首页|结直肠癌组织中HMGB2、MAGE-A9、MMR蛋白表达及其临床意义

结直肠癌组织中HMGB2、MAGE-A9、MMR蛋白表达及其临床意义

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目的 探讨结直肠癌组织中高迁移率族蛋白B2(HMGB2)、黑色素瘤相关抗原-A9(MAGE-A9)、DNA错配修复基因(MMR)蛋白表达情况,以及其在评估患者预后中的临床价值.方法 选取52 例结直肠癌患者作为研究对象,术中采集所有患者肿瘤标本及癌旁组织标本,检测HMGB2、MAGE-A9、MMR蛋白表达水平,并分析各指标表达情况与病理特征、预后间的关系.结果 肿瘤组织内HMGB2、MAGE-A9、MMR阳性表达高于癌旁组织,差异有统计学意义(P<0.05).肿瘤分期Ⅲ期、分化程度低分化、淋巴结转移患者HMGB2、MAGE-A9、MMR阳性表达率高于Ⅰ期、Ⅱ期、中高分化、无淋巴结转移患者,差异有统计学意义(P<0.05).随访3 年,52 例患者存活率为 71.15%(37/52);HMGB2 阳性组存活率[61.76%(21/34)]低于HMGB2 阴性组[88.89%(16/18)],差异有统计学意义(χ2 =4.219,P =0.040);MAGE-A9 阳性组存活率[58.62%(17/29)]低于 MAGE-A9 阴性组[86.96%(20/23)],差异有统计学意义(χ2 = 5.018,P = 0.025);MMR阳性组存活率[52.00%(13/25)]低于MMR阴性组[88.89%(24/27)],差异有统计学意义(χ2 =8.606,P =0.003).结论 HMGB2、MAGE-A9、MMR在结直肠癌中呈高表达状态,其表达与肿瘤分期、分化程度、淋巴结转移关系密切,且不同表达患者存活率存在较大差异,可作为评估预后的重要指标.
Expression and Clinical Significance of HMGB2,MAGE-A9,and MMR Protein in Colorectal Cancer Tissues
Objective To explore the expression of the high-mobility family protein B2(HMGB2),melanoma-associated antigen-A9(MAGE-A9),and DNA mismatch repair gene(MMR)protein in colorectal cancer tissues,and its clinical value in the evaluation of patient prognosis.Methods 52 CRC patients were selected.Tumor samples and adjacent cancer tissue samples were collected from all patients,and the expression levels of HMGB2,MAGE-A9 and MMR protein were detected,and the rela-tionship between the expression of each index and pathological characteristics and prognosis was analyzed.Results Positive ex-pression of HMGB2,MAGE-A9,and MMR was higher in tumor tissue than in adjacent tissues,The difference was statistically sig-nificant(P<0.05);The number of HMGB2,MAGE-A9 and MMR positive cases,which was higher than those with stage Ⅰ,stage,medium and high differentiation,and no lymph node metastasis,The difference was statistically significant(P<0.05);Follow-up for 3 years,The survival rate of the 52 patients was 71.15%(37/52);The survival rate of the HMGB2-positive group[61.76%(21/34)]was lower than that of the HMGB2-negative group[88.89%(16/18)],The difference was significant(χ2 =4.219,P =0.040);The survival rate of the MAGE-A9 positive group[58.62%(17/29)]was lower than that of the MAGE-A9 negative group[86.96%(20/23)],The difference was statistical significant(χ2 =5.018,P =0.025);The survival rate of the MMR-posi-tive group[52.00%(13/25)]was lower than that of the MMR-negative group[88.89%(24/27)],The difference was statisti-cally significant(χ2 =8.606,P =0.003).Conclusion The expression of HMGB2,MAGE-A9,and MMR in colorectal cancer is closely related to the tumor stage,differentiation degree,and lymph node metastasis,and the survival rate of patients with different expressions varies greatly,which can be used as an important indicator to evaluate the prognosis.

Colorectal cancerMelanoma-associated antigen-A9High-mobility group protein B2DHA mismatch repair geneClinicopathological featuresPognosis

祁晓星、徐丹丹、卞建强

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453000 新乡医学院第三附属医院

450000 郑州大学第一附属医院

300200 天津市天津医院

结直肠癌 黑色素瘤相关抗原-A9 高迁移率族蛋白B2 DHA错配修复基因 临床病理特征 预后

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(3)
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