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肿瘤蛋白D52和miR-133a表达水平对胰腺癌手术预后评估的临床价值

Clinical value of the expression levels of tumor protein D52 and miR-133a on prognosis assessment of pancreatic cancer surgery.

作者信息

Wang Zhen-Yong, Liu Ru-Hai, Meng Yu, Li Jin-Chao

机构信息

Zhen-yong Wang, The First Department of Hepatobiliary and Pancreatic Surgery, Cangzhou Central Hospital, Cangzhou 061000, Hebei, P.R. China.

Ru-hai Liu, The First Department of Hepatobiliary and Pancreatic Surgery, Cangzhou Central Hospital, Cangzhou 061000, Hebei, P.R. China.

出版信息

Pak J Med Sci. 2024 Mar-Apr;40(4):723-729. doi: 10.12669/pjms.40.4.8389.

Abstract

OBJECTIVE

To investigate the clinical value of the expression levels of tumor protein D52 (TPD52) and miR-133a on the prognosis assessment of pancreatic cancer surgery.

METHODS

This was a retrospective study. Ninety-seven patients who underwent radical surgery for pancreatic cancer in Cangzhou Central Hospital from January 2018 to January 2022 were selected and divided into four groups: TPD52 high expression group, TPD52 low expression group, miR-133a high expression group and miR-133a low expression group. The relationship between the expression levels of TPD52 and miR-133a and the clinicopathological features of patients with pancreatic cancer was analyzed. The COX regression model was used to analyze the risk factors affecting the prognosis of patients with pancreatic cancer.

RESULTS

The high expression rate of TPD52 and the low expression rate of miR-133a in pancreatic cancer tissues were higher than those in normal paracancerous tissues(P<0.05). Based on the comparison of prognosis and survival, the median survival time of patients with high expression of TPD52 and low expression of miR-133a was lower than that of patients with low expression of TPD52 and high expression of miR-133a, with a statistically significant difference(P<0.05). Moreover, multivariate Cox regression analysis showed that low differentiation of pancreatic cancer, III-IV stage of TNM, high expression of TPD52, as well as low expression of miR-133a were independent risk factors for postoperative survival of patients with pancreatic cancer(P<0.05).

CONCLUSION

TPD52 is expressed at a high level whereas miR-133a at a low level in pancreatic cancer tissues, both of which together with low differentiation of pancreatic cancer and III-IV stage of TNM constitute independent risk factors affecting the surgical prognosis of patients with pancreatic cancer.

摘要

目的

探讨肿瘤蛋白D52(TPD52)和miR-133a表达水平对胰腺癌手术预后评估的临床价值。

方法

本研究为回顾性研究。选取2018年1月至2022年1月在沧州市中心医院接受胰腺癌根治性手术的97例患者,分为四组:TPD52高表达组、TPD52低表达组、miR-133a高表达组和miR-133a低表达组。分析TPD52和miR-133a表达水平与胰腺癌患者临床病理特征的关系。采用COX回归模型分析影响胰腺癌患者预后的危险因素。

结果

胰腺癌组织中TPD52高表达率和miR-133a低表达率高于正常癌旁组织(P<0.05)。基于预后和生存情况比较,TPD52高表达且miR-133a低表达患者的中位生存时间低于TPD52低表达且miR-133a高表达患者,差异有统计学意义(P<0.05)。此外,多因素Cox回归分析显示,胰腺癌低分化、TNM分期III-IV期、TPD52高表达以及miR-133a低表达是胰腺癌患者术后生存的独立危险因素(P<0.05)。

结论

胰腺癌组织中TPD52呈高水平表达,而miR-133a呈低水平表达,二者与胰腺癌低分化和TNM分期III-IV期共同构成影响胰腺癌患者手术预后的独立危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4527/10963991/c3c75061a664/PJMS-40-723-g001.jpg

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