首页|CD44、SOX2在结直肠癌组织中的表达及与预后的相关性

CD44、SOX2在结直肠癌组织中的表达及与预后的相关性

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目的 探讨CD44、SOX2在结直肠癌组织中的表达及与预后的关系。方法 选取2018年1月至2021年6月本院收治的结直肠癌患者60例及同期手术治疗的结肠腺瘤患者50例,采集癌/瘤组织和癌/瘤旁正常黏膜组织标本,采用免疫组化法检测不同组织标本中CD44、SOX2的表达情况;随访2年,采用Cox回归分析结直肠癌预后的影响因素,比较不同CD44、SOX2表达水平患者的疾病无进展生存率。结果 结直肠癌组织的CD44、SOX2阳性表达率高于结肠腺瘤组织和癌旁正常组织(P<0。05);Cox回归分析显示年龄、TMN分期、分化程度、淋巴转移、CD44、SOX2表达情况是结直肠癌预后的主要影响因素(P<0。05);CD44、SOX2双阳性患者2年无进展生存率低于单阳性和阴性患者(P<0。05)。结论 CD44、SOX2在结直肠癌组织中异常表达,可能参与结直肠癌的进展,或可成结直肠癌潜在的CSC标志物。
Objective To investigate the expression of CD44,and SOX2 in colorectal cancer tissues and its relationship with prognosis.Methods 60 colorectal cancer patients admitted to our hospital from January 2018 to June 2021 and 50 colorectal adenoma patients surgically treated during the same period were selected,and specimens of cancer/tumour tissues and normal mucosal tissues adjacent to the cancer/tumour were collected,and the expression of CD44 and SOX2 was detected by immunohistochemistry in the different tissue specimens.With a follow-up period of 2 years,the factors influencing the prognosis of colorectal cancer were analysed by Cox regression.The disease progression-free survival rates of patients with different CD44 and SOX2 expression levels were compared.Results The positive expression rate of CD44 and SOX2 in colorectal cancer tissues was higher than that in colorectal adenoma tissues and normal tissues adjacent to the cancer(P<0.05).Cox regression analysis showed that age,TMN stage,differentiation,lymph node metastasis,and the expression of CD44 and SOX2 were the main influencing factors on the prognosis of colorectal cancer(P<0.05).The 2-year progression-free survival rate of CD44 and SOX2 double-positive patients was lower than that of single-positive and negative patients(P<0.05).Conclusions CD44 and SOX2 are abnormally expressed in colorectal cancer tissues,which may be involved in the progression of colorectal cancer,or may become a potential cancer stem cells(CSC)marker for colorectal cancer.

Colorectal cancerCD44、SOX2Disease progressionTumor stem cell

孙景毅、张涛

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324400 浙江省龙游县人民医院

结直肠癌 CD44、SOX2 疾病进展 肿瘤干细胞

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(10)