探讨Claudin-5在胃腺癌中的表达及其临床意义

Expression and clinical significance of Claudin-5 in gastric adenocarcinoma

  • 摘要: 目的 探讨紧密连接相关蛋白Claudin-5在胃腺癌组织中的表达,分析其临床意义。方法 选取华北理工大学2011年1月-2016年12月42例胃腺癌标本作为研究对象,收集相对应的距肿瘤边缘>5 cm的癌旁正常胃黏膜组织作为对照。应用免疫组化法检测Claudin-5蛋白的表达情况。应用The Cancer Genome Atlas (TCGA)数据库对胃腺癌组织及正常组织中Claudin-5 mRNA表达量进行分析。结果 胃腺癌组织中Claudin-5表达的阳性率显著低于癌旁组织(38.10% vs 80.95%,P<0.001);Claudin-5在高分化胃腺癌组织中表达的阳性率显著高于中分化及低分化组织中表达的阳性率(100% vs 28.6%和32.3%,P均<0.05)。胃腺癌组织中Claudin-5表达阳性率与患者的性别、年龄、淋巴结转移、有无癌栓、有无癌结节及浸润深度均无明显相关性。TCGA数据库胃腺癌组织中Claudin-5 mRNA表达量明显低于正常组织。结论 Claudin-5在胃腺癌组织中表达下调,其低表达或缺失可能在肿瘤组织的形成中发挥作用。

     

    Abstract: Objective To investigate the expression of tight junction-associated protein Claudin-5 in gastric adenocarcinoma and its clinical significance. Methods Forty-two specimens of gastric adenocarcinoma from January 2011 to December 2016 in North China University of Technology were collected.The normal gastric mucosa tissue adjacent to the tumor edge>5 cm was used as the control.The expression of Claudin-5 protein was detected by immunohistochemistry.And the TCGA database was used to analyze the expression of Claudin-5 mRNA in gastric adenocarcinoma tissues and normal tissues. Results The positive rate of Claudin-5 expression in gastric adenocarcinoma tissues was significantly lower than that in paracancerous tissues (38.10% vs 80.95%,P<0.05).The positive rate of Claudin-5 expression in well differentiated gastric adenocarcinoma tissues (100%) was significantly higher than that in moderately differentiated expression tissue (28.6%) and poorly differentiated expression tissue (32.3%) (P<0.05,respectively).The positive expression of Claudin-5 in gastric adenocarcinoma tissues had no significant correlation with gender,age,lymph node metastasis,presence of cancerous thrombus,presence of cancer nodules and depth of invasion.In the TCGA database,Claudin-5 mRNA expression in cancer tissues was lower than that in normal tissues. Conclusion Claudin-5 is down-regulated in gastric adenocarcinoma tissues.

     

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