Department of General Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian Province, China.
Department of Gastrointestinal Surgery, Quanzhou First Hospital Affiliated to Fujian Medical University, China.
Dis Markers. 2021 Feb 23;2021:8880282. doi: 10.1155/2021/8880282. eCollection 2021.
Early diagnosis is very important for the clinical treatment of gastric cancer (GC) and colorectal cancer (CRC). We aimed to detect Golgi phosphoprotein 3 (GOLPH3) and evaluate its diagnostic value.
Serum concentrations of GOLPH3 were detected by ELISA in 136 CRC patients, 102 GC patients, and 50 healthy controls at the Second Affiliated Hospital of Fujian Medical University from June 2016 to December 2019. Serum concentrations of CEA and CA19-9 were detected by ECLIA.
Serum concentrations of GOLPH3, CEA, and CA19-9 were higher in GC and CRC patients than in healthy controls ( < 0.001). Serum GOLPH3 concentrations were increased in GC and CRC patients with tumors greater than 5 cm, poor differentiation, greater depth of tumor invasion, and increased lymphatic and distant metastases ( < 0.05). In the GC and CRC groups, the AUCs of GOLPH3 were higher than those of CEA and CA19-9 ( < 0.05), while the AUCs of the marker combination were higher than those of GOLPH3 ( < 0.05), and postoperative serum GOLPH3 levels were lower than preoperative levels ( < 0.001). Serum GOLPH3 concentrations in CRC patients correlated positively with CEA and CA19-9 concentrations ( < 0.05).
Serum GOLPH3 concentrations in GC and CRC patients are related to TNM stage. GOLPH3 may represent a novel biomarker for the diagnosis of GC and CRC. The combination of serum GOLPH3, CEA, and CA19-9 concentrations can improve diagnostic efficiency for GC and CRC. GOLPH3 is expected to become an indicator for the early diagnosis and evaluation of surgical effects.
早期诊断对于胃癌(GC)和结直肠癌(CRC)的临床治疗非常重要。我们旨在检测高尔基磷酸蛋白 3(GOLPH3)并评估其诊断价值。
福建医科大学附属第二医院于 2016 年 6 月至 2019 年 12 月期间,采用 ELISA 法检测了 136 例 CRC 患者、102 例 GC 患者和 50 例健康对照者的血清 GOLPH3 浓度,并检测了 CEA 和 CA19-9 的浓度。
GC 和 CRC 患者的血清 GOLPH3、CEA 和 CA19-9 浓度均高于健康对照组(<0.001)。GC 和 CRC 患者中肿瘤大于 5cm、分化差、肿瘤浸润深度大、淋巴和远处转移增加的患者血清 GOLPH3 浓度升高(<0.05)。在 GC 和 CRC 组中,GOLPH3 的 AUC 高于 CEA 和 CA19-9(<0.05),而标志物组合的 AUC 高于 GOLPH3(<0.05),术后血清 GOLPH3 水平低于术前水平(<0.001)。CRC 患者的血清 GOLPH3 浓度与 CEA 和 CA19-9 浓度呈正相关(<0.05)。
GC 和 CRC 患者的血清 GOLPH3 浓度与 TNM 分期有关。GOLPH3 可能代表 GC 和 CRC 诊断的新型生物标志物。血清 GOLPH3、CEA 和 CA19-9 浓度的联合应用可以提高 GC 和 CRC 的诊断效率。GOLPH3 有望成为早期诊断和评估手术效果的指标。