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CD44、CD133和维生素D受体在上皮性卵巢肿瘤中的诊断潜力:与组织病理学参数的关联

Diagnostic Potential of CD44, CD133, and VDR in Epithelial Ovarian Tumors: Association with Histopathology Parameters.

作者信息

Jovanović Ljubiša, Šošić-Jurjević Branka, Ćirković Anđa, Dragičević Sandra, Filipović Branko, Milenković Svetlana, Dugalić Stefan, Gojnić-Dugalić Miroslava, Nikolić Aleksandra

机构信息

Department of Pathology and Medical Cytology, University Clinical Center of Serbia, dr Koste Todorovića 26, 11000 Belgrade, Serbia.

Department of Cytology, Institute for Biological Research "Siniša Stanković", National Institute of Republic of Serbia, University of Belgrade, Bulevar Despota Stefana 142, 11108 Belgrade, Serbia.

出版信息

Int J Mol Sci. 2025 Apr 15;26(8):3729. doi: 10.3390/ijms26083729.

Abstract

Cancer stem cells (CSCs) significantly contribute to heterogeneity, malignancy, and therapy resistance in ovarian cancer. Recent studies emphasize the role of the vitamin D receptor (VDR) in regulating cell differentiation and stemness in various types of cancer. This study aims to determine the expression levels of CD44, CD133, and VDR in epithelial ovarian tumors (EOTs) and to compare these levels across different tumor types, including benign, atypical proliferative tumors, and five types of malignant phenotypes, in order to evaluate their potential as diagnostic tools for malignancy. Tissue samples from 218 patients diagnosed with EOT were analyzed. Clinical and histopathologic parameters were recorded. Quantitative immunohistochemical tissue microarray analysis was used to assess the expression levels of CD44, CD133, and VDR using two different scoring systems. Comparisons were made between benign tumors (n = 45), atypical proliferative tumors (n = 42), and ovarian carcinomas (n = 131), including high-grade serous (HGSC) and non-HGSC subtypes. Ovarian cancer, especially HGSC, showed a significantly higher expression of CD44 and VDR ( < 0.05) compared to atypical proliferative tumors and benign tumors. The expression of CD133 was highest in atypical proliferative tumors ( < 0.05). A moderate positive correlation was found between CD44, CD133, and VDR in all groups, with significant correlations with tumor grade and FIGO stage in ovarian cancer ( < 0.05). The increased expression of CD44 and VDR in aggressive ovarian cancer, along with elevated CD133 levels in atypical proliferative tumors, highlights the complexity of tumor biology. These markers may serve as valuable targets for the diagnosis of ovarian cancer.

摘要

癌症干细胞(CSCs)在卵巢癌的异质性、恶性程度和治疗抵抗中起重要作用。最近的研究强调了维生素D受体(VDR)在调节各类癌症细胞分化和干性方面的作用。本研究旨在确定上皮性卵巢肿瘤(EOTs)中CD44、CD133和VDR的表达水平,并比较这些水平在不同肿瘤类型中的差异,包括良性、非典型增生性肿瘤以及五种恶性表型,以评估它们作为恶性肿瘤诊断工具的潜力。对218例诊断为EOT的患者的组织样本进行了分析。记录了临床和组织病理学参数。采用定量免疫组织化学组织芯片分析,使用两种不同的评分系统评估CD44、CD133和VDR的表达水平。对良性肿瘤(n = 45)、非典型增生性肿瘤(n = 42)和卵巢癌(n = 131)进行了比较,后者包括高级别浆液性癌(HGSC)和非HGSC亚型。与非典型增生性肿瘤和良性肿瘤相比,卵巢癌,尤其是HGSC,CD44和VDR的表达显著更高(< 0.05)。CD133的表达在非典型增生性肿瘤中最高(< 0.05)。所有组中CD44、CD133和VDR之间均存在中度正相关,在卵巢癌中与肿瘤分级和国际妇产科联盟(FIGO)分期显著相关(< 0.05)。侵袭性卵巢癌中CD44和VDR表达增加,以及非典型增生性肿瘤中CD133水平升高,凸显了肿瘤生物学的复杂性。这些标志物可能是卵巢癌诊断的有价值靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f9b/12028036/a4277fc866bf/ijms-26-03729-g001.jpg

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