Hu Yakun, Yan Yuchen, Xu Yang, Yang He, Fang Lisha, Liu Yongli, Li Xin, Li Qiang, Yan Hongchao
Graduate School, Xuzhou Medical University, Xuzhou, Jiangsu 221004, P.R. China.
Department of Clinical Medicine, Xuzhou Medical University, Xuzhou, Jiangsu 221004, P.R. China.
Oncol Lett. 2020 Feb;19(2):1281-1290. doi: 10.3892/ol.2019.11213. Epub 2019 Dec 12.
Expression and clinical significance of WW domain-containing oxidoreductase (WWOX), Elf5, Snail1 and epithelial-mesenchymal transition (EMT) related factors in epithelial ovarian cancer were investigated. Ovarian cancer tissues of 300 epithelial ovarian cancer patients and the adjacent normal tissues were analyzed. Immunohistochemical method was used to detect the expressions of WWOX, Elf5, Snail1 and EMT marker molecules in the specimens. The relationship between the indicators and clinicopathological parameters, and prognosis of patients with ovarian cancer was analyzed. The relationship between WWOX, Elf5, Snail1 and EMT marker molecules E-cadherin, N-cadherin and vimentin in ovarian cancer tissues was analyzed. The expression levels of WWOX, Elf5, Snail1 and EMT marker molecules in epithelial ovarian cancer tissues were significantly different from those in adjacent normal tissues, and were related to surgical pathological stage, pathological grade and lymph node metastasis. High expressions of WWOX and Elf5 were related to the survival rate of patients. The survival rate of patients with positive expression was significantly higher than that of negative expression. FIGO stage, pathological grade, lymph node metastasis and expression of WWOX and Elf5 were all independent factors affecting postoperative prognosis in ovarian cancer patients. In conclusion, the expression levels of WWOX, Elf5, Snail1 and EMT related factors in epithelial ovarian cancer tissues are consistent and different. The expression levels of WWOX and Elf5 are related to the survival and prognosis of patients with epithelial ovarian cancer.
研究含WW结构域氧化还原酶(WWOX)、Elf5、Snail1及上皮-间质转化(EMT)相关因子在上皮性卵巢癌中的表达及临床意义。分析300例上皮性卵巢癌患者的癌组织及癌旁正常组织。采用免疫组化法检测标本中WWOX、Elf5、Snail1及EMT标志物分子的表达。分析各指标与卵巢癌患者临床病理参数及预后的关系。分析卵巢癌组织中WWOX、Elf5、Snail1与EMT标志物分子E-钙黏蛋白、N-钙黏蛋白及波形蛋白之间的关系。上皮性卵巢癌组织中WWOX、Elf5、Snail1及EMT标志物分子的表达水平与癌旁正常组织相比差异有统计学意义,且与手术病理分期、病理分级及淋巴结转移相关。WWOX和Elf5高表达与患者生存率相关,阳性表达患者的生存率显著高于阴性表达患者。国际妇产科联盟(FIGO)分期、病理分级、淋巴结转移及WWOX和Elf5的表达均为影响卵巢癌患者术后预后的独立因素。综上所述,上皮性卵巢癌组织中WWOX、Elf5、Snail1及EMT相关因子的表达水平既有一致性又有差异性。WWOX和Elf5的表达水平与上皮性卵巢癌患者的生存及预后相关。