全科医学临床与教育2024,Vol.22Issue(1) :11-14,封3.DOI:10.13558/j.cnki.issn1672-3686.2024.001.004

结直肠癌中YRDC表达水平及其预后价值

Expression level of YRDC in colorectal cancer and its prognostic value

周信阳 蓝旭丽 雷桃英 钟发明
全科医学临床与教育2024,Vol.22Issue(1) :11-14,封3.DOI:10.13558/j.cnki.issn1672-3686.2024.001.004

结直肠癌中YRDC表达水平及其预后价值

Expression level of YRDC in colorectal cancer and its prognostic value

周信阳 1蓝旭丽 1雷桃英 1钟发明1
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作者信息

  • 1. 321200 浙江金华,武义县第一人民医院、浙江大学医学院附属邵逸夫医院武义院区普外科
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摘要

目的 明确YRDC基因是否在结直肠癌中具有原癌基因的表达特性,其与患者临床病例资料的相关性及其对远期预后的影响.方法 选择确诊为结直肠癌的156 例患者,采用免疫组织化学法检测其癌组织及癌旁组织样本中的YRDC 的表达水平.分析患者的临床参数与YRDC表达的相关性.并采用Kaplan-Meier法评估绘制患者的生存曲线,用COX模型对结直肠癌患者的预后进行多因素分析.结果 YRDC蛋白在结直肠癌组织中的表达明显高于癌旁组织,差异有统计学意义(χ2=143.22,P<0.05).YRDC高表达患者的生存期明显短于低表达患者,1年存活率、末次随访存活率均低于低表达患者,复发转移率高于低表达患者,差异均有统计学意义(t=40.13,χ2 分别= 6.91、7.81、8.12,P均<0.05).COX回归分析显示,远处转移、癌胚抗原、YRDC表达是结直肠癌患者生存结局的独立影响因素(OR分别=3.13、34.75、2.22,P均<0.05).结论 YRDC的高水平表达往往预示着不良的预后,YRDC基因可能成为判断结直肠癌患者预后的潜在生物标志物,这有助于进一步找到结直肠癌分子治疗的作用靶点.

Abstract

Objective To analyze whether YRDC gene has the expression characteristics of proto oncogene in colorec-tal cancer,its correlation with clinicopathological parameters and its influence on prognosis.Methods A total of 156 pa-tients diagnosed with colorectal cancer were selected.The expression level of YRDC in cancer tissue and adjacent tissue samples was detected by immunohistochemistry.The correlation between clinical parameters and YRDC expression was an-alyzed.Kaplan-Meier method was used to draw the survival curve of patients,and COX model was used to analyze the factors of the prognosis of patients with colorectal cancer.Results The expression of YRDC protein in colorectal cancer tissue was significantly higher than that in adjacent tissues,and the difference was statistically significant(χ2=143.22,P<0.05).The survival period of patients with high expression of YRDC was significantly shorter than that of patients with low expression,and the 1-year survival rate and last follow-up survival rate were lower than those of patients with low expression.The recurrence and metastasis rate was higher than that of patients with low expression,and the differences were statistically significant(t=40.13,χ2=6.91,7.81,8.12,P<0.05).COX regression analysis showed that distant metasta-sis,carcinoembryonic antigen,and YRDC expression were independent influencing factors of the survival outcome of colorectal cancer patients(OR=3.13,34.75,2.22,P<0.05).Conclusion The high level expression of YRDC often pre-dicts poor prognosis and may become a potential biomarker to judge the prognosis of colorectal cancer patients,which is helpful to further find the target of molecular therapy for colorectal cancer.

关键词

结直肠癌/YRDC/表达/预后

Key words

colorectal cancer/YRDC/expression/prognosis

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基金项目

金华市科学技术研究计划项目(2021-4-209)

出版年

2024
全科医学临床与教育
浙江大学

全科医学临床与教育

影响因子:0.63
ISSN:1672-3686
参考文献量6
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