Thoracic Tumor Center, Chongqing University Cancer Hospital,Chongqing ,400030,China.
Cell Mol Biol (Noisy-le-grand). 2022 Sep 30;68(9):135-139. doi: 10.14715/cmb/2022.68.9.21.
The purpose of this experiment to analyze the expression and clinical significance of interleukin-17 (IL-17) in lung tissue of lung cancer patients with chronic obstructive pulmonary disease (COPD). For this aim, 68 patients with lung cancer and chronic obstructive pulmonary disease who were admitted to our hospital from February 2020 to February 2022 were selected as the research objects of the study group. The specimens were fresh lung tissue obtained after lobectomy; In addition, 54 healthy subjects were selected as the control group during the same period, and fresh lung tissue obtained by minimally invasive lung volume reduction was selected as the sample. The clinical baseline data of the two groups were observed and compared. The mean alveolar area, small airway inflammation score and Ma tube wall thickness were measured. The expression of IL-17 was detected by immunohistochemistry. Results showed that gender, average age and average body mass index of the two groups (P > 0.05); At present, the proportion of smokers, pulmonary artery systolic pressure, PaCO2 level and CRP level in the study group are high, PaO2 level, FEV1% predicted value, FEV1 / FVC and FIB level are low, and the number of acute exacerbations in the past year is high (P > 0.05). In the study group, the average alveolar area, the thickness of the Ma tube wall, the lymphocyte infiltration score of the tracheal wall and the total pathological score of the small airway were higher (P > 0.05). The expression of IL-17 in the airway wall and lung parenchyma was higher in the study group (P > 0.05). IL-17 expression in lung tissue of lung cancer patients with COPD was positively correlated with body mass index, and negatively correlated with CRP, FIB, FEV1% predicted value and the number of acute exacerbations in the past year; CRP and the number of acute exacerbations in the past year were independent variables and independent influencing factors of IL-17 expression (P < 0.05). In conclusion, IL-17 is highly expressed in the lung tissues of patients with lung cancer and COPD, which may play an important role in the occurrence and development of the disease.
本实验旨在分析白细胞介素-17(IL-17)在肺癌合并慢性阻塞性肺疾病(COPD)患者肺组织中的表达及临床意义。为此,选取 2020 年 2 月至 2022 年 2 月我院收治的肺癌合并 COPD 患者 68 例作为研究对象,研究组标本为肺叶切除术后获取的新鲜肺组织;同期选取 54 例健康体检者作为对照组,选择微创肺减容术获取的新鲜肺组织作为样本。观察并比较两组的临床基线资料,测量平均肺泡面积、小气道炎症评分及 Ma 管壁厚度,采用免疫组化法检测 IL-17 的表达。结果显示,两组的性别、平均年龄及平均体质量指数比较,差异无统计学意义(P>0.05);目前研究组中吸烟者比例、肺动脉收缩压、PaCO2 水平及 CRP 水平较高,PaO2 水平、FEV1%预计值、FEV1/FVC 及 FIB 水平较低,且过去 1 年急性加重次数较高(P>0.05)。研究组平均肺泡面积、Ma 管壁厚度、气管壁淋巴细胞浸润评分及小气道总病理评分均较高(P>0.05),气道壁及肺实质内 IL-17 表达均较高(P>0.05)。COPD 合并肺癌患者肺组织中 IL-17 表达与体质量指数呈正相关,与 CRP、FIB、FEV1%预计值及过去 1 年急性加重次数呈负相关;CRP 及过去 1 年急性加重次数是 IL-17 表达的独立变量及独立影响因素(P<0.05)。结论,IL-17 在肺癌合并 COPD 患者的肺组织中呈高表达,可能在疾病的发生发展中发挥重要作用。