首页|滤泡性淋巴瘤中CH25H和STAT3的表达及临床意义

滤泡性淋巴瘤中CH25H和STAT3的表达及临床意义

扫码查看
目的 探讨CH25H和STAT3在滤泡性淋巴瘤(follicular lymphoma,FL)中的表达及其意义.方法 筛选GEO数据库中FL与正常淋巴结组织中差异表达基因;收集54例FL和20例反应性增生淋巴结(reactive lymphoid hyperplasia,RLH)组织石蜡样本;采用免疫组化法检测石蜡样本CH25H和STAT3的表达,分析其与FL临床病理特征的关系及相关性.结果 FL中CH25H mRNA表达显著高于正常淋巴结组织(P<0.01);FL中CH25H mRNA的表达与STAT3呈线性相关(P<0.01);FL中CH25H 高表达率为48.1%,明显高于 RLH(15.0%,P<0.05);STAT3 高表达率为 59.3%,明显高于 RLH(25.0%,P<0.05);CH25H蛋白表达与FL肿瘤病理分级、临床Ann Arbor分期均明显相关(P均<0.05),在Ki67高表达(≥30%)的FL中CH25H表达较高,而在Ki67低表达的FL中表达较低,差异有统计学意义(P<0.05);CH25H与患者年龄、性别、有无B症状、CD10、BCL6、BCL2的表达、FLIPI-1评分、淋巴细胞计数和单核细胞计数均无明显相关性(P均>0.05).STAT3蛋白表达与FL肿瘤病理分级、临床Ann Arbor分期、FLIPI-1评分均明显相关(P均<0.05);在Ki67高表达(≥30%)的FL中STAT3表达较高,而在Ki67低表达的FL中表达较低,差异有统计学意义(P<0.05).STAT3与患者年龄、性别、有无B症状、CD10、BCL6、BCL2的表达、淋巴细胞计数和单核细胞计数均无明显相关性(P均>0.05);FL中CH25H与STAT3表达水平呈正相关(r=0.573,P<0.001).结论 FL中CH25H和STAT3蛋白表达水平明显升高,可作为FL病理诊断、病理分级和预后评估的潜在分子标志物;CH25H和STAT3异常表达可能联合参与FL的发生与进展.
Expression and clinical significance of CH25H and STAT3 in follicular lymphoma
Purpose To investigate the expression and sig-nificance of CH25H and STAT3 in follicular lymphoma(FL).Methods Differentially expressed genes in FL and normal lymph node tissues from the GEO were screened.Paraffin sam-ples from 54 cases of FL and 20 cases of reactive proliferative lymph node tissue were collected.Immunohistochemical methods were used to detect the expression of CH25H and STAT3 in par-affin samples,and their relationship with the clinical and patho-logical characteristics of FL was analyzed.Results The expres-sion of CH25H mRNA in FL was significantly higher than that in normal lymph node tissue(P<0.01).The expression level of CH25H mRNA in FL was linearly correlated with STAT3(P<0.01).The high expression rate of CH25H in FL was 48.1%,which significantly higher than that in reactive proliferative lymph node tissue(15.0%,P<0.05).The high expression rate of STAT3 was 59.3%,which significantly higher than that of reactive proliferative lymph node tissue(25.0%,P<0.05).The expression level of CH25H protein was significantly correla-ted with the pathological grading and clinical Ann Arbor staging of FL(all P<0.05).CH25H expression was higher in FL with high Ki67 expression(≥30%),while it was lower in FL with low Ki67 expression,and the difference was significant(P<0.05).There was no significant correlation between CH25H and patient age,gender,presence or absence of B symptoms,ex-pression of CD10,BCL6,BCL2,FLIPI-1 score,lymphocyte count,and monocyte count(all P>0.05).The expression lev-el of STAT3 protein was significantly correlated with the patho-logical grading,clinical Ann Arbor staging,and FLIPI-1 score of FL(all P<0.05).STAT3 expression was higher in FL with high Ki67 expression(≥30%),while it was lower in FL with low Ki67 expression,and the difference was significant(P<0.05).STAT3 was not significantly correlated with patient age,gender,presence or absence of B symptoms,expression of CD10,BCL6,BCL2,lymphocyte count,and monocyte count(all P>0.05).The expression levels of CH25H and STAT3 in FL were positively correlated(r=0.573,P<0.001).Conclu-sion The expression levels of CH25H and STAT3 proteins in FL are significantly increased,which can serve as potential mo-lecular markers for pathological diagnosis,grading,and progno-sis evaluation of FL.Abnormal expression of CH25H and STAT3 may jointly participate in the occurrence and progression of FL.

lymphomafollicular lymphomaCH25HSTAT3

余文慧、段家豪、刘沁华、吴正升

展开 >

安徽医科大学第一附属医院病理科,合肥 230022

安徽医科大学病理学教研室,合肥 230032

安徽医科大学第一附属医院血液科,合肥 230022

淋巴瘤 滤泡性淋巴瘤 CH25H STAT3

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(11)