Silva Raju Janisha, Abd Aziz Nor Haslinda, Atallah Ghofraan Abdulsalam, Teik Chew Kah, Shafiee Mohamad Nasir, Mohd Saleh Muhammad Fakhri, Jeganathan Ravichandran, Md Zin Reena Rahayu, Kampan Nirmala Chandralega
Department of Obstetrics and Gynaecology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia.
Department of Pathology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur 56000, Malaysia.
Diagnostics (Basel). 2021 Mar 16;11(3):526. doi: 10.3390/diagnostics11030526.
This study's goal was to determine the protein expression level of tumour necrosis factor receptor 2 (TNFR2) and signal transducer and activator of transcription 3 (STAT3) in high-grade serous ovarian cancer (HGSC) tissues in relation to the platinum-based chemotherapy response and the prognosis outcome. A total of 25 HGSC patients underwent primary surgical debulking followed by first-line adjuvant platinum-based chemotherapy. Tissue microarray (TMA) slides were constructed utilising archived formalin fixed paraffin embedded (FFPE). The protein expression of TNFR2 and STAT3 were analysed using immunohistochemistry (IHC) staining and subsequently were correlated to the clinicopathological characteristics, platinum sensitivity as well as the duration of progression-free survival. About 14 out of 25 patients (56.0%) were platinum-sensitive. The progression free survival was significantly longer in the platinum-sensitive (PS) group when compared to those with the platinum-resistant group (PR), = 0.0001. Among patients with TNFR2 strong expression on ovarian tissue, there was a significantly longer progression-free survival interval of 540 days in the PS group compared to PR, = 0.0001. Patients with STAT3 expression also showed significantly better progression-free survival of 660 days in the PS group when compared to the PR group, = 0.0001. In conclusion, patients with strong TNFR2 and STAT3 expression in the ovarian tissue had significantly longer progression-free survival interval in the PS group. Nevertheless, further research with a larger number of tissues may be required to demonstrate further significant differences.
本研究的目的是确定高级别浆液性卵巢癌(HGSC)组织中肿瘤坏死因子受体2(TNFR2)和信号转导及转录激活因子3(STAT3)的蛋白表达水平,及其与铂类化疗反应和预后结果的关系。共有25例HGSC患者接受了初次肿瘤细胞减灭术,随后进行一线铂类辅助化疗。利用存档的福尔马林固定石蜡包埋(FFPE)组织构建组织微阵列(TMA)玻片。采用免疫组织化学(IHC)染色分析TNFR2和STAT3的蛋白表达,随后将其与临床病理特征、铂敏感性以及无进展生存期相关联。25例患者中约14例(56.0%)对铂敏感。与铂耐药组(PR)相比,铂敏感(PS)组的无进展生存期显著更长,P = 0.0001。在卵巢组织中TNFR2强表达的患者中,PS组的无进展生存间隔明显更长,为540天,而PR组为,P = 0.0001。与PR组相比,STAT3表达的患者在PS组中的无进展生存期也显著更好,为660天,P = 0.0001。总之,卵巢组织中TNFR2和STAT3强表达的患者在PS组中的无进展生存间隔明显更长。然而,可能需要对更多组织进行进一步研究以证明进一步的显著差异。