泛素化羧基末端水解酶37 在结直肠癌组织中的 表达水平及意义
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夏冬,E-mail :juliahhy@aliyun.com.cn

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Prognostic significance of UCH 37 in colorectal cancer
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    摘要:

    目的 检测泛素化羧基末端水解酶37(UCH37)在结直肠癌组织中的表达情况,并分析其与结直 肠癌患者的临床病理特征、术后生存周期及预后之间的相关性。方法 利用实时荧光定量聚合酶链式反应(qRTPCR) 和免疫组织化学技术检测结直肠癌石蜡组织标本中UCH37 mRNA 及蛋白的表达水平,分析结直肠癌组 织及癌旁组织中UCH37 的表达差异,利用Spearman 秩相关分析UCH37 与结直肠癌患者临床病理特征的相关 性,利用Kaplan-Meier 生存曲线分析UCH37 与结直肠癌患者五年总体生存率的相关性,利用Cox 风险比例 模型分析UCH37 与结直肠癌患者预后的相关性。结果 UCH37 在结直肠癌组织中的表达水平高于癌旁组织, TNM Ⅲ级和Ⅳ级的结直肠癌患者UCH37 的阳性率高于TNM Ⅰ级和Ⅱ级患者(P <0.05);Spearman 秩相关 分析显示UCH37 的表达水平与结直肠癌患者淋巴转移情况及血管侵袭情况呈正相关(P <0.05);UCH37 阳 性表达的结直肠癌患者术后5 年总体生存率低于UCH37 阴性表达的结直肠癌患者(P <0.05);UCH37 可作 为判断结直肠癌患者预后的分子指标[H^R=4.998(95%CI :1.897,8.438),P =0.017]。结论 UCH37 在结直肠 癌组织中表达升高,可作为预测结直肠癌患者生存周期及预后的潜在分子标志物。

    Abstract:

    Objective To explore the expression and prognostic significance of UCH37 in colorectal cancer (CRC). Methods Expressions of UCH37 at both mRNA and protein levels were analyzed by quantitative real-time polymerase chain reaction (qRT-PCR) and Immunohistochemistry in 77 CRC patients. Spearman’s rank test, K-M survival curves and Cox proportional hazards risk were conducted to determine the clinical relevance of UCH37 in CRC. Results QRT-PCR and Immunohistochemistry results revealed that expression of UCH37 was upregulated in CRC tissues compared with adjacent normal tissues, and positive rates of UCH37 in CRC patients at TNM Ⅲ and TNM Ⅳ were increased when compared with that in CRC patients at TNM I and TNM II (P < 0.05). Spearman rank correlation showed that expression of UCH37 was closely associated with lymph node metastasis and venous invasion (P < 0.05). Kaplan-Meier curves suggested that expression of UCH37 was negatively correlated with 5-year overall and progression-free survival time (P < 0.05). Cox proportional hazards risk analysis revealed that UCH37 was an independent prognostic factor for CRC [H^R= 4.998, (95%CI: 1.897, 8.438), P = 0.017]. Conclusions UCH37 is potentially a prognostic biomarker in CRC.

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邓显伦,冯立波,徐建伟,向继勇,夏冬.泛素化羧基末端水解酶37 在结直肠癌组织中的 表达水平及意义[J].中国现代医学杂志,2018,(30):32-36

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  • 收稿日期:2018-04-21
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  • 在线发布日期: 2018-10-30
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