首页|IGF-1、IGFBP-3在非小细胞肺癌中的表达水平分析

IGF-1、IGFBP-3在非小细胞肺癌中的表达水平分析

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目的 探讨胰岛素样生长因子-1(IGF-1)、胰岛素样生长因子结合蛋白-3(IGFBP-3)在非小细胞肺癌(NSCLC)中表达意义.方法 选取 2020 年 1 月至 2023 年 12 月本院收治的 30 例NSCLC患者为观察组,另选同期 30 例行体检的健康人群为对照组,均行IGF-1、GFBP-3 检测,收集NSCLC患者病理类型、TNM分期、淋巴结转移情况等,分析IGF-1、IGFBP-3 在NSCLC中的表达意义.结果 观察组血清IGF-1 水平高于对照组、IGFBP-3 水平均低于对照组(P<0.05);不同年龄、性别、病理类型的NSCLC患者血清IGF-1、IGFBP-3 水平相比,无显著差异(P>0.05),Ⅲ~Ⅳ期、有淋巴结转移的NSCLC患者血清IGF-1 水平较Ⅰ~Ⅱ期、无淋巴结转移的NSCLC患者高(P<0.05),而Ⅲ~Ⅳ期、有淋巴结转移的NSCLC患者血清IGFBP-3 水平较Ⅰ~Ⅱ期、无淋巴结转移的NSCLC患者低(P<0.05);血清IGF-1 对NSCLC的ROC曲线下面积(AUC)、特异度、敏感度分别为 0.762、82.36%、80.19%,血清IGFBP-3 对NSCLC的AUC、特异度、敏感度分别为 0.789、85.62%、83.96%.结论 血清IGF-1 在NSCLC患者中呈高表达,血清IGFBP-3 在NSCLC患者中呈低表达,两项指标水平与NSCLC患者TNM分期、淋巴结转移有密切关系,且对NSCLC有一定诊断价值.
Analysis of the expression levels of IGF-1 and IGFBP-3 in non-small cell lung cancer
Objective To investigate the expression significance of insulin-like growth factor-1(IGF-1)and insulin-like growth factor bind-ing protein-3(IGFBP-3)in non-small cell lung cancer(NSCLC).Methods 30 NSCLC patients admitted to our hospital from January 2020 to De-cember 2023 were selected as the observation group,and 30 healthy individuals who underwent physical examinations during the same period were selected as the control group.IGF-1 and GFBP-3 were detected in both groups,and the pathological type,TNM stage,and lymph node metastasis of NSCLC patients were collected to analyze the expression significance of IGF-1 and IGFBP-3 in the observation group.Results The serum IGF-1 level in the observation group was higher than that in the control group,and the IGFBP-3 level was lower than that in the control group(P<0.05).There was no significant difference in serum IGF-1 and IGFBP-3 levels among NSCLC patients of different ages,genders,and pathological types(P>0.05).The serum IGF-1 levels in stage III-IV and NSCLC patients with lymph node metastasis were higher than those in stage Ⅰ-Ⅱ and NSCLC patients without lymph node metastasis(P<0.05),while the serum IGFBP-3 levels in stage Ⅲ-Ⅳ and NSCLC patients with lymph node metastasis were lower than those in stage I-II and NSCLC patients without lymph node metastasis(P<0.05).The area under the ROC curve(AUC),specificity,and sensitivity of serum IGF-1 for NSCLC were 0.762,82.36%,and 80.19%,respectively.The AUC,specificity,and sensitivity of serum IGFBP-3 for NSCLC were 0.789,85.62%,and 83.96%,respectively.Conclusion Serum IGF-1 is highly expressed in NSCLC patients,while serum IGFBP-3 is lowly expressed.The levels of these two indicators are closely related to TNM staging and lymph node metastasis in NSCLC patients,and have certain diagnostic value for NSCLC.

Insulin like growth factor-1Non small cell lung cancerInsulin like growth factor binding protein-3Value

万诚诚、臧枭亮、李勇

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313000 湖州,浙江省湖州市第一人民医院

胰岛素样生长因子-1 非小细胞肺癌 胰岛素样生长因子结合蛋白-3 表达水平

2024

浙江创伤外科
温州医学院

浙江创伤外科

影响因子:0.884
ISSN:1009-7147
年,卷(期):2024.29(9)