首页|子宫内膜癌组织中NF1和SKAP1水平及其与临床病理特征和生存期的关系

子宫内膜癌组织中NF1和SKAP1水平及其与临床病理特征和生存期的关系

扫码查看
目的 分析子宫内膜癌组织中神经纤维瘤基因(NF1)和激酶相关磷蛋白1(SKAP1)表达及与临床病理特征、生存期的关系.方法 选取2018年1-12月在该院妇科进行手术治疗的89例子宫内膜癌患者作为研究组,另选取同期在该院因子宫肌瘤或子宫脱垂进行全子宫切除的80例患者作为对照组.检测子宫内膜癌组织和正常组织的NF1、SKAP1信使RNA(mRNA)水平,以及NF1、SKAP1蛋白阳性表达情况.采用Pear-son相关分析子宫内膜癌组织中NF1 mRNA水平与SKAP1 mRNA水平的相关性.采用Kaplan-Meier法分析NF1和SKAP1水平与患者生存期的关系.结果 研究组NF1 mRNA水平低于对照组,SKAP1 mRNA水平高于对照组,差异均有统计学意义(P<0.001).NF1和SKAP1蛋白主要位于细胞质和细胞膜中,子宫内膜癌组织中NF1蛋白阳性表达率低于正常组织,SKAP1蛋白阳性表达率高于正常组织,差异均有统计学意义(P<0.001).Pearson相关分析结果显示,子宫内膜癌组织中NF1 mRNA水平与SKAP1 mRNA水平呈负相关(r=-0.253,P=0.017).不同肌层浸润深度、分化程度、国际妇产科联盟(FIGO)分期、淋巴结转移情况、脉管癌栓患者子宫内膜癌组织中NF1蛋白和SKAP1蛋白阳性表达情况比较,差异均有统计学意义(P<0.05).Kaplan-Meier法分析结果显示,NF1蛋白阳性表达患者累积生存率高于NF1蛋白阴性表达的患者,SKAP1蛋白阳性表达患者累积生存率低于SKAP1蛋白阴性表达的患者,差异均有统计学意义(P<0.05).结论 子宫内膜癌组织中NF1表达下调,SKAP1表达上调,且二者呈负相关,并与肌层浸润深度、分化程度、FIGO分期、淋巴结转移情况、脉管癌栓有关,可能成为预测子宫内膜癌患者预后的标志物.
Levels of NF1 and SKAP1 in endometrial carcinoma tissues and their relationship with clinicopathological features and survival
Objective To investigate the levels of neurofibromatosis gene(NF1)and kinase-associated phosphoprotein 1(SKAP1)in endometrial carcinoma tissues and their relationship with clinicopathological features and survival.Methods A total of 89 patients with endometrial cancer who underwent surgical treat-ment in the gynecology department of this hospital from January 2018 to December 2018 were selected as the study group,and 80 patients who underwent total hysterectomy due to uterine fibroids or uterine prolapse in this hospital during the same period were selected as the control group.The levels of NF1 and SKAP1 messen-ger RNA(mRNA)and the positive expression of NF1 and SKAP1 proteins in endometrial carcinoma tissues and normal tissues were detected.Pearson correlation was used to analyze the correlation between NF1 mRNA and SKAP1 mRNA levels in endometrial carcinoma tissues.Kaplan-Meier method was used to analyze the re-lationship between NF1 and SKAP1 levels and survival.Results The level of NF1 mRNA in the study group was lower than that in the control group,and the level of SKAP1 mRNA was higher than that in the control group,with statistical significance(P<0.001).NF1 and SKAP1 proteins were mainly located in cytoplasm and cell membrane.The positive expression rate of NF1 protein in endometrial carcinoma tissues was lower than that in normal tissues,and the positive expression rate of SKAP1 protein was higher than that in normal tissues,with statistical significance(P<0.001).Pearson correlation analysis showed that NF1 mRNA levels were negatively correlated with SKAP1 mRNA levels in endometrial carcinoma tissues(r=-0.253,P=0.017).There were statistically significant differences in the positive expression of NF1 protein and SKAP1 protein in endometrial carcinoma tissues of patients with different muscle infiltration depth,differentiation de-gree,international federation of gynecology and obstetrics(FIGO)stage,lymph node metastasis,and vascular cancer thromboma(P<0.05).Kaplan-Meier analysis showed that the cumulative survival rate of patients with pos-itive expression of NF1 protein was higher than that of patients with negative expression of NF1 protein,and the cu-mulative survival rate of patients with positive expression of SKAP1 protein was lower than that of patients with nega-tive expression of SKAP1 protein,with statistical significance(P<0.05).Conclusion NF1 expression is down-regulated and SKAP1 expression is up-regulated in endometrial carcinoma tissues,and the two expressions are negatively correlated with the depth of muscular invasion,degree of differentiation,FIGO stage,lymph node metastasis,and vascular cancer embolus,which may be used as prognostic markers for endometrial carcinoma patients.

endometrial carcinomaneurofibroma genekinase-associated phosphoprotein 1survival ratedepth of infiltration

季晓云、周敏

展开 >

同济大学附属妇产科医院门急诊医学科,上海 200040

子宫内膜癌 神经纤维瘤基因 激酶相关磷蛋白1 生存率 浸润深度

2025

检验医学与临床
重庆市卫生信息中心 重庆市临床检验中心

检验医学与临床

影响因子:1.096
ISSN:1672-9455
年,卷(期):2025.22(1)