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HSP90α 在肺癌诊断和复发预测中的价值:一项队列研究。

Value of HSP90α in Lung Cancer Diagnosis and Recurrence Prediction: A Cohort Study.

机构信息

Medical College, Xuchang University, Xuchang, China.

Amir-Al-Momenin Hospital, Zabol University of Medical Sciences, Zabol, Iran.

出版信息

Oncol Res Treat. 2021;44(11):583-589. doi: 10.1159/000519277. Epub 2021 Sep 21.

Abstract

PURPOSE

In the current study, we tried to analyze the diagnostic value of HSP90α expression during the course of disease in patients treated with and without surgery.

METHODS

Three hundred and twelve patients with lung cancer who referred to Qinhuangdao First Hospital from June 2016 to March 2021 were selected as the experimental group and 160 healthy individuals subjected as the control group in this cohort study. The ELISA method was used to detect the expression level of plasma HSP90α.

RESULTS

We observed significant differences in the level of HSP90α in pathologic type, differentiation degree, stage, and presence of lung, liver, and bone metastasis; HSP90α was significantly higher in non-small cell lung carcinoma in comparison with small cell lung carcinoma, especially in lung adenocarcinoma. Our results demonstrated that HSP90α at 71.45 ng/mL had a sensitivity of 66.3% and a specificity of 95.0% for diagnosing lung cancer. Also, we observed that the HSP90α expression was significantly increased prior to lung cancer relapse in patients treated with chemoradiotherapy and surgery.

CONCLUSION

Serum level of plasma HSP90α could be a reliable biomarker in diagnosing lung cancer and its subtypes and might be a valid biomarker for predicting lung cancer relapse in patients treated with chemoradiotherapy and surgery.

摘要

目的

在本研究中,我们试图分析 HSP90α 表达在接受手术和未接受手术治疗的患者疾病过程中的诊断价值。

方法

采用病例对照研究,选取 2016 年 6 月至 2021 年 3 月秦皇岛市第一医院收治的 312 例肺癌患者为实验组,选取同期 160 例健康体检者为对照组。采用 ELISA 法检测血浆 HSP90α 的表达水平。

结果

HSP90α 水平在病理类型、分化程度、分期及是否合并肺、肝、骨转移方面存在显著差异;非小细胞肺癌明显高于小细胞肺癌,特别是肺腺癌;HSP90α 诊断肺癌的最佳截断值为 71.45ng/ml,敏感度为 66.3%,特异度为 95.0%。我们还观察到,接受放化疗和手术治疗的患者中,HSP90α 的表达在肺癌复发前显著升高。

结论

血清 HSP90α 水平可作为诊断肺癌及其亚型的可靠标志物,也可能是预测接受放化疗和手术治疗的患者肺癌复发的有效标志物。

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