首页|铂耐药上皮性卵巢癌组织中CXCL5的表达与患者临床特征的关系

铂耐药上皮性卵巢癌组织中CXCL5的表达与患者临床特征的关系

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目的 探讨铂耐药上皮性卵巢癌组织中CXC趋化因子配体-5(CXCL5)的表达与患者临床特征的关系.方法 收集行满意肿瘤细胞减灭术后联合铂类为主规范化疗的134名上皮性卵巢癌患者,根据患者停止化疗后6个月的复发情况分为铂耐药组70例(实验组)和铂敏感组64例(对照组).采用免疫组化法检测卵巢癌组织CXCL5表达,分析其与上皮性卵巢癌铂耐药的相关性.结果 CXCL5在铂耐药上皮性卵巢癌患者组织中的表达主要位于癌细胞的细胞质中;CXCL5在铂耐药型卵巢癌组织中的表达水平明显低于铂敏感型,2组差异有统计学意义(P<0.05);CXCL5在铂耐药组上皮性卵巢癌患者组织中的表达与新辅助化疗、总化疗次数、人附睾蛋白4(HE4)、中性粒细胞绝对值(NEUT)、血小板(PLT)、FIGO分期、组织学分化程度、腹水量有显著相关性(P<0.05);其中与新辅助化疗、总化疗次数、HE4、FIGO分期、腹水量呈负相关,与NEUT、PLT、组织学分化程度呈正相关;与糖类抗原(CA125)、年龄、绝经状态、病灶大小、肿瘤单双侧、脉管阳性无明显相关性(P>0.05).结论 铂耐药上皮性卵巢癌患者组织中CXCL5的表达降低与新辅助化疗、总化疗次数、HE4、NEUT、PLT、FIGO分期、组织学分化程度、腹水量有关,CXCL5的低表达可能与上皮性卵巢癌产生铂耐药相关.
Expression of CXCL5 in platinum-resistant epithelial ovarian cancer tissue and its relationship with clinical features of patients
Objective To explore the relationship between the expression of CXC chemokine ligand-5(CXCL5)and clinical features in platinum-resistant epithelial ovarian cancer.Method 134 patients with epithelial ovarian cancer who received the tumor cell reduction surgery combined with platinum-based standard chemotherapy were collected.According to the recurrence rate of patients six months after stopping chemotherapy,they were divided into platinum resistant group(n=70)and platinum sensitive group(n=64).Immunohistochemistry was used to detect the expression of CXCL5 in ovarian cancer tissue,and its correlation with platinum resistance in epithelial ovarian cancer was analyzed.Result The expression of CXCL5 in platinum-resistant epithelial ovarian cancer was mainly lo-cated in the cytoplasm of cancer cells,and the expression level of CXCL5 in platinum-resistant ovarian cancer was significantly lower than that in platinum-sensitive ovarian cancer tissue(P<0.05).The expression of CXCL5 in platinum-resistant epithelial ovarian cancer was significantly correlated with neoadjuvant chemotherapy,total chemotherapy times,HE4,NEUT,PLT,FIGO stages,histological differentiation and ascites,and negatively correlated with neoadjuvant chemotherapy,total chemotherapy times,HE4,FIGO stages and as-cites(P<0.05).Among them,there were negative correlation with NEUT,PLT and histological differentiation.There was no significant correlation with CA125,age,menopausal state,lesion size,unilateral or bilateral tumor and vascular positive(P>0.05).Conclusion The decreased expression of CXCL5 in platinum-resistant epithelial ovarian cancer tissue is related to neoadjuvant chemo-therapy,total chemotherapy times,HE4,NEUT,PLT,FIGO stage,histological differentiation and ascites.It is suggested that the low ex-pression of CXCL5 may be related to platinum resistance in epithelial ovarian cancer.

CXCL5Platinum resistanceEpithelial ovarian cancerClinical features

何滢、马晓玲、高璐璐、祖逸峥、张瑞琪、哈春芳

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宁夏医科大学临床医学院,宁夏银川 750004

甘肃省庆阳市第一人民医院,甘肃庆阳 745000

福建医科大学妇儿临床医学院,福建福州 350001

宁夏医科大学总医院,宁夏银川 750004

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CXCL5 铂耐药 上皮性卵巢癌 临床特征

宁夏中央引导地方科技发展专项

2022FRD05034

2024

宁夏医学杂志
中华医学会宁夏分会

宁夏医学杂志

影响因子:0.706
ISSN:1001-5949
年,卷(期):2024.46(2)
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