本文已被:浏览 30次 下载 15次
Received:March 22, 2024 Published Online:January 20, 2025
Received:March 22, 2024 Published Online:January 20, 2025
中文摘要: 目的 研究食管鳞状细胞癌(ESCC)组织中胰岛素样生长因子结合蛋白7(IGFBP7)和转化生长因子β1(TGFβ1)的表达及可能的作用机制。
方法 选取2020年10月至2021年10月于青海大学附属医院行食管癌根治术的ESCC患者48例作为研究对象,并对患者的48份癌组织和35份配对癌旁组织(剔除有癌细胞浸润的癌旁组织标本13份)标本用免疫组化法检测并比较IGFBP7、TGFβ1的表达,分析IGFBP7、TGFβ1对ESCC临床病理参数的影响及和预后的关系。
结果 IGFBP7、TGFβ1在ESCC组织的阳性表达率高于癌旁组织(66.67%vs 25.71%,χ 2=13.580,P <0.01;72.92% vs 40.00%,χ 2=9.069,P <0.01);IGFBP7、TGFβ1阴性表达组2年累积生存率均高于阳性表达组,差异有统计学意义( P <0.05);Cox回归分析示,IGFBP7、TGFβ1阳性表达显著影响ESCC患者术后生存( P <0.05)。
结论 IGFBP7、TGFβ1在ESCC组织表达升高,并与临床病理参数、预后有关,二者有望成为ESCC早期诊断和评估预后的生物标志物。
中文关键词: 食管鳞状细胞癌 胰岛素样生长因子结合蛋白7 转化生长因子β1 术后累积生存率
Abstract:Objective To investigate the expression of insulin-like growth factor binding protein 7 (IGFBP7) and transforming growth factor β1(TGFβ1) in esophageal squamous cell carcinoma (ESCC) tissues and their possible mechanisms of action in ESCC.
Methods A total of 48 ESCC patients who underwent radical resection of esophageal cancer in Qinghai University Affiliated Hospital from October 2020 to October 2021 were selected as the study subjects, and the expressions of IGFBP7 and TGFβ1 were detected and compared by immunohistochemistry in the 48 cancer tissues and 35 paired adjacent tissues specimens (13 adjacent tissue specimens with cancer cell invasion were excluded), and the effects of IGFBP7 and TGFβ1 on the clinicopathological parameters of ESCC and their relationship with prognosis were analyzed.
Results The positive expression rates of IGFBP7 and TGFβ1 in ESCC tissues were higher than those in adjacent tissues (66.67%vs 25.71%,χ2 =13.580,P <0.01; 72.92%vs 40.00%,χ2 =9.069,P <0.01). The 2-year cumulative survival rates of IGFBP7 and TGFβ1 negative expression groups were higher than those of positive expression groups, respectively, and the differences were statistically significant ( P <0.05). Cox regression analysis showed that the positive expressions of IGFBP7 and TGFβ1 significantly affected the postoperative survival of ESCC patients ( P <0.05).
Conclusion The increased expressions of IGFBP7 and TGFβ1 in ESCC tissues are related to clinicopathological parameters and prognosis, which are expected to be biomarkers for early diagnosis and prognosis of ESCC.
keywords: Esophageal squamous cell carcinomas Insulin-like growth factor binding protein 7 Transforming growth factor β1 Postoperative cumulative survival
文章编号: 中图分类号:R735.1 文献标志码:A
基金项目:青海省临床医学研究中心项目(2019-SF-L3);青海大学附属医院重点学科项目(2019-233号,2019-195号)
引用文本: