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结直肠癌肝转移患者肠道菌群变化及NDRG2、WAVE3表达情况

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目的:研究结直肠癌肝转移(CRLM)患者肠道菌群变化及NDRG2、WAVE3表达变化情况。方法:选取我院接受治疗的CRLM患者78例为观察组,另外选取同期健康体检者65名为对照组,比较2组受试者肠道菌群分布情况及NDRG2、WAVE3表达,分析NDRG2、WAVE3表达与结直肠癌临床病理特征的关系。结果:观察组患者乳酸杆菌、双歧杆菌数量均少于对照组(P<0。05),大肠杆菌、屎肠球菌、粪肠球菌数量均多于对照组(P<0。05);观察组患者WAVE3阳性表达率高于对照组(P<0。05),NDRG2阳性表达率低于对照组(P<0。05);NDRG2阳性表达与肿瘤分化程度、淋巴结转移、Dukes分期密切相关(P<0。05),WAVE3阳性表达与淋巴结转移、Dukes分期密切相关(P<0。05)。结论:CRLM患者存在肠道菌群失调现象;WAVE3在CRLM患者癌组织中表达量上升,而NDRG2表达量下降,2种蛋白表达量与癌组织转移、分化程度及病理分期存在一定关系。
Changes of Intestinal Flora and Expressions of NDRG2 and WAVE3 in Patients with Liver Metastasis of Colo-rectal Cancer
Objective To study the changes of intestinal flora and expressions of NDRG2 and WAVE3 in patients with liver metastasis of colorectal cancer(CRLM).Methods Total 78 patients with CRLM who received treatment in our hospital were selected as the observation group,and total 65 healthy subjects were selected as the control group during the same period.The intestinal flora distribution and expressions of NDRG2 and WAVE3 in the two groups were compared,and the relationship between the expressions of NDRG2 and WAVE3 and clinicopathological characteristics of colorectal cancer was analyzed.Results The number of Lactobacillus and bifidobacterium in the observation group was less than that in the control group(P<0.05),and the number of Escherichia coli,Enterococcus faecium and Enterococcus faecalis in the observation group was more than that in the control group(P<0.05).The positive expression rate of WAVE3 in the observation group was higher than that in the control group(P<0.05),and the posi-tive expression rate of NDRG2 was lower than that in the control group(P<0.05).The positive expres-sion of NDRG2 was closely correlated with tumor differentiation,lymph node metastasis and Dukes stag-ing(P<0.05),and the positive expression of WAVE3 was closely correlated with lymph node metasta-sis and Dukes staging(P<0.05).Conclusion Patients with CRLM have intestinal flora imbalance.The expression of WAVE3 increased in cancer tissues of patients with CRLM,while the expression of NDRG2 decreased.The expressions of WAVE3 and NDRG2 were related to metastasis,differentiation and pathological staging of cancer tissues.

Liver metastasis of colorectal cancerIntestinal floraNDRG2WAVE3

张瑜、白艳丽、刘献民、张腊梅、王昭智、朱晶晶

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河南科技大学第一附属医院消化内科(河南洛阳 471000)

结直肠癌肝转移 肠道菌群 NDRG2 WAVE3

河南省医学科技攻关计划项目

LHGJ20210580

2024

中国肛肠病杂志
中华中医药学会肛肠分会 山东中医药学会

中国肛肠病杂志

影响因子:0.131
ISSN:1000-1174
年,卷(期):2024.44(7)