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在甲状腺乳头状癌患者中,katanin P60 和 P80:提示肿瘤特征恶化和无病生存较差的指标。

Katanin P60 and P80 in papillary thyroid carcinoma patients: Indicators for exacerbated tumor features and worse disease-free survival.

机构信息

Department of General Surgery, Zhongshan Hospital Affiliated to Xiamen University, Xiamen, China.

Department of Intensive Care Unit, Zhongshan Hospital Affiliated to Xiamen University, Xiamen, China.

出版信息

J Clin Lab Anal. 2020 Dec;34(12):e23502. doi: 10.1002/jcla.23502. Epub 2020 Dec 3.

Abstract

BACKGROUND

This study aimed to explore the clinical implications of katanin P60 and P80 (katanin P60/P80) regarding their correlations with clinicopathological features and survival profiles in papillary thyroid carcinoma (PTC) patients.

METHODS

Tumor tissue and paired adjacent tissue specimens were obtained from 172 PTC patients who underwent lobectomy or thyroidectomy. Besides, immunohistochemistry assay and immunoreactive (IR) score (multiplying staining intensity score by density score) were used to determine katanin P60/P80 expressions. According to IR score (from 0 ~ 12), katanin P60/P80 expressions were classified as low (IR score 0 ~ 3) and high (IR score 4 ~ 12) expressions.

RESULTS

Both katanin P60/P80 expressions were highly expressed in tumor tissue compared with adjacent tissue. Besides, tumor katanin P60 expression positively correlated with tumor katanin P80 expression. Tumor katanin P60 high expression correlated with larger tumor size, extrathyroidal invasion, advanced pT stage, pN stage, and pTNM stage, while no correlation of tumor katanin P60 expression with age or gender was observed; tumor katanin P80 high expression correlated with advanced pN stage and pTNM stage, whereas there was no correlation of tumor katanin P80 expression with age, gender, tumor size, extrathyroidal invasion, or pT stage. Furthermore, both tumor katanin P60/P80 high expressions correlated with shorter accumulating disease-free survival. As for overall survival (OS), neither tumor katanin P60 nor P80 expression correlated with OS.

CONCLUSION

Katanin P60/P80 measurement might assist with tumor management and prognosis surveillance in PTC patients.

摘要

背景

本研究旨在探讨 katanin P60 和 P80(katanin P60/P80)与甲状腺乳头状癌(PTC)患者临床病理特征和生存状况的相关性及其临床意义。

方法

收集 172 例行甲状腺叶切除术或甲状腺切除术的 PTC 患者的肿瘤组织及配对的癌旁组织标本,采用免疫组织化学方法和免疫反应(IR)评分(染色强度评分×密度评分)检测 katanin P60/P80 的表达。根据 IR 评分(0~12),katanin P60/P80 的表达分为低表达(IR 评分 0~3)和高表达(IR 评分 4~12)。

结果

与癌旁组织相比,肿瘤组织中 katanin P60/P80 的表达均较高,且肿瘤 katanin P60 的表达与 katanin P80 的表达呈正相关。肿瘤 katanin P60 高表达与肿瘤较大、甲状腺外侵犯、较晚的 pT 分期、pN 分期和 pTNM 分期相关,与年龄或性别无关;肿瘤 katanin P80 高表达与较晚的 pN 分期和 pTNM 分期相关,与年龄、性别、肿瘤大小、甲状腺外侵犯或 pT 分期无关。此外,肿瘤 katanin P60/P80 高表达均与累积无病生存时间缩短相关。在总生存(OS)方面,肿瘤 katanin P60 和 P80 的表达均与 OS 无关。

结论

katanin P60/P80 的检测可能有助于 PTC 患者的肿瘤管理和预后监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/578a/7755818/0b36bee2f34b/JCLA-34-e23502-g001.jpg

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