Department of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Asian Pac J Cancer Prev. 2023 Jan 1;24(1):321-329. doi: 10.31557/APJCP.2023.24.1.321.
This study was aimed at evaluating FYN expression among different histologic types of epithelial ovarian cancer (EOC) and its associated prognostics.
The FYN expression levels using quantitative real-time PCR method were evaluated in 98 primary EOC. Receiver operating characteristic curve were used to select an optimal cut-off value for determining the presence or absence of a disease progression.
The median level of FYN expression varied among different EOC types, being the highest in high-grade serous carcinomas and the lowest in clear cell carcinomas (CCC). Using the cutoff FYN value to predict disease progression, the FYN-positive group had a poorer progression-free survival (PFS) compared to the FYN-negative group (p = 0.001). In multivariate Cox regression analysis, FYN expression was an independent predictor for disease progression (Hazard ratio = 2.30; 95% CI: 1.21- 4.38; p = 0.011). In subgroup analysis, FYN expression was significantly associated with lower PFS in early stage CCC patients (p = 0.009).
FYN expression is variable among different types of EOC while impacting on the prognostic values in patients with early stage CCC.
本研究旨在评估不同组织学类型的卵巢上皮癌(EOC)中 FYN 的表达及其相关预后。
采用实时定量 PCR 方法评估 98 例原发性 EOC 中 FYN 的表达水平。使用受试者工作特征曲线来选择确定疾病进展存在或不存在的最佳截断值。
FYN 表达水平在不同的 EOC 类型之间存在差异,在高级别浆液性癌中最高,在透明细胞癌(CCC)中最低。使用截断 FYN 值来预测疾病进展,FYN 阳性组的无进展生存期(PFS)明显劣于 FYN 阴性组(p=0.001)。在多变量 Cox 回归分析中,FYN 表达是疾病进展的独立预测因子(危险比=2.30;95%CI:1.21-4.38;p=0.011)。亚组分析显示,FYN 表达与早期 CCC 患者较低的 PFS 显著相关(p=0.009)。
FYN 表达在不同类型的 EOC 中存在差异,同时影响早期 CCC 患者的预后价值。