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FGFR1和FGFR2在喉鳞状细胞癌中的表达及临床意义

Expression and clinical significance of FGFR1 and FGFR2 in laryngeal squamous cell carcinoma.

作者信息

Hu Mengdie, Zhang Shujun

机构信息

Department of Otolaryngology, Affiliated Hospital of Chengde Medical College, Chengde, China.

出版信息

Transl Cancer Res. 2022 Sep;11(9):3222-3234. doi: 10.21037/tcr-22-1936.

Abstract

BACKGROUND

Fibroblast growth factor receptor 1 (FGFR1) and fibroblast growth factor receptor 2 (FGFR2) may be of significance in the development of laryngeal squamous cell carcinoma (SCC) tissues. Examination of the expression results of these factors may offer new insights into treatment of the disease, such as genetic and histological targeted target therapy.

METHODS

We selected tissue from 30 cases of laryngeal SCC, 23 cases of adjacent normal mucosa, and 26 cases of benign laryngeal mucosal tissues from patients who received surgery at the Otolaryngology Department of the Affiliated Hospital of Chengde Medical College between September 2020 and January 2022. The laryngeal cancers included nine cases of supraglottic, 20 glottic (vocal cord), and one case of subglottic cancer, while all benign laryngeal mucosal lesions were obtained from vocal cord polyps. The expression of FGFR1 and FGFR2 was detected in 30 laryngeal cancers, 23 adjacent normal mucosa, and 26 vocal cord polyps by immunohistochemical technology [immunohistochemistry (IHC)], and the correlation analysis of their expression in laryngeal cancer was performed. P<0.05 was represented statistically significant.

RESULTS

The expression of FGFR1 and FGFR2 was significantly different in laryngeal SCC and the normal tissue >0.5 cm from the tumor margin (P<0.05), and between laryngeal SCC and vocal polyps (P<0.05). There was no difference in FGFR1 and FGFR2 expression (P>0.05) between normal mucosal margins and vocal cord polyp tissue, and no correlation between FGFR1 and FGFR2 in laryngeal SCC and sex, age, smoking history, alcohol consumption history, tumor diameter, tumor lymph node metastasis, tumor differentiation degree, and Tumor-Node-Metastasis (TNM) stage (P>0.05), A moderate positive correlation between FGFR1 expression and FGFR2 expression in laryngeal SCC was seen (Rs=0.499, P<0.01).

CONCLUSIONS

FGFR1 and FGFR2 may participate in the occurrence of SCC of the throat: (I) positive FGFR1 and FGFR2 expressions are not associated with gender, age, smoking history, alcohol consumption history, tumor diameter, lymph node metastasis, degree of differentiation, or TNM stage. (II) FGFR2 increases successively with higher FGFR1 expression and with a positive correlation in laryngeal SCC.

摘要

背景

成纤维细胞生长因子受体1(FGFR1)和成纤维细胞生长因子受体2(FGFR2)可能在喉鳞状细胞癌(SCC)组织的发生发展中具有重要意义。检测这些因子的表达结果可能为该疾病的治疗提供新的见解,如基因和组织学靶向治疗。

方法

选取2020年9月至2022年1月在承德医学院附属医院耳鼻咽喉科接受手术治疗的患者的30例喉SCC组织、23例癌旁正常黏膜组织和26例喉良性黏膜组织。喉癌包括9例声门上型、20例声门型(声带)和1例声门下型,而所有喉良性黏膜病变均取自声带息肉。采用免疫组织化学技术[免疫组化(IHC)]检测30例喉癌、23例癌旁正常黏膜和26例声带息肉中FGFR1和FGFR2的表达,并对其在喉癌中的表达进行相关性分析。P<0.05表示差异有统计学意义。

结果

FGFR1和FGFR2在喉SCC与距肿瘤边缘>0.5 cm的正常组织中的表达差异有统计学意义(P<0.05),在喉SCC与声带息肉中的表达差异也有统计学意义(P<0.05)。正常黏膜边缘与声带息肉组织中FGFR1和FGFR2的表达差异无统计学意义(P>0.05),喉SCC中FGFR1与FGFR2的表达与性别、年龄、吸烟史、饮酒史、肿瘤直径、肿瘤淋巴结转移、肿瘤分化程度及肿瘤-淋巴结-转移(TNM)分期均无相关性(P>0.05),喉SCC中FGFR1表达与FGFR2表达呈中度正相关(Rs=0.499,P<0.01)。

结论

FGFR1和FGFR2可能参与喉SCC的发生:(I)FGFR1和FGFR2阳性表达与性别、年龄、吸烟史、饮酒史、肿瘤直径、淋巴结转移、分化程度或TNM分期无关。(II)在喉SCC中,FGFR2随着FGFR1表达的升高而依次升高,二者呈正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d3d/9552259/cc4897a05a1f/tcr-11-09-3222-f1.jpg

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