首页|子宫内膜癌组织中IGF2BP1mRNA,PEG10mRNA表达及与增殖基因表达的相关性和预后研究

子宫内膜癌组织中IGF2BP1mRNA,PEG10mRNA表达及与增殖基因表达的相关性和预后研究

Expression of IGF2BP1 mRNA and PEG10 mRNA in Endometrial Carcinoma and Their correlation with Proliferation Gene Expression and Prognosis

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目的 研究子宫内膜癌(endometrial carcinoma,EC)组织中胰岛素样生长因子2 mRNA结合蛋白1(insulin-like growth factor 2 mRNA binding protein 1,IGF2BP1)mRNA,父系表达遗传印记基因 10(patrilineal expression of genetic imprinting gene 10,PEG 10)mRNA表达及与增殖基因表达的相关性及预后.方法 选取2017年1月~2019年1月湖北理工学院附属妇幼保健院诊治的100例EC患者.实时荧光定量PCR检测EC癌组织和癌旁组织中IGF2BP1 mRNA,PEG 10 mRNA 及增殖细胞核抗原(proliferating cell nuclear antigen,PCNA)mRNA,细胞周期素 Dl(cyclin D1)mRNA,细胞周期蛋白依赖激酶4(cyclin dependent kinase 4,CDK4)mRNA表达.免疫组织化学检测IGF2BP1,PEG 10蛋白表达.相关性采用Pearson相关分析.Kaplan-Meier曲线分析不同IGF2BP1,PEG 10表达组EC患者的预后差异.COX回归分析EC患者的预后影响因素.结果 EC癌组织中IGF2BP1 mRNA(1.84±0.33),PEG 10 mRNA(2.12±0.40),PCNA mRNA(3.14±0.42),cyclinD1 mRNA(2.81±0.36),CDK4 mRNA(2.37±0.34)高于癌旁组织(0.78±0.21,0.91±0.25,0.74±0.13,0.67±0.21,0.59±0.18),差异具有统计学意义(t=25.652~54.588,均P<0.05).癌组织中IGF2BP1(70.00%),PEG10(72.00%)蛋白阳性率高于癌旁组织(100%,9.00%),差异具有统计学意义(x2=75.000,82.363,均P<0.05).EC 中 IGF2BP1 mRNA,PEG 10 mRNA 表达与 PCNA mRNA,cyclinD1 mRNA,CDK4 mRNA 表达呈 正相关(r=0.562~0.625,均P<0.05).EC 中 IGF2BP1 mRNA 与 PEG 10 mRNA表达呈显著正相关(r=0.663,P<0.05).FIGO分期Ⅲ期、并发淋巴结转移EC癌组织中IGF2BP1(86.49%,87.50%),PEG 10(89.19%,90.63%)阳性率高于 FIGO 分期 Ⅰ~Ⅱ 期(60.32%,61.90%)、无淋巴结转移(61.77%,63.24%),差异具有统计学意义(x2=6.863~8.608,均P<0.05).IGF2BP1阳性组患者三年总体生存率70.00%(49/70)低于阴性组的90.00%(27/30);PEG 10阳性组患者三年总体生存率为69.44%(50/72),低于阴性组的92.86%(26/28),差异具有统计学意义(Log-rank x2=4.133,5.491,P=0.042,0.019).FIGO 分期Ⅲ期(OR=1.449,95%CI:1.148~1.830)、并发淋巴结转移(OR=1.442,95%CI:1.124~1.850),IGF2BP1 阳性(OR=1.637,95%CI:1.239~2.163)及 PEG 10 阳性(OR=1.576,95%CI:1.136~1.187)是影响EC患者生存预后的独立危险因素(均P<0.05).结论 EC中IGF2BP1,PEG10表达升高,两者与增殖基因表达呈正相关,是EC预后评估的肿瘤标志物.
Objective To investigate the expression of insulin-like growth factor 2 mRNA binding protein 1(IGF2BP1)mRNA and patrilineal expression of genetic imprinting gene 10(PEG10)mRNA in endometrial carcinoma(EC)tissues and their correlation with proliferation gene expression and prognosis.Methods A total of 100 EC patients diagnosed and treated in Hubei Institute of Technology Affiliated Maternal and Child Health Hospital from January 2017 to January 2019 were selected.The expression of IGF2BP1 mRNA,PEG 10 mRNA,proliferating cell nuclear antigen(PCNA),cyclin D1,and cyclin dependent kinase 4(CDK4)mRNA were examined by real-time fluorescence quantitative PCR.The expressions of IGF2BP1 and PEG 10 in tissues were detected by immunochemistry,and their correlation were analyzed by Pearson correlation analysis.Kaplan-Meier curve analysis were used to analyze the prognostic