Rab3IP 对食管癌患者预后的评估价值
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辽宁省科学技术计划(No :201602327)


Prognostic potential of Rab3A interacting protein expression in patients with esophageal cancer
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    摘要:

    目的 探讨Rab3A 相互作用蛋白(Rab3IP)在食管癌组织中的表达,并分析其与临床资料及预 后的关系。方法 采用免疫组织化学染色和Western blotting 检测Rab3IP 在109 例食管癌组织及其癌旁组织 中的表达,分析Rab3IP 表达方式与临床病理特征的关系;用Kaplan-Meier 法分析Rab3IP 表达与食管癌患 者总体生存期和无瘤生存期的关系,Cox 比例风险模型分析影响患者生存预后的因素。结果 癌组织Rab3IP 高表达率高于癌旁组织(P <0.05),癌组织Rab3IP 相对表达量高于癌旁组织(P <0.05)。两组患者肿瘤直径、 浸润深度、淋巴结转移及TNM 分期比较,差异有统计学意义(P <0.05)。单因素和多因素分析显示,Rab3IP 表达是影响食管癌患者术后总体生存时间的独立预后因素(P <0.05),低表达组术后总体生存时间高于高表 达组(P <0.05)。Rab3IP 表达是影响食管癌患者术后无瘤生存时间的独立预后因素(P <0.05),低表达组术 后无瘤生存时间高于高表达组(P <0.05)。结论 食管癌组织Rab3IP 呈高表达,Rab3IP 可作为食管癌预后 评估的指标。

    Abstract:

    Objective To detect the expressions of Rab3A interacting protein (Rab3IP) in esophageal cancer tissues and to explore their correlations with the clinicopathological features and prognosis of the patients. Methods The expressions of Rab3IP in 109 esophageal cancer tissues and paired adjacent tissues was detected using immunohistochemical staining and western blot, respectively. The correlations of different patterns of Rab3IP expressions with the clinicopathological features of the patients were analyzed. Kaplan- Meier survival analysis was used to analyze the over-all survival and recurrence-free survival of the patients in relation with Rab3IP expressions. Cox regression were applied to analyse its prognostic value. Results Rab3IP were highly expressed in 70.6% (77/109) in the esophageal cancer tissues compared to their paired adjacent tissues 52.3% (57/109), the difference was statistically significant (P < 0.05). The expression of TRab3IP were correlated with tumor size, invasion depth, lymph node metastasis, and TNM staging (P < 0.05). Univariate and multivariate analysis showed that the expression of Rab3ip was an independent prognostic factor for overall survival time of esophageal cancer patients after operation (P < 0.05), and the overall survival time of low expression group was higher than that of high expression group (P < 0.05). The expression of rab3ip protein was an independent prognostic factor for tumor-free survival time in patients with esophageal cancer (P < 0.05), and the tumor free survival time in the low expression group was higher than that in the high expression group (P < 0.05). Conclusion Rab3IP are high expression in esophageal cancer tissues and can serve as new prognostic biomarkers for esophageal cancer.

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张岚,周利娟,肖旭阳. Rab3IP 对食管癌患者预后的评估价值[J].中国现代医学杂志,2019,(24):32-37

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  • 收稿日期:2019-06-27
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  • 在线发布日期: 2019-12-30
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