文章摘要
顾海迪,杜玲玉,杨 军,李 辰,何贞月,谭 洁,王晨洁.非小细胞肺癌组织CXCL1、CXCL2表达与上皮间质转化及预后的关系研究[J].,2024,(21):4144-4147
非小细胞肺癌组织CXCL1、CXCL2表达与上皮间质转化及预后的关系研究
Study on the Relationship between CXCL1, CXCL2 Expression and Epithelial Mesenchymal Transition and Prognosis in Non-Small Cell Lung Cancer Tissues
投稿时间:2024-05-22  修订日期:2024-06-17
DOI:10.13241/j.cnki.pmb.2024.21.028
中文关键词: 非小细胞肺癌  C-X-C基序趋化因子配体1  C-X-C基序趋化因子配体2  上皮间质转化  预后
英文关键词: Non-small cell lung cancer  C-X-C motif chemokine ligand 1  C-X-C motif chemokine ligand 2  Epithelial mesenchymal transition  Prognosis
基金项目:江苏省卫健委医学科研面上项目(M2020043);苏州市科技计划项目(SYS2020167)
作者单位E-mail
顾海迪 南京医科大学附属苏州医院肿瘤内科 江苏 苏州 215001 ghd24814591@163.com 
杜玲玉 南京医科大学附属苏州医院肿瘤内科 江苏 苏州 215001  
杨 军 南京医科大学附属苏州医院肿瘤内科 江苏 苏州 215001  
李 辰 南京医科大学附属苏州医院肿瘤内科 江苏 苏州 215001  
何贞月 南京医科大学附属苏州医院肿瘤内科 江苏 苏州 215001  
谭 洁 南京医科大学附属苏州医院肿瘤内科 江苏 苏州 215001  
王晨洁 南京医科大学附属苏州医院肿瘤内科 江苏 苏州 215001  
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中文摘要:
      摘要 目的:探讨非小细胞肺癌(NSCLC)组织C-X-C基序趋化因子配体(CXCL)1、CXCL2表达与上皮间质转化(EMT)及预后的关系。方法:选取行手术切除的NSCLC患者241例,检测NSCLC组织与癌旁组织(距NSCLC组织>3 cm)中CXCL1、CXCL2和EMT相关蛋白[波形蛋白(Vimentin)、蜗牛家族转录抑制因子1(SNAI1)、E-钙黏蛋白(E-cadherin)、N-钙黏蛋白(N-cadherin)]阳性表达率。比较NSCLC组织中CXCL1、CXCL2阳性表达在不同临床病理特征患者中的差异。随访3年,记录NSCLC患者总生存(OS)率,分析CXCL1、CXCL2阳性/阴性表达对NSCLC患者预后的影响。结果:与癌旁组织比较,NSCLC组织CXCL1、CXCL2、Vimentin、SNAI1、N-cadherin阳性表达率升高,E-cadherin阳性表达率降低(P<0.05)。NSCLC组织CXCL1、CXCL2表达与TNM分期、肿瘤直径、分化程度和淋巴结转移有关(P<0.05)。随访3年,241例NSCLC患者3年OS率为56.02%(135/241)。NSCLC患者中CXCL1、CXCL2阳性表达者3年OS率低于CXCL1、CXCL2阴性表达者(P<0.05)。结论:NSCLC组织CXCL1、CXCL2高表达,且与TNM分期、肿瘤直径、分化程度、淋巴结转移、EMT和预后有关。
英文摘要:
      ABSTRACT Objective: To investigate the relationship between the expression of C-X-C motif chemokine ligand (CXCL) 1 and CXCL2 in non-small cell lung cancer (NSCLC) tissues and epithelial mesenchymal transition (EMT) and prognosis. Methods: 241 NSCLC patients were selected, the positive expression rates of CXCL1, CXCL2 and EMT-related proteins [Vimentin (Vimentin), snail family transcription inhibitor 1 (SNAI1), E-cadherin (E-cadherin), and N-cadherin (N-cadherin)] in NSCLC tissues and adjacent tissues (>3 cm from NSCLC tissue) were detected by immunohistochemistry. The correlation between CXCL1, CXCL2 expression and expression of EMT-related proteins in NSCLC tissues were analyzed. To compare the difference of CXCL1 and CXCL2 positive expression in NSCLC tissues in patients with different clinicopathological features. 3 years after follow-up, the 3-year overall survival (OS) rate was recorded. Results: Compared with adjacent tissues, the positive expression rates of CXCL1, CXCL2, Vimentin, SNAI1 and N-cadherin in NSCLC tissues were increased, and the positive expression rate of E-cadherin was decreased (P<0.05). The expression of CXCL1 and CXCL2 in NSCLC tissues were related to TNM stage, tumor diameter, degree of differentiation and lymph node metastasis (P<0.05). Followed-up for 3 years, the 3-year OS rate of 241 NSCLC patients was 56.02 % (135/241). The 3-year OS rate of CXCL1 and CXCL2 positive expression in NSCLC patients was lower than that of CXCL1 and CXCL2 negative expression.(P<0.05). The independent risk factors for death in NSCLC patients were TNM stage IIIA, tumor diameter≥3 cm, poor differentiation, CXCL1 positive, lymph node metastasis and CXCL2 positive (P<0.05). Conclusion: The high expression of CXCL1 and CXCL2 in NSCLC tissues are related to TNM stage, tumor diameter, degree of differentiation, lymph node metastasis, EMT and prognosis, which may become a new target for the diagnosis and treatment of NSCLC.
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