首页|UbcH7及53BP1基因在结直肠癌中的表达及意义

UbcH7及53BP1基因在结直肠癌中的表达及意义

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目的 探讨结直肠癌中泛素交联酶L3(UbcH7)和p53结合蛋白1(53BP1)的表达及其临床意义.方法 选择2018年1月至2020年1月收治的98例结直肠癌患者为研究对象,采用实时荧光定量PCR(qRT-PCR)法检测结直肠癌肿瘤组织和癌旁正常组织UbcH7及53BP1基因mRNA表达.采用免疫组织化学法(SP法)检测UbcH7及53BP1基因蛋白表达.采用Pearson和Spearman法分析结直肠肿瘤组织UbcH7、53BP1基因mRNA及蛋白表达相关性.绘制ROC曲线分析结直肠肿瘤组织UbcH7和53BP1基因mRNA表达在3年生存期中的预测效能.Kaplan-Meier法分析结直肠肿瘤组织UbcH7和53BP1基因蛋白表达与3年生存率的关系.结果 结直肠肿瘤组织中UbcH7基因mRNA表达及蛋白阳性率均高于癌旁正常组织,53BP1基因mRNA表达及蛋白阳性率均低于癌旁正常组织(均P<0.05).结直肠肿瘤组织中UbcH7和53BP1基因mRNA表达、蛋白表达均呈负相关(r=-0.626、-0.795,均P<0.05).Ⅲ+Ⅳ期、N1+N2淋巴结转移的结直肠癌患者UbcH7蛋白表达阳性率、53BP1蛋白表达阴性率均高于Ⅰ+Ⅱ期、N0淋巴结转移的结直肠癌患者(均P<0.05).UbcH7基因mRNA预测3年生存期的截断值为1.17,敏感度为0.789,特异度为0.824,曲线下面积(AUC)为0.726;53BP1基因mRNA预测3年生存期的截断值为0.73,敏感度为0.815,特异度为0.791,AUC为0.804.UbcH7阳性表达患者3年生存率低于阴性表达患者(P<0.05),53BP1阳性表达患者3年生存率高于阴性表达患者CP<0.05).结论 结直肠肿瘤组织中UbcH7表达水平升高,53BP1表达水平降低.与TNM分期、淋巴结转移及3年生存率密切相关,可作为结直肠癌患者病情及预后评估的标志物.
Expression of UbcH7 and 53BP1 gene in colorectal cancer and its clinical value
Objective To investigate the expression and clinical significance of ubiquitin crosslinking enzyme L3(UbcH7)and p53-binding protein 1(53BP1)in colorectal cancer.Methods Ninety eight patients with colorectal cancer were selected as the study objects.Real-time fluorescent quantitative PCR(qRT-PCR)was used to detect UbcH7 and 53BP1 genes in colorectal cancer tumor tissues and adjacent normal tissues mRNA expression.The ex-pression of UbcH7 and 53BP1 gene protein was detected by immunohistochemical method(SP method).The mRNA and protein expression correlation of UbcH7 and 53BP1 genes in colorectal tumor tissues were analyzed by Pearson and Spearman methods.ROC curve was drawn to analyze the predictive efficacy of UbcH7 and 53BP1 mRNA ex-pression in colorectal tumors in 3-year survival.Kaplan-Meier method was used to analyze the relationship between the expression of UbcH7 and 53BP1 gene protein in colorectal tumor tissue and the 3-year survival rate.Results The mRNA expression and protein positive rate of UbcH7 gene in colorectal tumor tissue were significantly higher than those in adjacent normal tissues,and the mRNA expression and protein positive rate of 53BP1 gene were signifi-cantly lower than those in adjacent normal tissues(all P<0.05).The mRNA expressions of UbcH7 and 53BP1 genes in colorectal tumor tissues were negatively correlated(r=-0.626,P<0.05).The expression of UbcH7 and 53BP1 gene protein in colorectal tumor tissue was negatively correlated(r=-0.795,P<0.05).The positive rate of UbcH7 protein expression and the negative rate of 53BP1 protein expression in colorectal cancer patients with stage Ⅲ+Ⅳ and N1+N2 lymph node metastasis was significantly higher than those in colorectal cancer patients with stage Ⅰ+Ⅱ and N0 lymph node metastasis(all P<0.05).The cut-off value,sensitivity,specificity and the area under the curve(AUC)of UbcH7 gene mRNA in colorectal tumor tissue to predict 3-year survival in colorectal cancer patients were 1.17,0.789,0.824 and 0.726,respectively.The cut-off value,sensitivity,specificity and AUC of 53BP1 gene mRNA in colorectal tumor tissue to predict 3-year survival in colorectal cancer patients was 0.73,0.815,0.791 and 0.804,respectively.The 3-year survival rate of patients with positive UbcH7 expression was lower than that of patients with negative UBCH7 expression(P<0.05).The 3-year survival rate of patients with positive expression of 53BP1 was higher than that of patients with negative expression(P<0.05).Conclusions The expression level of UbcH7 in colorectal tumor tissue is increased,and the expression level of 53BP1 is decreased,which is closely related to TNM stage,lymph node meta-stasis and 3-year survival rate,and can be used as a marker for evaluating the condition and prognosis of colorectal can-cer patients.

Colorectal cancerUbiquitin cross-linking enzyme L3P53-binding protein 1Clinical value

黄立勇、窦广健、吴佳明

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314000 浙江省嘉兴,嘉兴市第一医院

结直肠癌 泛素交联酶L3 p53结合蛋白1 临床价值

嘉兴市科技计划项目

2022AD30043

2024

现代实用医学
宁波市医学会

现代实用医学

影响因子:0.652
ISSN:1671-0800
年,卷(期):2024.36(1)
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