differences in EC patients with different IGF2BP1 and PEG 10 expression groups.COX regression was used to analyze the prognostic factors of EC patients.Results The expression levels of IGF2BP1 mRNA(1.84±0.33),PEG10 mRNA(2.12±0.40),PCNA mRNA(3.14±0.42),cyclinD1 mRNA(2.81±0.36)and CDK4 mRNA(2.37±0.34)in EC cancer tissues were higher than those in adjacent tissues(0.78±0.21,0.91±0.25,0.74±0.13,0.67±0.21,0.59±0.18),and the differences were significant(t=25.652~54.588,all P<0.05).The positive rates of IGF2BP1(70.00%)and PEG 10(72.00%)in cancer tissues were higher than those in adjacent tissues(10.00%,9.00%),and the differences were statistically significant(x2=75.000,82.363,all P<0.05).The expressions of IGF2BP1 mRNA and PEG10 mRNA in EC tissues were positively correlated with PCNA mRNA,cyclinD1 mRNA,and CDK4 mRNA(r=0.562~0.625,all P<0.05).There was a significant positive correlation between IGF2BP1 mRNA and PEG10 mRNA expression in EC tissues(r=0.663,P<0.05).The positive rates of IGF2BP1(86.49%,87.50%)and PEG10(89.19%,90.63%)protein expression in EC cancer tissues with FIGO stage Ⅲ and combined lymph node metastasis were higher than those in FIGO stage Ⅰ-Ⅱ(60.321%,61.90%)and without lymph node metastasis(61.77%,63.24%),and the differences were sttistically significant(x2=6.863~8.608,all P<0.05).The overall 3-year survival rate of IGF2BP1 positive patients[70.00%(49/70)]was lower than that of IGF2BP1 negative patients[90.00%(27/30)],the overall 3-year survival rate of patients in PEG10 positive patients[69.40(50/72)]was lower than that in PEG10 negative patients[92.86%(26/28)],and the differences were statistically significant(Log rankx2=4.133,5.491,P=0.042,0.019).FIGO stage Ⅲ(OR=1.449,95%CI:1.148~1.830),combined lymph node metastasis(OR=1.442,95%CI:1.124~1.850),IGF2BP1 positive(OR=1.637,95%CI:1.239~2.163),and PEG10 positive(OR=1.576,95%CI:1.136~1.187)were independent risk factors affecting the survival and prognosis of EC patients(all P<0.05).Conclusion The expressions of IGF2BP1 and PEG 10 in EC were increased,and they were positively correlated with the proliferation gene expression.They may be potential tumor markers for prognostic evaluation of EC.

endometrial carcinomainsulin-like growth factor 2 mRNA binding protein 1patrilineal expression of genetic imprinting gene 10proliferationclinical pathological characteristics

伍雯莹、黄娅芬、梅巧

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黄石市妇幼保健院(湖北理工学院附属妇幼保健院)妇女保健科,湖北黄石 435000

黄石市妇幼保健院(湖北理工学院附属妇幼保健院)妇科,湖北黄石 435000

黄石市妇幼保健院(湖北理工学院附属妇幼保健院)中医妇科,湖北黄石 435000

子宫内膜癌 胰岛素样生长因子2mRNA结合蛋白1 父系表达遗传印记基因10 增殖 临床病理特征

湖北省卫生健康委第三批联合基金项目

WJ2019H480

2024

现代检验医学杂志
陕西省临床检验中心,陕西省人民医院

现代检验医学杂志

CSTPCD
影响因子:0.713
ISSN:1671-7414
年,卷(期):2024.39(4)