首页|PD-1和CD39的表达与胃癌临床病理特征及预后的关系

PD-1和CD39的表达与胃癌临床病理特征及预后的关系

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目的 分析胃癌患者癌组织、癌旁组织、外周血CD8+T细胞中PD-1和CD39的表达及其与临床特征、预后的关系.方法 采用流式细胞术检测2022年1月1日至2023年12月1日初次就诊于新疆医科大学附属肿瘤医院的38例胃癌患者癌组织、癌旁及14例外周血CD8+T细胞中PD-1和CD39表达水平,进一步分析CD8+T细胞中PD-1和CD39的表达量与胃癌患者病理特征的关联性,并利用KM-plotter数据进行预后分析.结果 胃癌患者癌组织CD8+T细胞中PD-1 和 CD39 的表达水平高于癌旁组织[36.6%(27.9%,52.8%)vs 14.1%(8.1%,23.2%)、2.9%(1.1%,6.6%)vs 1.4%(0.5%,3.5%)],差异均有统计学意义(P<0.05).癌组织 CD8+T细胞中PD-1、CD39的表达水平均高于外周血(P<0.05).癌组织CD8+T细胞上PD-1的表达水平与病理类型、细胞分化程度、神经侵犯、治疗前中性粒细胞与淋巴细胞比值(NLR)有关,差异均有统计学意义(P<0.05);癌组织CD8+T细胞上CD39的表达水平与吸烟史有关(P<0.05).利用KM-plotter数据库分析,PD-1低表达患者生存时间长于PD-1高表达患者,差异有统计学意义(P<0.05).与CD39高表达患者相比,CD39低表达患者有更长的生存期,差异有统计学意义(P<0.05).结论 胃癌患者CD8+T细胞中PD-1和CD39的表达水平与预后相关,可能为胃癌免疫治疗双靶点联合的选择提供参考依据.
Relationship between expression of PD-1 and CD39 and clinicopathological features and prognosis of gastric cancer
Objective To analyze the expression of PD-1 and CD39 in CD8+T cells in cancer tissues,para-cancer tissues and peripheral blood of the patients with gastric cancer,and the relationship between clinical features and prognosis.Methods The expression levels of PD-1 and CD39 in cancer tissues,paracancer and 14 peripheral blood CD8+T cells of 38 gastric cancer patients who were initially treated in the hospital from January 1,2022 to December 1,2023 were detected by flow cytometry.The correlation between the expression levels of PD-1 and CD39 in CD8+T cells and the pathological characteristics of gastric cancer pa-tients was further analyzed,and the prognostic analysis was performed using KM-plotter database.Results The expression levels of PD-1 and CD39 on CD8+T cells in gastric cancer tissues were higher than those in pa-racancer tissues[36.6%(27.9%,52.8%)vs 14.1%(8.1%,23.2%),2.9%(1.1%,6.6%)vs 1.4%(0.5%,3.5%)],there was statistical significance(P<0.05).The expression levels of PD-1 and CD39 on CD8+T cells in cancer tissues were higher than those in peripheral blood(P<0.05).The expression level of PD-1 was related to pathological type,differentiation degree,nerve invasion and pre-treatment neutrophil-to-lymphocyte ratio(NLR),and the differences were statistically significant(P<0.05).The expression level of CD39 on CD8+T cells in cancer tissues was correlated with smoking history(P<0.05).According to KM-plotter database analysis,the patients with low expression of PD-1 had a longer survival time than those with high expression of PD-1,the difference was statistically significant(P<0.05);the patients with low expression of CD39 had a longer survival period than those with high expres-sion of CD39,the difference was statistically significant(P<0.05).Conclusion The expression levels of PD-1 and CD39 on CD8+T cells in gastric cancer patients are related to prognosis and may provide the ref-erence for selecting dual targets for immunotherapy in gastric cancer.

gastric cancerCD8+T cellsPD-1CD39clinical featuresprognosis

阿里木江·阿布都科里木、范佩文、冯亚宁、王海江、王若峥

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新疆医科大学第三临床医学院新疆肿瘤学重点实验室

中国医学科学院肿瘤免疫与放疗研究重点实验室

新疆放射治疗临床重点专科

新疆肿瘤放射治疗临床研究培育中心,乌鲁木齐 830011

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胃癌 CD8+T细胞 PD-1 CD39 临床特征 预后

2024

新疆医科大学学报
新疆医科大学

新疆医科大学学报

CSTPCD
影响因子:0.76
ISSN:1009-5551
年,卷(期):2024.47(12)