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MIP-1α、S-TK1在分化型甲状腺癌患者中的表达及意义

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目的 探讨MIP-1α、S-TK1 在分化型甲状腺癌患者中的表达及意义.方法 选取 86 例分化型甲状腺癌患者纳入观察组,同时术中留取患者癌组织和癌旁组织(距离癌组织 2cm以上).同时期选取正常健康人 30 名纳入对照组.酶联免疫吸附试验检测血清MIP-1α、S-TK1 水平,采用免疫组织化学染色法检测癌组织和癌旁组织中MIP-1α、S-TK1 蛋白表达.统计血清MIP-1α、S-TK1 在分化型甲状腺癌中的表达及诊断价值.结果 观察组血清MIP-1α、S-TK1 水平均高于对照组(P<0.05),癌组织中MIP-1α、S-TK1 蛋白阳性表达均高于癌旁组织(P<0.05).以MIP-1α、S-TK1 水平均数作为临界值,将MIP-1α≥71.16 ng/L纳入高表达组,反之纳入低表达组;将S-TK1≥6.59 pmol/L纳入高表达组,反之纳入低表达组.血清MIP-1α、S-TK1 水平高表达组与低表达组在TNM分期、淋巴结转移方面比较,差异有统计学意义(P<0.05).Pearson相关性分析显示,分化型甲状腺癌患者血清 MIP-1α 与 S-TK1 水平呈正相关(γ=0.645,P=0.000).血清 MIP-1α、S-TK1 及联合检测 AUC(OR)分别为 0.853(0.821~0.889)、0.817(0.758~0.736)、0.913(0.903~0.961),且联合检测价值均高于单一检测(P<0.05).结论 MIP-1α、S-TK1 水平在分化型甲状腺癌患者中高表达,且两者呈正相关性.血清MIP-1α、S-TK1 联合检测有助于提高分化型甲状腺癌的诊断价值.
Expression and Significance of MIP-1α and S-TK1 in Differentiated Thyroid Carcinoma Patients
Objective To investigate the expression relationship and significance of MIP-1α and S-TK1 in differentiated thyroid carcinoma patients.Methods 86 patients with differentiated thyroid cancer were selected as the observation group,and the cancer tissues and adjacent tissues(more than 2 cm away from the cancer tissue)were collected during the operation.At the same time,30 normal healthy people were selected as the control group.The serum levels of MIP-1α and S-TK1 were detected by enzyme-linked immunosorbent assay.The protein expressions of MIP-1α and S-TK1 in cancer tissues and adjacent tissues were detected by immunohistochemical staining.The expression and diagnostic value of serum MIP-1α and S-TK1 in differentiated thy-roid carcinoma were analyzed.Results The serum levels of MIP-1α and S-TK1 in the observation group were higher than those in the control group(P<0.05).The positive expressions of MIP-1α and S-TK1 proteins in cancer tissues were higher than those in adjacent tissues(P<0.05).Taking the mean level of MIP-1α and S-TK1 as the critical value,MIP-1α≥71.16 ng/L was in-cluded in the high expression group,otherwise was included in the low expression group;Patients with S-TK1≥6.59 pmol/L were included in the high expression group,otherwise were included in the low expression group.There were significant differences in TNM stage and lymph node metastasis between the high expression group and the low expression group of serum MIP-1α and S-TK1(P<0.05).Pearson correlation analysis showed that serum MIP-1α level was positively correlated with S-TK1 level in pa-tients with differentiated thyroid cancer(γ=0.645,P=0.000).The AUC(OR)of serum MIP-1α,S-TK1 and combined detection were 0.853(0.821~0.889),0.817(0.758~0.736)and 0.913(0.903~0.961),respectively,and the combined detection val-ue was higher than that of single detection(P<0.05).Conclusion Serum MIP-1α and S-TK1 are highly expressed in differenti-ated thyroid carcinoma patients,and they are positively correlated.Combined detection is helpful to improve the diagnostic value of differentiated thyroid carcinoma.

Differentiated thyroid carcinomaMIP-1αS-TK1Clinical significance

李亮、邱福轩、刘光辉、梁百闯

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454000 焦作煤业(集团)有限责任公司中央医院

分化型甲状腺癌 MIP-1α S-TK1 临床意义

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(12)