CD25在胃癌和邻近组织中的表达及对胃癌手术患者预后的影响

Expression of CD25 in gastric cancer and adjacent tissues in patients with resected gastric cancer and their effects on prognosis

  • 摘要: 目的 探讨胃癌、胃癌旁、胃正常组织CD25的表达,探索能预测胃癌手术预后的分子特征及分子标记物。方法 研究2010年1月-2011年6月在解放军总医院第一医学中心行手术治疗的Ⅰ~Ⅲ期胃癌病例41例,收集术后癌、癌旁、正常组织标本,以免疫组化Envision二步法检测CD25蛋白水平的表达,随访至2015年6月30日,对影响无病生存期的因素进行单因素及多因素分析。结果 CD25在胃癌组织、胃癌旁组织、胃正常组织阳性表达率分别为80.49%、68.29%、80.49%;单因素分析显示CD25在胃癌组织阳性表达者无病生存期降低(16个月vs 48个月,P=0.013);多因素分析显示TNM分期(HR=11.268;95%CI=1.869~67.944)、肿瘤分化(HR=0.026;95%CI=0.002~0.334)、Lauren分型(HR=13.558;95%CI=1.231~149.294)、CD25胃癌组织(CD25C)阳性表达(HR=13.043;95%CI=3.107~54.758)为DFS的独立预后因素,TNM分期Ⅲ期、弥漫型胃癌、CD25C复发转移风险分别是Ⅰ~Ⅱ期、肠型胃癌、CD25胃癌组织阴性表达的11.268、13.558、13.043倍。结论 CD25在胃癌术后患者的胃癌组织、胃癌旁组织、胃正常组织均有阳性表达,CD25在胃癌组织高表达者复发转移风险高,预后不良。

     

    Abstract: Objective To investigate the expression of CD25 in cancer tissue, paracancerous region tissue and normal gastric tissue, and explore the features and molecular markers that predict the prognosis of patients with resected gastric cancer(GC). Methods Forty one GC cases at stage Ⅰ-Ⅲ who underwent surgery in Chinese PLA General Hospital from January 2010 to June2011 were enrolled in our study. The samples, including cancer tissue, paracancerous region tissue and normal gastric tissue were collected. The expression of CD25 protein was detected using a two-step immunohistochemical procedure with the EnVision FLEX detection system(DAKO). The patients were followed up till June 30, 2015, and influencing factors of disease free survival(DFS)was analyzed with univariate and multivariate analysis. Results CD25 was detected with a positive rate of 80.49%, 68.29% and80.49% in cancer tissue, paracancerous region tissue and normal gastric tissue, respectively. Univariate analysis showed that patients with CD25 positive expression had shorter DFS(16 months vs 48 months, HR=0.013). And multivariate analysis showed that TNM stage(HR, 11.268; 95% CI, 1.869-67.944), tumor differentiation(HR, 0.026; 95% CI, 0.002-0.334), Lauren typing(HR, 13.558;95% CI, 1.231-149.294), and positive expression of CD25 in cancer tissues(HR, 13.043; 95% CI, 3.107-54.758) were prognostic factors. Conclusion Positive expression of CD25 can be detected in cancer tissues, paracancerous regions and normal gastric tissues.Patients with positive expression of CD25 have higher risk of recurrence and metastasis and poorer prognosis.

     

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