首页|食管鳞状细胞癌中CD88表达及其与上皮-间质转化的关系

食管鳞状细胞癌中CD88表达及其与上皮-间质转化的关系

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目的 探究食管鳞状细胞癌(esophageal squamous cell carcinoma,ESCC)中CD88表达与临床病理特征及上皮-间质转化(epithelial-mesenchymal transition,EMT)的关系.方法 应用TCGA和TIMER数据库分析ESCC和食管鳞状上皮中CD88表达水平及其与EMT相关基因和蛋白表达的关系.收集199例ESCC和癌旁组织石蜡标本,制成组织芯片,采用免疫组化EnVision法检测ESCC和癌旁正常组织中CD88和EMT相关靶标蛋白的表达情况,分析CD88表达与ESCC临床病理特征、预后及EMT的关系.结果 ESCC组织中CD88高表达者86例,低表达者113例,ESCC组织中CD88表达水平显著高于癌旁正常组织(P<0.001).CD88高表达组分化程度更低(P<0.001)、T分期更高(P=0.03).CD88高表达组患者的5年生存期显著低于CD88低表达组(P=0.002).Cox单因素和多因素分析结果显示,CD88表达是ESCC患者总生存的独立预后因素(P=0.013).CD88 高表达与 E-cadherin 表达呈负相关(r=-0.146,P=0.039),与 vimentin(r=0.387,P=1.61e-08)和 N-cad-herin表达呈正相关(r=0.304,P=1.3e-05).结论 CD88在ESCC组织中高表达,CD88可能通过EMT影响ESCC的发生发展及侵袭转移过程,其可以作为评估ESCC患者预后的标志物.
Expression of CD88 in esophageal squamous cell carcinoma and relationship with epithelial-mesenchymal transition
Purpose To study the relationshiPbetween CD88 expression and clinicopathologic features and epithelial-mesenchymal transition(EMT)in esophageal squamous cell carcinoma.Methods TCGA and TIMER database were used to analyze the expression level of CD88 in esophageal squamous cell carcinoma and adjaecnt esophageal squamous cell epithelium and its relationship with epithelial-mesenchymal transition.Par-affin specimens were collected from 199 patients with clinically diagnosed esophageal squamous cell carcinoma.Immunohisto-chemical EnVision method was used to detect the expression of CD88 and EMT-related proteins in esophageal squamous cell carcinoma and adjacent tissues,the relationship between CD88 expression and clinicopathological features,prognosis and EMT in ESCC tumors was analyzed.Results There were 86 cases with high CD88 expression and 113 cases with low CD88 expres-sion.The expression level of CD88 in esophageal squamous cell carcinoma was significantly higher than that of paracancerous tis-sue(P<0.001).The group with high CD88 expression had lower ESCC differentiation level(P<0.001)and higher T stage(P=0.03).The 5-year survival of patients with high CD88 ex-pression was significantly lower than that of patients with low CD88 expression(P=0.002).Cox univariate and multivariate analysis showed that CD88 expression was an independent prog-nostic factor for overall survival of patients with esophageal squa-mous cell carcinoma(P=0.013).The high expression of CD88 was negatively correlated with E-cadherin(r=-0.146,P=0.039),and positively correlated with vimentin(r=0.387,P=1.61e-08)and N-cadherin(r=0.304,P=1.3e-05).Con-clusion CD88 is highly expressed in esophageal squamous cell carcinoma.CD88 may affect the occurrence,development,in-vasion and metastasis of esophageal squamous cell carcinoma through EMT,and it might be used as a prognostic marker for e-sophageal squamous cell carcinoma patients.

esophageal neoplasmssquamous cell carcinomaCD88epithelial-mesenchymal transitionprognosis

许坤明、刘香、朱凯、罗华羽、樊琳蕊、张忠玉、任宏政

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深圳市龙岗区妇幼保健院病理科,深圳 518172

长治医学院附属和平医院病理科,长治 046099

海军军医大学附属公利医院防保科,上海 200135

海军军医大学附属公利医院病理科,上海 200135

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食管肿瘤 鳞状细胞癌 CD88 上皮-间质转化 预后

上海市浦东新区卫生系统重要薄弱学科建设项目山西省卫健委"四个一批"科技兴医创新计划项目重点实验室长治市食管癌研究与转化技术创新中心

PWZbr2022-182022SYS222022cx003

2024

临床与实验病理学杂志
安徽医科大学,中华医学会安徽分会

临床与实验病理学杂志

CSTPCD北大核心
影响因子:0.776
ISSN:1001-7399
年,卷(期):2024.40(6)