内膜癌(EC)的临床病理特征的关系。
收集正常子宫内膜(NE)、不典型子宫内膜增生(AH)和子宫内膜癌组织,采用免疫组化方法检测所有标本在相同条件下 Galectin-1 和 -9 的表达。
Galectin-1 在 NE、AH 和子宫内膜癌中的阳性表达率分别为 30%、70%和 90.2%。Galectin-9 的阳性表达率分别为 20%、75%和 78.4%。EC 和 AH 中 Galectin-1 和 -9 的表达明显高于 NE(p<0.05)。然而,EC 和 AH 之间没有显著差异(p>0.05)。Galectin-1 在子宫内膜腺癌中的表达在不同组织学分级、病理分期、肌层浸润程度或淋巴结转移之间存在显著差异(p>0.05)。Galectin-9 在子宫内膜腺癌中的表达在不同的组织学分级、病理分期、肌层浸润程度和淋巴结转移之间存在显著差异(p<0.05)。在早期、肌层浸润<1/2 且无淋巴结转移的组织中,Galectin-9 的表达明显强于晚期、肌层浸润≥1/2 和有淋巴结转移的组织。
Galectin-1 和 -9 均与 EC 的发生及其病理行为有关。Galectin-1 高表达提示预后不良,而 Galectin-9 高表达与早期病理变化有关。Galectin-1 和 -9 可为子宫内膜病变的早期筛查提供参考,并提示预后,对提高患者生活质量具有重要意义。