Lin Rongbo, Zhao Shen, Su Liyu, Chen Xiaohui, Xu Chunwei, He Qinliang, Zhuo Changhua, Ye Yunbin
Department of Gastrointestinal Medical Oncology, Fujian Cancer Hospital & Fujian Medical University Cancer Hospital, Fuzhou, China.
Fujian Key Laboratory of Translational Cancer Medicine, Fuzhou, China.
J Clin Lab Anal. 2020 Aug;34(8):e23350. doi: 10.1002/jcla.23350. Epub 2020 Jul 16.
This study aimed to explore the association of A kinase-interacting protein 1 (AKIP1) expression with clinicopathological characteristics and prognosis in gastric cancer patients.
Data of 260 gastric cancer patients were retrospectively reviewed. AKIP1 expression in tumor tissue and non-cancerous tissue specimens was detected by immunohistochemistry and semi-quantitatively scored according to the staining intensity and density. Moreover, the clinicopathological features were retrieved, and disease-free survival (DFS) and overall survival (OS) were calculated.
A kinase-interacting protein 1 expression was increased in tumor tissues compared with non-cancerous tissues (P < .001). In terms of tumor features, tumor AKIP1 high expression correlated with elevated T stage (P < .001) and raised TNM stage (P = .042), while did not correlate with pathological grade (P > .999), tumor size (P = .060), N stage (P = .180), or tumor location (P > .999). Meanwhile, tumor AKIP1 was not associated with the non-tumor features either. Kaplan-Meier curves disclosed that AKIP1 high expression patients had shorter DFS (P = .004) and OS (P = .043) compared with AKIP1 low expression patients. Univariate Cox's regression showed that AKIP1 high expression correlated with shorter DFS (P = .005, hazard ratio [HR] = 1.635) and OS (P = .046, HR = 1.519), whereas multivariate Cox's regression displayed that AKIP1 did not independently predict worse DFS (P = .172, HR = 1.276) or shorter OS (P = .433, HR = 1.183).
A kinase-interacting protein 1 may serve as a potential biomarker for deteriorative tumor features and poor prognosis in gastric cancer patients.
本研究旨在探讨A激酶相互作用蛋白1(AKIP1)表达与胃癌患者临床病理特征及预后的相关性。
回顾性分析260例胃癌患者的数据。采用免疫组织化学法检测肿瘤组织和癌旁组织标本中AKIP1的表达,并根据染色强度和密度进行半定量评分。此外,收集临床病理特征,计算无病生存期(DFS)和总生存期(OS)。
与癌旁组织相比,肿瘤组织中A激酶相互作用蛋白1的表达增加(P <.001)。在肿瘤特征方面,肿瘤AKIP1高表达与T分期升高(P <.001)和TNM分期升高(P =.042)相关,而与病理分级(P >.999)、肿瘤大小(P =.060)、N分期(P =.180)或肿瘤位置(P >.999)无关。同时,肿瘤AKIP1也与非肿瘤特征无关。Kaplan-Meier曲线显示,与AKIP1低表达患者相比,AKIP1高表达患者的DFS(P =.004)和OS(P =.043)较短。单因素Cox回归显示,AKIP1高表达与较短的DFS(P =.005,风险比[HR] = 1.635)和OS(P =.046,HR = 1.519)相关,而多因素Cox回归显示,AKIP1不能独立预测更差的DFS(P =.172,HR = 1.276)或更短的OS(P =.433,HR = 1.183)。
A激酶相互作用蛋白1可能是胃癌患者肿瘤特征恶化和预后不良的潜在生物标志物。