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术前肿瘤异常蛋白高表达预示食管鳞状细胞癌患者预后不良。

High Expression of Tumor Abnormal Protein Preoperatively Predicts Poor Prognosis of Patients With Esophageal Squamous Cell Carcinoma.

作者信息

Cheng Yuanjun, Fang Qianru, Chen Yongbing, Zang Guohui, Yao Jie

机构信息

Department of Cardiothoracic Surgery, People's Hospital of Chizhou, Chizhou, China.

Department of Obstetrics, People's Hospital of Chizhou, Chizhou, China.

出版信息

Front Surg. 2021 Feb 24;8:609719. doi: 10.3389/fsurg.2021.609719. eCollection 2021.

Abstract

Esophageal squamous cell carcinoma (ESCC) acts as a fatal malignant tumor among human beings and is marked by late-stage diagnosis, frequent recurrence, metastasis, and therapy resistance. Tumor abnormal protein (TAP) remarkably affects cancer development and progression of human cancers. TAP has been shown to be a biomarker for gastric and lung cancer progression. Nevertheless, the clinical value exhibited by TAP for ESCC has not been well-explained in the current literature. The present study included 183 ESCC cases who received surgical resection and 183 cases who had normal physical checkup from March 2013 to January 2015 at the People's Hospital of Chizhou, and used the TAP detection agent for evaluating the TAP relative level. As found, ESCC patients presented an obviously higher TAP expression relative to cases who had normal physical checkup. Moreover, TAP expression was significantly downregulated after surgery. Furthermore, the TAP expression was correlated with gender, smoking, pathologic differentiation, and pN stage, but not with age, tumor location, surgical type, pT stage, and vascular invasion. High expression of TAP was significantly correlated with poorer overall survival (OS) rate in ESCC patients. TAP was an independent prognostic predictor in ESCC patients, based on the multivariate survival analysis. The study reveals how TAP upregulation promotes ESCC malignant progression, and concludes that TAP acts as the therapeutic target and potential biomarker specific to ESCC.

摘要

食管鳞状细胞癌(ESCC)是人类致命的恶性肿瘤,其特点是诊断晚、复发频繁、易转移且具有治疗抗性。肿瘤异常蛋白(TAP)显著影响人类癌症的发生和发展。TAP已被证明是胃癌和肺癌进展的生物标志物。然而,目前文献中尚未充分解释TAP在ESCC中的临床价值。本研究纳入了2013年3月至2015年1月在池州市人民医院接受手术切除的183例ESCC患者和183例进行正常体检的患者,并使用TAP检测试剂评估TAP相对水平。结果发现,ESCC患者的TAP表达明显高于正常体检患者。此外,手术后TAP表达显著下调。此外,TAP表达与性别、吸烟、病理分化和pN分期相关,但与年龄、肿瘤位置、手术类型、pT分期和血管侵犯无关。TAP高表达与ESCC患者较差的总生存率(OS)显著相关。基于多因素生存分析,TAP是ESCC患者的独立预后预测指标。该研究揭示了TAP上调如何促进ESCC的恶性进展,并得出结论,TAP是ESCC的治疗靶点和潜在生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35ec/7945947/77e07d75f565/fsurg-08-609719-g0001.jpg

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