Chen Xiaohui, Deng Yujie, Huang Chuanzhong, Shi Yi, Lu Jianping, Weng Guibin, Zhu Weifeng, Zhu Kunshou, Chen Junqiang, Li Jiancheng
Department of Thoracic Surgery, Fujian Medical University Cancer Hospital, Fujian Cancer Hospital, Fuzhou, Fujian 350014, China.
College of Clinical Medicine for Oncology, Fujian Medical University, Fuzhou, China.
J Oncol. 2022 Mar 24;2022:5752263. doi: 10.1155/2022/5752263. eCollection 2022.
The purpose of this study is to investigate the significance of RUNX3/H3K27me3 co-expression in surgically resected non-small-cell lung cancer (NSCLC) patients. Using tissue microarray (TMA), immunohistochemistry, fluorescent double immunostaining, and western blotting, 208 NSCLC and 5 benign pulmonary patients were studied of their expression of runt-related transcription factor 3 (RUNX3), trimethylated histone H3 at lysine 27 (H3K27me3), enhancer of zeste homolog 2 (EZH2), and Ki-67. Apoptotic index in cancerous tissue was evaluated via TdT-mediated dUTP-biotin nick end labeling (TUNEL). The correlation between clinicopathologic parameters and overall survival was determined by Cox regression and Kaplan-Meier survival estimates and log-rank test. GEPIA and KM plotter were used for validation of some survival analyses. As a result, together with other regular prognostic factors, RUNX3/H3K27me3 co-expression was found to be closely correlated with better prognosis in either pTNM-I or POCT-naive NSCLC patients, which might partially result from a higher cancerous apoptotic index. In conclusion, RUNX3/H3K27me3 co-expression defined some specific NSCLC population with better prognosis and longer OS and could probably be used as a biomarker in the prediction of better postoperative outcomes.
本研究旨在探讨RUNX3/H3K27me3共表达在接受手术切除的非小细胞肺癌(NSCLC)患者中的意义。利用组织芯片(TMA)、免疫组织化学、荧光双重免疫染色和蛋白质印迹法,对208例NSCLC患者和5例良性肺病患者的 runt相关转录因子3(RUNX3)、赖氨酸27位三甲基化组蛋白H3(H3K27me3)、zeste同源物2增强子(EZH2)和Ki-67的表达进行了研究。通过末端脱氧核苷酸转移酶介导的dUTP生物素缺口末端标记法(TUNEL)评估癌组织中的凋亡指数。通过Cox回归、Kaplan-Meier生存估计和对数秩检验确定临床病理参数与总生存之间的相关性。使用GEPIA和KM plotter对一些生存分析进行验证。结果发现,与其他常规预后因素一起,RUNX3/H3K27me3共表达在pTNM-I期或初治NSCLC患者中与较好的预后密切相关,这可能部分归因于较高的癌组织凋亡指数。总之,RUNX3/H3K27me3共表达定义了一些预后较好、总生存期较长的特定NSCLC人群,并且可能用作预测更好术后结果的生物标志物。