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鼻咽癌组织中核连蛋白2、整合素β3表达及其临床预后评估价值

A study on the expression and prognostic value of nucleonectin 2 and integrinβ3 in nasopharyngeal cancer tissues

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目的 研究鼻咽癌(NPC)组织中核连蛋白2(NUCB2)、整合素β3(ITGB3)的表达及其对NPC患者预后评估价值.方法 回顾性收集2017年3月—2018年3月海军军医大学第一附属医院耳鼻喉科收治的NPC术后患者94例的癌组织及癌旁组织.采用实时荧光定量PCR(qPCR)和免疫组织化学法检测癌组织和癌旁组织中NUCB2、ITGB3 mRNA和蛋白表达;Kaplan-Meier法分析NUCB2、ITGB3 mRNA表达对NPC患者生存预后的影响;Cox回归分析NPC患者预后的影响因素.结果 NPC患者癌组织NUCB2、ITGB3蛋白表达阳性率分别为95.74%(90/94)、87.23%(82/94),高于癌旁组织的 8.51%(8/94)、10.64%(10/94),差异有统计学意义(x2/P=143.323/<0.001、29.139/<0.001);NPC患者癌组织中NUCB2、ITGB3 mRNA的相对表达量高于癌旁组织,差异有统计学意义(t/P=49.760/<0.001,43.704/<0.001);TNM 分期 Ⅲ~Ⅳ期的 NPC 癌组织中 NUCB2、ITGB3 mRNA 表达水平高于 TNM 分期 Ⅰ~Ⅱ期(t/P=17.443/<0.001,14.275/<0.001).NUCB2 高表达组 5 年总生存率为 52.17%(24/46),低于 NUCB2 低表达组的 83.33%(40/48)(Log-rankx2=10.941,P=0.001);ITGB3 高表达组 5 年总生存率为 53.33%(24/45),低于ITGB3 低表达组的 81.63%(40/49)(Log-rank x2=9.832,P=0.002).Cox 回归分析结果表明,TNM 分期 Ⅲ~Ⅳ 期、NUCB2 mRNA升高、ITGB3 mRNA升高为影响NPC患者预后的独立危险因素[OR(95%CI)=1.608(1.225~2.112),1.839(1.228~2.753),1.738(1.246~2.426)].结论 NPC 组织中 NUCB2、ITGB3 mRNA 和蛋白表达上调,两者参与NPC肿瘤的进展过程,是评估NPC患者预后的标志物.
Objective To study the expression of nucleolin 2(NUCB2)and integrinβ3(ITGB3)in nasopharyngeal carcinoma(NPC)and their prognostic value in NPC patients.Methods The cancer tissues and adjacent tissues of 94 pa-tients with NPC who were admitted to the Department of Otolaryngology in the First Afiiliated Hospital of Naval Medical U-niversity from March 2017 to March 2018 were collected.Real-time fluorescence quantitative PCR(qPCR)and immunohisto-chemistry were used to detect the expression of NUCB2 and ITGB3 mRNA and protein in cancer tissues and adjacent tis-sues.Kaplan-Meier method was used to analyze the effect of NUCB2 and ITGB3 mRNA expression on the survival and prognosis of NPC patients.Cox regression analysis was used to analyze the prognostic factors of NPC patients.Results The positive rates of NUCB2 and ITGB3 protein expression in cancer tissues of NPC patients were 95.74%(90/94)and 8723%(82/94),respectively,which were higher than 8.51%(8/94)and 10.64%(10/94)in adjacent tissues(x2/P=143 323/<0.001,29.139/<0.001);The relative expression of NUCB2 and ITGB3 mRNA in cancer tissues of NPC patients was higher than that in adjacent tissues,and the difference was statistically significant(t/P=49.760/<0.001,43.704/<0.001);The ex-pression levels of NUCB2 and ITGB3 mRNA in NPC tissues of TNM stage Ⅲ~Ⅳ were higher than those of TNM stageⅠ~Ⅱ(t/P=17.443/<0.001,14275/<0.001).The 5-year overall survival rate of NUCB2 high expression group was 52.17%(24/46),which was lower than that of NUCB2 low expression group(83.33%,40/48)(Log-rank x2=10.941,P=0.001);The 5-year overall survival rate of ITGB3 high expression group was 53.33%(24/45),which was lower than 81.63%(40/49)of ITGB3 low expression group(Log-rank x2=9.832,P=0.002).TNM stage Ⅲ~Ⅳ,increased NUCB2 mRNA and increased ITGB3 mRNA were independent risk factors affecting the prognosis of NPC patients[OR(95%CI)=1.608(1225-2.112),1.839(1228-2.753),1.738(1246-2.426)].Conclusion The mRNA and protein expressions of NUCB2 and ITGB3 are up-regulated in NPC tissues.They are involved in the progression of NPC tumors and are markers for evaluating the prognosis of NPC patients.

Nasopharyngeal carcinomaNucleonectin 2Integrin β3Clinical pathological featuresPrognosis

徐菲、黄庆艳、周江会、黄佳露、翟亮

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200433 上海,海军军医大学第一附属医院耳鼻喉科

201999 上海中医药大学附属宝山医院耳鼻喉科

鼻咽癌 核连蛋白2 整合素β3 临床病理特征 预后

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(11)