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Sirtuin-1 和血管内皮生长因子表达与脂肪肉瘤肿瘤进展和预后不良的相关性。

Association of sirtuin-1 and vascular endothelial growth factor expression with tumor progression and poor prognosis in liposarcoma.

机构信息

Department of Orthopedics, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, P. R. China.

Department of Gynecology, Hebei Medical University Second Affiliated Hospital, Shijiazhuang, Hebei, P. R. China.

出版信息

J Int Med Res. 2020 Jun;48(6):300060520926355. doi: 10.1177/0300060520926355.

DOI:10.1177/0300060520926355
PMID:32493092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7273778/
Abstract

OBJECTIVES

A relationship exists between sirtuin-1 expression and growth and survival of malignant tumors. This study aimed to investigate the prognostic value of sirtuin-1 and vascular endothelial growth factor (VEGF) expression in patients with liposarcoma by examining associations between their expression levels and clinical outcomes.

METHODS

Clinical and histopathological characteristics and follow-up and survival information were retrospectively reviewed for 42 liposarcoma cases. Sirtuin-1 and VEGF protein expression levels were evaluated by immunohistochemistry and their associations with clinical parameters were analyzed using the Spearman-rho test. Univariate and multivariate Cox regression analyses were performed to identify potential prognostic factors. Kaplan-Meier analysis was performed to analyze overall survival.

RESULTS

Sirtuin-1 and VEGF protein expression levels were significantly associated with histological grade, metastasis, and American Joint Committee on Cancer stage. A significant positive correlation was observed between sirtuin-1 and VEGF expression levels (R = 0.677). In univariate analysis, sirtuin-1 and VEGF expression were correlated with shorter overall survival, but the association was significant only for sirtuin-1 (hazard ratio = 3.752, 95% confidence interval 1.553-9.062) in multivariate analysis.

CONCLUSION

Sirtuin-1 and VEGF expression levels are significantly correlated with progression of liposarcoma, and sirtuin-1 expression significantly predicts a poor prognosis in patients with liposarcoma.

摘要

目的

Sirtuin-1 的表达与恶性肿瘤的生长和存活之间存在关联。本研究旨在通过检测 Sirtuin-1 和血管内皮生长因子(VEGF)表达水平与临床结局之间的关系,来探讨其在脂肪肉瘤患者中的预后价值。

方法

回顾性分析了 42 例脂肪肉瘤患者的临床和组织病理学特征以及随访和生存信息。采用免疫组织化学法检测 Sirtuin-1 和 VEGF 蛋白表达水平,并采用 Spearman-rho 检验分析其与临床参数的相关性。采用单因素和多因素 Cox 回归分析来确定潜在的预后因素。采用 Kaplan-Meier 分析来分析总生存期。

结果

Sirtuin-1 和 VEGF 蛋白表达水平与组织学分级、转移和美国癌症联合委员会分期显著相关。Sirtuin-1 和 VEGF 表达水平之间存在显著的正相关(R=0.677)。单因素分析显示,Sirtuin-1 和 VEGF 表达与总生存期缩短相关,但多因素分析仅显示 Sirtuin-1 与总生存期相关(危险比=3.752,95%置信区间 1.553-9.062)。

结论

Sirtuin-1 和 VEGF 表达水平与脂肪肉瘤的进展显著相关,Sirtuin-1 表达水平显著预测脂肪肉瘤患者的预后不良。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/7273778/4c94b6303111/10.1177_0300060520926355-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/7273778/ad232c9cc788/10.1177_0300060520926355-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/7273778/4c94b6303111/10.1177_0300060520926355-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/7273778/ad232c9cc788/10.1177_0300060520926355-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb8c/7273778/4c94b6303111/10.1177_0300060520926355-fig2.jpg

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