Razumova Zoia, Oda Husam, Govorov Igor, Lundin Eva, Östensson Ellinor, Lindquist David, Mints Miriam
Division of Neonatology, Obstetrics and Gynecology, Department of Women's and Children's Health, Karolinska Institutet, 171 77 Stockholm, Sweden.
Unit of Pathology, Department of Medical Biosciences, Umeå University, 901 87 Umeå, Sweden.
Cancers (Basel). 2021 Mar 17;13(6):1361. doi: 10.3390/cancers13061361.
Endometrial cancer (EC) is the most common gynecologic malignancy in Sweden and it has various prognostic factors. The LRIG family is a group of three integral surface proteins with a similar domain organization. The study aimed to explore LRIG family as prognostic factor proteins in EC. The initial study cohort included 100 women with EC who were treated at the Department of Women's and Children's Health, Karolinska University Hospital Solna, between 2007 and 2012. We assessed the associations between LRIG protein expression and type, grade, and stage of EC, as well as progression-free and overall survival. Immunohistochemistry results revealed that most women in the analytical sample had >50% LRIG1-, LRIG2- and LRIG3-positive cells. A statistically significant association was observed between having a high number of LRIG3-positive cells and superior overall survival (incidence rate ratio = 0.977; 95% confidence interval: 0.958-0.996, = 0.019). Moreover, positive LRIG3 staining of the cell membrane was associated with reducing in the risk of death (hazard ratio = 0.23; 95% confidence interval: 0.09-0.57). Our results show that LRIG3 expression might be a prognostic factor in EC. The role of LRIG1 and LRIG2 expression remains to be further investigated.
子宫内膜癌(EC)是瑞典最常见的妇科恶性肿瘤,它有多种预后因素。LRIG家族是一组由三种具有相似结构域组织的完整表面蛋白组成的蛋白家族。本研究旨在探讨LRIG家族蛋白作为子宫内膜癌的预后因素。初始研究队列包括2007年至2012年间在卡罗林斯卡大学医院索尔纳分院妇女和儿童健康部接受治疗的100例子宫内膜癌患者。我们评估了LRIG蛋白表达与子宫内膜癌的类型、分级和分期之间的关联,以及无进展生存期和总生存期。免疫组化结果显示,分析样本中的大多数女性LRIG1、LRIG2和LRIG3阳性细胞>50%。LRIG3阳性细胞数量多与总体生存期较好之间存在统计学上的显著关联(发病率比=0.977;95%置信区间:0.958-0.996,P=0.019)。此外,细胞膜LRIG3染色阳性与死亡风险降低相关(风险比=0.23;95%置信区间:0.09-0.57)。我们的结果表明,LRIG3表达可能是子宫内膜癌的一个预后因素。LRIG1和LRIG2表达的作用仍有待进一步研究。