首页|透明细胞肾细胞癌信号转导及转录活化因子3表达及其与临床病理特征、免疫浸润的关系

透明细胞肾细胞癌信号转导及转录活化因子3表达及其与临床病理特征、免疫浸润的关系

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目的 探讨透明细胞肾细胞癌(ccRCC)信号转导及转录活化因子 3(STAT3)表达及其与临床病理特征和免疫浸润的相关性。方法 收集2017年3月至2022年1月于东部战区总医院泌尿外科进行手术切除治疗的 105例ccRCC患者的癌组织及 43 例癌旁组织样本,应用苏木精-伊红染色、组织微阵列(TMA)及免疫组织化学(IHC)染色检测组织中STAT3 表达,根据其染色评分将ccRCC患者分为STAT3 高表达(≥2 分)和STAT3 低表达患者(<2分),分析其表达与临床病理特征的关系。通过TIMER、TISDB数据库分析STAT3基因表达与ccRCC的肿瘤免疫浸润之间的关系。结果 苏木精-伊红染色显示,免疫细胞在ccRCC组织中呈分散状态。STAT3 表达与ccRCC患者肿瘤大小、Fuhrman分级、T分期、淋巴结转移情况有关(P<0。05)。TMA-IHC分析显示,ccRCC癌组织中STAT3蛋白阳性表达率高于癌旁组织,差异有统计学意义(P<0。05)。TIMER数据库分析显示,STAT3 表达与B细胞、CD8+T细胞、CD4+T细胞、巨噬细胞、中性粒细胞和树突状细胞的浸润水平呈正相关(偏回归系数>0,P<0。05)。TISIDB数据库分析显示,STAT3表达自然杀伤细胞、调节性T细胞丰度呈正相关(rs>0,P<0。05),并且与CD56bright、CD56dim自然杀伤细胞丰度呈负相关(rs<0,P<0。05)。结论 STAT3 高表达与ccRCC临床病理特征有关,且STAT3与肿瘤免疫浸润相关,对调节ccRCC的发生和发展具有重要意义。
Expression of signal transducer and activator of transcription 3 in clear cell renal cell carcinoma and its relationship with clinicopathological features and immune infiltration
Objective To investigate the expression of signal transducer and activator of transcription 3(STAT3)in clear cell renal cell carcinoma(ccRCC)and its correlation with clinicopathological features and immune infiltration.Methods From March 2017 to January 2022,cancer tissue samples of 105 ccRCC patients and 43 paracancer tissue samples were collected from the Department of Urology,General Hospital of the Eastern Theater Command of the Chinese People's Liberation Army.Hematoxylin-eosin staining,tissue microarray(TMA),and immunohistochemical(IHC)staining were used to detect STAT3 expression in the tissues.According to their staining scores,ccRCC patients were divided into high STAT3 expression(≥two points)and low STAT3 expression patients(<two points),and the relationship between its expression and clinicopathological characteristics was analyzed.The association between STAT3 gene expression and ccRCC immune infiltration was analyzed by TIMER and TISDB databases.Results Hematoxylin-eosin staining showed that immune cells were dispersed in ccRCC tissue.TMA-IHC analysis showed that the positive expression rate of STAT3 protein in ccRCC cancer tissues was higher than that in paracancer tissues,the differences were statistically significant(P<0.05).STAT3 expression was correlated with tumor size,Fuhrman grade,T stage,and lymph node metastasis in ccRCC patients(P<0.05).The analysis of TIMER database showed that STAT3 expression was positively correlated with the infiltration levels of B cells,CD8+T cells,CD4+T cells,macrophages,neutrophils,and dendritic cells(partial correlation coefficient>0,P<0.05).TISIDB database analysis showed that STAT3 expression was positively correlated with the abundance of natural killer cells and regulatory T cells(rs>0,P<0.05),and negatively correlated with the abundance of CD56bright and CD56dimnatural killer cells(rs<0,P<0.05).Conclusion The high expression of STAT3 is related to the clinicopathological features of ccRCC,and STAT3 is related to tumor immune infiltration,which is of great significance in regulating the occurrence and development of ccRCC.

Clear cell renal cell carcinomaSignal transducer and activator of transcription 3Clinicopathologic featuresImmune infiltration

冯欢、何昊玮

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东部战区总医院泌尿外科,江苏南京 210000

透明细胞肾细胞癌 信号转导及转录活化因子3 临床病理特征 免疫浸润

国家自然科学基金面上项目

81972402

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(2)
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