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JMJD3在原发性肺肉瘤样癌(一种罕见的肺癌亚型)中的预后意义

The Prognostic Significance Of JMJD3 In Primary Sarcomatoid Carcinoma Of The Lung, A Rare Subtype Of Lung Cancer.

作者信息

Li Shuman, Jiang Li, He Qingmei, Wei Weidong, Wang Yun, Zhang Xinke, Liu Jun, Chen Keming, Chen Jiewei, Xie Dan

机构信息

Sun Yat-Sen University Cancer Center; State Key Laboratory of Oncology in South China; Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, People's Republic of China.

Department of the VIP Region, Sun Yat-Sen University Cancer Center, Guangzhou 510060, People's Republic of China.

出版信息

Onco Targets Ther. 2019 Nov 7;12:9385-9393. doi: 10.2147/OTT.S225596. eCollection 2019.

Abstract

INTRODUCTION

Primary sarcomatoid carcinoma of the lung (PSC) is a rare subtype of non-small cell lung cancer, which has a bad prognosis and lacks biomarkers for its diagnosis and prognosis. Recent studies suggested that KDM6B (lysine demethylase 6B), also known as Jumonji domain-containing protein D3 (JMJD3), plays an oncogenic role in various human cancers. However, abnormalities of JMJD3 in sarcomatoid carcinoma of the lung and its clinical prognostic significance have not been determined. Therefore, the present study aimed to ascertain the relationship between JMJD3 and PSC.

MATERIALS AND METHODS

In this study, immunohistochemistry (IHC) was performed to examine the expression of JMJD3 in a tissue microarray (TMA) containing 96 cases of PSC.

RESULT

Overexpression of JMJD3 was observed in nuclei of the PSC cells. Further analyses indicated that the overexpression of JMJD3 was significantly associated with tumor size, pN stage, and clinical stage. By univariate survival analysis, positive expression of JMJD3 was significantly correlated with shortened patient survival. More importantly, multivariate analysis identified JMJD3 as an independent prognostic factor for sarcomatoid carcinoma of the lung.

CONCLUSION

These findings provide evidence that JMJD3 protein levels, as examined by IHC, may act as a novel prognostic biomarker for patients with primary sarcomatoid carcinoma of the lung.

摘要

引言

原发性肺肉瘤样癌(PSC)是一种罕见的非小细胞肺癌亚型,预后较差,且缺乏用于诊断和预后评估的生物标志物。近期研究表明,赖氨酸去甲基化酶6B(KDM6B),也称为含Jumonji结构域蛋白D3(JMJD3),在多种人类癌症中发挥致癌作用。然而,JMJD3在肺肉瘤样癌中的异常情况及其临床预后意义尚未明确。因此,本研究旨在确定JMJD3与PSC之间的关系。

材料与方法

在本研究中,采用免疫组织化学(IHC)方法检测了包含96例PSC病例的组织芯片(TMA)中JMJD3的表达情况。

结果

在PSC细胞的细胞核中观察到JMJD3的过表达。进一步分析表明,JMJD3的过表达与肿瘤大小、pN分期和临床分期显著相关。单因素生存分析显示,JMJD3的阳性表达与患者生存期缩短显著相关。更重要的是,多因素分析确定JMJD3是肺肉瘤样癌的独立预后因素。

结论

这些发现提供了证据,表明通过IHC检测的JMJD3蛋白水平可能作为原发性肺肉瘤样癌患者的一种新型预后生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c230/6844213/a43eb897aad4/OTT-12-9385-g0001.jpg

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