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[牙本质磷蛋白在乙型肝炎病毒相关肝癌组织中的表达及其临床意义]

[Expression of tuftelin protein and its clinical value in HBV-related liver cancer tissues].

作者信息

Wu M N, Yang J L, Shen S J, Wang L, Zheng W J, Wu W, Yao M, Yao D F

机构信息

Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Nantong 226001, China Departments of Medical Informatics & Department of Medical Immunology, Medical School of Nantong University, Nantong 226001, China Departments of Intensive Care Unit, Affiliated 2nd Hospital of Nantong University, Nantong 226001, China.

Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Nantong 226001, China.

出版信息

Zhonghua Gan Zang Bing Za Zhi. 2021 Apr 20;29(4):338-343. doi: 10.3760/cma.j.cn501113-20200918-00519.

Abstract

To analyze the expression of tuftelin protein (TUFT1) and its clinical value in hepatocellular carcinoma (HCC)-related liver cancer tissues. The biological information data of TUFT1 mRNA expression in liver cancer and non-cancer tissues were analyzed from the TCGA and Oncomine database. After the approval of the ethics committee, the self-pairing method was used to collect the postoperative cancer and para-carcinoma tissues of 132 HCC cases hospitalized between January 2009 and December 2014. Tissue microarray and immunohistochemistry (IHC) were used to analyze the expression of TUFT1 in liver tissues. According to IHC staining, liver cancer was divided into high TUFT1 and low/no expression group. Combined with clinical data, the clinicopathological characteristics were statistically analyzed between and within the groups. The 5-year overall survival (OS) and disease-free survival (DFS) was analyzed by correlation analysis. IHC staining showed that TUFT1 in cancer tissue was localized in the cytoplasm and cell membrane, and its positive expression rate was significantly higher in the liver cancer group (87.1%) than the para-carcinoma group (64.4%) ( (2) = 18.563, < 0.001). TUFT1 expression intensity in patients with liver cancer was significantly correlated with HBeAg positive ( (2) = 4.080, = 0.043), tumor size ( (2) = 9.388, = 0.002), vascular invasion ( (2) = 14.885, < 0.001), TNM stage ( (2) = 13.516, < 0.001) and ascites ( (2) = 5.940, = 0.015). TUFT1 high expression was negatively correlated with OS and DFS ( < 0.001). The overexpression of TUFT1 is closely related to HBV replication, vascular invasion and poor prognosis, and it is expected to become a useful marker for liver cancer diagnosis and prognosis.

摘要

分析簇集蛋白(TUFT1)在肝细胞癌(HCC)相关肝癌组织中的表达及其临床价值。从TCGA和Oncomine数据库分析肝癌组织和癌旁组织中TUFT1 mRNA表达的生物信息数据。经伦理委员会批准,采用自身配对法收集2009年1月至2014年12月住院的132例HCC患者术后癌组织和癌旁组织。采用组织芯片和免疫组织化学(IHC)分析肝脏组织中TUFT1的表达。根据IHC染色,将肝癌分为TUFT1高表达组和低表达/无表达组。结合临床资料,对组间和组内的临床病理特征进行统计学分析。通过相关性分析5年总生存(OS)和无病生存(DFS)情况。IHC染色显示,癌组织中TUFT1定位于细胞质和细胞膜,其阳性表达率在肝癌组(87.1%)显著高于癌旁组(64.4%)(χ² = 18.563,P < 0.001)。肝癌患者中TUFT1表达强度与HBeAg阳性(χ² = 4.080,P = 0.043)、肿瘤大小(χ² = 9.388,P = 0.002)、血管侵犯(χ² = 14.885,P < 0.001)、TNM分期(χ² = 13.516,P < 0.001)和腹水(χ² = 5.940,P = 0.015)显著相关。TUFT1高表达与OS和DFS呈负相关(P < 0.001)。TUFT1的过表达与HBV复制、血管侵犯和预后不良密切相关,有望成为肝癌诊断和预后的有用标志物。

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