首页|FZD7、GAL-8在肝内胆管癌中的表达及其与临床病理特征和预后的关系

FZD7、GAL-8在肝内胆管癌中的表达及其与临床病理特征和预后的关系

The expression of FZD7 and GAL-8 in intrahepatic cholangiocarcinoma and their relationship with clinical pathologi-cal features and prognosis

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目的 分析肝内胆管癌(ICC)中卷曲同源蛋白 7(FZD7)、半乳糖凝集素 8(GAL-8)的表达及其与临床病理特征和预后的关系.方法 选取2017 年4 月—2020 年4 月榆林市第一医院肿瘤科诊治的ICC患者84 例作为研究对象,患者均进行根治性手术.采用免疫组织化学法检测癌组织和癌旁组织FZD7、GAL-8 蛋白表达;Spearman秩相关分析FZD7 与GAL-8 的相关性;Kaplan-Meier法分析FZD7、GAL-8 表达对ICC患者生存预后的影响;Cox回归分析ICC的预后影响因素.结果 ICC癌组织中FZD7、GAL-8 阳性率分别为73.81%(62/84)、71.43%(60/84),高于癌旁组织的4.76%(4/84)、7.14%(6/84),差异有统计学意义(χ2 =83.950,72.770,P均<0.001);ICC中FZD7 与GAL-8表达呈正相关(rs=0.745,P<0.001);低分化程度、有淋巴结转移、TNM分期Ⅲ期的ICC癌组织中FZD7、GAL-8 阳性率高于高中分化、无淋巴结转移、TNM分期Ⅰ~Ⅱ期(FZD7:χ2/P =8.221/<0.001,6.097/0.014,13.014/<0.001;GAL-8:χ2/P =7.207/0.007,5.555/0.018,11.760/0.001).FZD7 阳性组3 年总生存率为 32.26%(20/62),低于阴性组的68.19%(15/22)(Log rank χ2 =8.723,P =0.003);GAL-8 阳性组3 年总生存率为28.33%(17/60),低于GAL-8阴性组的75.30%(18/24)(Log rank χ2 =24.310,P<0.001).TNM分期Ⅲ期、低分化程度、淋巴结转移、FZD7 阳性、GAL-8 阳性是影响ICC患者预后的独立危险因素[HR(95%CI)=1.614(1.215~2.145),1.516(1.219~1.884),1.916(1.315~2.791),1.826(1.222~2.729),1.737(1.237~2.438)].结论 ICC癌组织中FZD7、GAL-8 表达上调,两者均参与ICC肿瘤进展,是评估ICC患者预后的肿瘤标志物.
Objective To analyze the expression of Frizzled homolog protein 7(FZD7)and galactin 8(GAL-8)in in-trahepatic cholangiocarcinoma(ICC),and their relationship with clinical pathological features and prognosis.Methods Eighty-four ICC patients who visited Department of Oncology Yulin First Hospital from April2017 to April2020 were select-ed.Immunohistochemical methods were used to detect the expression of FZD7 and GAL-8 proteins in tissues.The relation-ship between FZD7 and GAL-8 were conducted by Spearman correlation analysis.Kaplan-Meier method was used to ana-lyze the differences in survival prognosis among ICC patients with different FZD7 and GAL-8 expressions.The prognostic factors for ICC were analyzed by Coxregression analysis.Results The positive rates of FZD7 and GAL-8 in ICC cancer tissue were 73.81%(62/84)and 71.43%(60/84),respectively,which were higher than those in adjacent cancer tissue by 4.76%(4/84)and 7.14%(6/84)(χ2=83.950,72.770,all P<0.001).FZD7 was positively correlated with GAL-8 expression in ICC(rs=0.745,P<0.001).The positive rates of FZD7 and GAL-8 were higher in ICCcancer tissues with low differentiation degree,lymph node metastasis and TNM stage Ⅲ(FZD7:χ2/P=8.221/<0.001,6.097/0.014,13.014/<0.001;GAL-8:χ2/P= 7.207/0.007,5.555/0.018,11.760/0.001).The 3-year overall survival rate of the FZD7 positive group was 32.26%(20/62),which was lower than the negative group's 68.19%(15/22)(Log rank χ2=8.723,P=0.003).The 3-year overall survival rate of the GAL-8 positive group was 28.33%(17/60),which was lower than the GAL-8 negative group's 75.30%(18/24)(Log rank χ2=24.310,P<0.001).TNM stageⅢ,low differentiation degree,lymph node metastasis,FZD7 positivity,and GAL-8 positivity were independent risk factors affecting the prognosis of ICC patients[HR(95%CI)=1.614(1.215-2.145),1.516(1.219-1.884),1.916(1.315-2.791),1.826(1.222-2.729),1.737(1.237-2.438)].Conclusion FZD7 and GAL-8 are upregulated in ICC,both of which are involved in the progression of ICC tumors and serve as tumor markers for evaluating the prognosis of ICC patients.

Intrahepatic cholangiocarcinomaFrizzled homolog protein 7Galactin 8Prognosis

马彦娥、贺双、刘东梅、苏虎艳、王倩如、郝光军

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719000 陕西省榆林市第一医院肿瘤科

肝内胆管癌 卷曲同源蛋白7 半乳糖凝集素8 预后

陕西省科技计划项目

2019M042

2024

疑难病杂志
中国医师协会

疑难病杂志

CSTPCD
影响因子:1.171
ISSN:1671-6450
年,卷(期):2024.23(5)
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