中国伤残医学2024,Vol.32Issue(18) :75-78.DOI:10.13214/j.cnki.cjotadm.2024.018.019

非小细胞肺癌患者血清COL4A3表达水平及其与病理参数的关系

Serum COL4A3 Expression and Its Relationship with Pathological Parameters in Patients with Non-Small Cell Lung Cancer

孙江铭 王惠 梁昌平 李祥玉 李明 何涛
中国伤残医学2024,Vol.32Issue(18) :75-78.DOI:10.13214/j.cnki.cjotadm.2024.018.019

非小细胞肺癌患者血清COL4A3表达水平及其与病理参数的关系

Serum COL4A3 Expression and Its Relationship with Pathological Parameters in Patients with Non-Small Cell Lung Cancer

孙江铭 1王惠 1梁昌平 1李祥玉 1李明 1何涛1
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作者信息

  • 1. 四川省攀枝花市中心医院核医学科,四川 攀枝花 617067
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摘要

目的:探究非小细胞肺癌(NSCLC)患者血清Ⅳ型胶原蛋白α3(COL 4A 3)的表达水平及其与病理参数的关系.方法:回顾性分析 2023年 5月—2024年 5月攀枝花市中心医院收治的 84例NSCLC患者资料,将其纳入NSCLC组,将同期 51例健康体检者纳入对照组,将同期 53例肺部良性肿瘤者纳入良性肿瘤组.检测者血清中COL 4A 3的表达情况,收集NSCLC患者的临床资料及病理资料,分析血清COL 4A 3与NSCLC病理参数的关系,绘制受试者操作特征曲线(ROC)分析血清COL 4A 3对NSCLC的诊断价值.结果:NSCLC组的血清COL 4A 3水平高于对照组及良性肿瘤组,良性肿瘤组高于对照组,差异均有统计学意义(P<0.05).NSCLC组中,淋巴结转移、TNM分期Ⅲ~Ⅳ期患者的血清COL 4A 3表达水平高于无淋巴结转移及TNM分期Ⅰ~Ⅱ期患者,差异均有统计学意义(P<0.05).血清COL 4A 3诊断NSCLC的曲线下面积为 0.745,阈值为 3.45μg/L,约登指数为 0.59,灵敏度为 63.64%,特异度为 95.89%.结论:NSCLC患者血清COL 4A 3的水平上调,且该变化与TNM分期及淋巴结转移密切相关,提示血清COL 4A 3水平具有重要的疾病评估和早期辅助诊断价值.

Abstract

Objective:To investigate the expression of serum recombinant collagen type Ⅳα3(COL4A3)of patients with non-small cell lung cancer(NSCLC)and its relationship with pathological parameters.Methods:The Data of 84 patients with NSCLC admitted to Panzhihua Central Hospital from May 2023 to May 2024 were retrospectively analyzed and included in the NSCLC group,a total of 51 healthy subjects of the same period were included in the control group,and a total of 53 patients with benign lung tumors of the same period were included in the benign tumor group.The serum COL4A3 expression was detected,the clinical and pathological data of patients with NSCLC were collected,the relationship between serum COL4A3 and pathological parameters of NSCLC was analyzed,and receiver operating characteristic curve(ROC)was drawn to analyze the diagnostic value of serum COL4A3 in NSCLC.Results:The serum COL4A3 level in NSCLC group was higher than control group and benign tumor group,and the benign tumor group was higher than control group,the differences were statistically significant(P<0.05).In the NSCLC group,the serum COL4A3 expression level of patients with lymph node metastasis and TNM stageⅢtoⅣ was higher than that of patients without lymph node metastasis and TNM stageⅠtoⅡ,with statistical significance(P<0.05).The area under the curve of serum COL4A3 for the diagnosis of NSCLC was 0.745,the threshold was 3.45 μg/L,the Jorden index was 0.59,the sensitivity was 63.64%,and the specificity was 95.89%.Conclusion:The upregulation of serum COL4A3 in patients with NSCLC is closely related to TNM stage and lymph node metastasis,which has important value in disease evaluation and early diagnosis.

关键词

非小细胞肺癌/Ⅳ型胶原蛋白α3/淋巴结转移/诊断

Key words

Non-Small cell lung cancer/Recombinant collagen type Ⅳα3/Lymph node metastasis/Diagnosis

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出版年

2024
中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
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