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中国临床研究英文版:2017,30(9):1162-1164,1168
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DAB2IP在胆囊癌中的异常表达及其临床意义
(徐州医科大学附属医院肝胆外科,江苏 徐州 221000)
Abnormal expression of DAB2IP in gallbladder carcinoma and its clinical significance
(Department of Hepatobiliary Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221000, China)
摘要
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Received:April 10, 2017   Published Online:March 23, 2018
中文摘要: 目的:探讨残疾基因同源物2相互作用蛋白(DAB2IP)基因在胆囊癌组织中的表达及其与胆囊癌临床病理之间的关系。方法:采用回顾性分析方法,选择2005年12月至2015年12月在徐州医科大学附属医院肝胆外科住院接受胆囊切除且资料完整的患者72例,其中无症状胆囊胆固醇息肉27例患者作为对照组,胆囊癌45例患者作为观察组。采用免疫组织化学染色法检测两组手术切除组织中DAB2IP的表达情况,分析DAB2IP表达水平与肿瘤临床病理因素的相关性,并采用Logistic回归分析影响胆囊癌预后的危险因素。结果:DAB2IP基因在对照组正常胆囊组织和胆囊癌组织中的表达率分别为66.67%和31.11%,组间比较差异有统计学意义(P<0.05)。单因素分析显示,DAB2IP表达水平与癌组织的分化程度、浸润深度和有无淋巴结转移存在相关 (P均<0.05),但与性别、年龄、肿瘤大小无关(P均>0.05)。Logistic回归分析结果显示,DAB2IP的低表达与高中度分化(OR=3.51)、浸润深度T1+T2(OR=1.25)以及有淋巴结转移(OR=5.46)密切相关。结论:DAB2IP在胆囊癌组织中表达下调,可能与胆囊癌的发生和侵袭转移有关。
Abstract:Objective To investigate the expression of disabled homolog 2 interacting protein (DAB2IP) in gallbladder carcinoma tissue and its relationship with gallbladder carcinoma clinical pathology. Methods Clinical data was retrospectively analyzed in 72 patients who received cholecystectomy in Affiliated Hospital of Xuzhou Medical University form December 2005 to December 2015. Twenty-seven patients with asymptomatic gallbladder cholesterol polyps as control group, and 45 patients with gallbladder carcinoma as study group. Immunohistochemistry was used to detect the expression of DAB2IP in surgical resection specimens, and the relationship between expression of DAB2IP and tumor clinical pathologic factors was analyzed. The risk factors of gallbladder carcinoma prognosis were studied by Logistic regression analysis. Results The expression of DAB2IP gene in control group normal gallbladder tissue and gallbladder carcinoma tissue were 66. 67% and 31. 11%, respectively(P<0.05). One-way analysis of variance showed that the expression of DAB2IP was related to the differentiation, depth of invasion of the cancer tissue and lymphatic metastasis(all P<0.05), butthere was no relationship with gender, age and tumor size(all P>0.05). Logistic regression analysis showed that the well and intermediate differentiation(OR=3. 51), depth of invasion with stage T1 and T2(OR=1. 25), and with lymphatic metastasis(OR=5. 46), they were risk factors for the advantage prognosis of gallbladder carcinoma. Conclusion The down-regulation of expression of DAB2IP in gallbladder carcinoma tissue may be related to the occurrence, invasion and metastasis of gallbladder carcinoma.
文章编号:     中图分类号:R735.8    文献标志码:A
基金项目:江苏省卫生厅科研基金项目(H201478)
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