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前列腺癌组织中PRMT5和DKK3蛋白水平与根治术后生化复发的关系

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目的:探讨前列腺癌组织中蛋白精氨酸甲基转移酶5(PRMT5)、Dickkopf相关蛋白3(DKK3)表达水平与患者根治术后生化复发的关系。方法:选取2016年1月至2020年12月于本院确诊的105例前列腺癌患者为研究对象,根据3年内生化复发情况将其分为生化复发组22例和未生化复发组83例。采用免疫组化法检测前列腺组织PRMT5、DKK3蛋白表达水平,采用Spearman法分析前列腺癌患者癌组织中PRMT5和DKK3蛋白表达的相关性,采用Cox多因素回归模型对前列腺癌患者术后生化复发进行多因素分析。结果:前列腺癌患者癌组织中PRMT5蛋白表达阳性率高于癌旁组织,DKK3蛋白表达阳性率低于癌旁组织(P<0。05)。Spearman相关分析结果显示,前列腺癌患者癌组织中PRMT5和DKK3蛋白表达呈负相关(r=-0。532,P<0。05)。前列腺癌患者癌组织中PRMT5和DKK3蛋白表达与TNM分期、手术切缘阳性、神经周围侵犯、包膜侵犯、精囊侵犯、血管侵犯有关(P<0。05)。生化复发组TNM分期Ⅲ~Ⅳ期、PRMT5阳性表达、DKK3阴性表达患者比例高于未生化复发组(P<0。05)。PRMT5是前列腺癌患者术后生化复发的独立危险因素,DKK3是前列腺癌患者术后生化复发的保护因素(P<0。05)。结论:前列腺癌组织PRMT5高表达,DKK3低表达,二者表达情况与根治术后前列腺癌患者生化复发联系密切。
Expressions of PRMT5 and DKK3 proteins in prostate cancer tissue correlate to biochemical recurrence after radical prostatectomy
Objective:To investigate the relationship of the expression levels of protein arginine methyltransferase 5(PRMT5)and Dickkopf-related protein 3(DKK3)in the PCa tissue with biochemical recurrence(BR)of the malignancy after radical surgery.Methods:This study included 105 cases of PCa diagnosed in our hospital from January 2016 to December 2020 and,according to BR within 3 years after surgery,we divided them into a BR(n=22)and a non-BR group(n=83).We detected the expressions of PRMT5 and DKK3 in the prostate tissues of the patients by immunohistochemistry,analyzed the correlation of the expression levels of PRMT5 and DKK3 using the Spearman method,and conducted a multivariate analysis of postoperative BR of the malignancy using the Cox multivariate regression model.Results:The positive expression of PRMT5 was significantly higher while that of DKK3 remark-ably lower in the PCa than in the adjacent tissue(P<0.05).Spearman correlation analysis showed a negative correlation between the expression levels of PRMT5 and DKK3 in the PCa tissue(r=-0.532,P<0.05).The expressions of PRMT5 and DKK3 were sig-nificantly associated with tumor-node-metastasis(TNM)stages,positive surgical margins,peripheral nerve invasion,capsular inva-sion,seminal vesicle invasion and vascular invasion(P<0.05).The percentage of TNM stages Ⅲ-Ⅳ,the positive expression of PRMT5 and the negative expression of DKK3 were remarkably higher in the BR than in the non-BR group(P<0.05).PRMT5 was found to be an independent risk factor for while DKK3 a protective factor against postoperative BR of PCa in the patients(P<0.05).Conclusion:PRMT5 is highly while DKK3 lowly expressed in PCa tissue,and their expressions are both closely related to the bio-chemical recurrence of PCa after radical surgery.

prostate cancerlaparoscopic radical prostatectomybiochemical recurrenceprotein arginine methyltransferase 5Dickkopf-related protein 3

陶美满、成康、潘鹏、郭涛、陈兵海、马克钧

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江苏大学附属医院泌尿外科,江苏镇江 212001

前列腺癌 根治性前列腺切除术 生化复发 蛋白精氨酸甲基转移酶5 Dickkopf相关蛋白3

2024

中华男科学杂志
南京军区南京总医院

中华男科学杂志

CSTPCD
影响因子:1.052
ISSN:1009-3591
年,卷(期):2024.30(12)