Yang J L, Fang R F, Xie Q, Tai B J, Yao D F, Yao M
Research Center of Clinical Medicine, Affiliated Hospital & Department of Immunology, Medical School, Nantong University, Nantong 226001, China.
Department of Gastrenterology, Affiliated Hospital of Nantong University, Nantong 226001, China.
Zhonghua Gan Zang Bing Za Zhi. 2024 Feb 20;32(2):148-154. doi: 10.3760/cma.j.cn501113-20231107-00174.
To analyze and evaluate the expressions and clinical value of tuftelin (TUFT1) and Krüppel-like factor 5 (KLF5) in hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC) tissues. KLF5 mRNA and TUFT1 mRNA transcriptional status in cancer and non-cancer groups were compared according to the Cancer Genome Atlas (TCGA) database. The differences and prognostic value between the groups were analyzed. Postoperative liver cancer and its paired pericancerous tissues, with the approval of the ethics committee, were collected to build tissue chips. The expression of KLF5 and TUFT1 and their intracellular localization were verified by immunohistochemistry. Tissue expression and clinicopathological characteristics were analyzed by immunoblotting. SPSS software was used to analyze the relationship between SPSS and patient prognosis. The transcription level of TUFT1 or KLF5 mRNA was significantly higher in the HCC group than the non-cancer group ( < 0.001), according to TCGA data. Immunohistochemistry and Western blotting examination confirmed the overexpression of TUFT1 and KLF5 in human HCC tissues, which were mainly localized in the cytoplasm and cell membrane. The positivity rates of TUFT1 and KLF5 were 87.1% ( (2) = 18.563, < 0.001) and 95.2% ( (2) = 96.435, < 0.001) in HCC tissues, and both were significantly higher than those in the adjacent group. The expression intensity was higher in stage III-IV than stage I-II of the International Union Against Cancer standard ( < 0.01). The clinicopathological features showed that the abnormalities of the two were significantly related to HBV infection, tumor size, extrahepatic metastasis, TNM stage, and ascites. Univariate analysis was related to tumor size, HBV infection, and survival. Multivariate analysis was an independent prognostic factor for patients with HCC. TUFT1 and KLF5 may both be novel markers possessing clinical value in the diagnosis and prognosis of HBV-related HCC.
分析和评估牙本质基质蛋白(TUFT1)和Krüppel样因子5(KLF5)在乙型肝炎病毒(HBV)相关肝细胞癌(HCC)组织中的表达及临床价值。根据癌症基因组图谱(TCGA)数据库比较癌症组和非癌症组中KLF5 mRNA和TUFT1 mRNA的转录状态。分析两组之间的差异及预后价值。经伦理委员会批准,收集术后肝癌及其配对的癌旁组织构建组织芯片。通过免疫组织化学验证KLF5和TUFT1的表达及其细胞内定位。通过免疫印迹分析组织表达及临床病理特征。使用SPSS软件分析其与患者预后的关系。根据TCGA数据,HCC组中TUFT1或KLF5 mRNA的转录水平显著高于非癌症组(<0.001)。免疫组织化学和蛋白质印迹检测证实TUFT1和KLF5在人HCC组织中过表达,主要定位于细胞质和细胞膜。HCC组织中TUFT1和KLF5的阳性率分别为87.1%((2)=18.563,<0.001)和95.2%((2)=96.435,<0.001),两者均显著高于相邻组。按照国际抗癌联盟标准,III-IV期的表达强度高于I-II期(<0.01)。临床病理特征显示,两者异常均与HBV感染、肿瘤大小、肝外转移、TNM分期及腹水显著相关。单因素分析与肿瘤大小、HBV感染及生存相关。多因素分析是HCC患者的独立预后因素。TUFT1和KLF5可能均是在HBV相关HCC的诊断和预后中具有临床价值的新型标志物。