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CRT、CD47在胃癌组织中的表达及意义

Expression of CRT and CD47 in Gastric Carcinoma and Their Significance

  • 摘要:
    目的 探讨钙网蛋白(CRT)、CD47在胃癌组织中的表达水平与临床病理参数的关系及其在胃癌组织中的意义。
    方法 收集50例株洲市中心医院行胃癌根治术患者的病理标本及临床资料,同时收集相对应的癌旁正常组织病理标本作为对照。采用免疫组织化学法检测CRT、CD47的表达,分析两者在胃癌组织与癌旁组织中表达差异及两者与年龄、性别、肿瘤大小、淋巴结转移、肿瘤分化程度、肿瘤侵犯深度(T分期)的关系,用Kaplan-Meier绘制两者不同表达下胃癌根治术后3年总生存率曲线。
    结果 胃癌组织中CRT、CD47阳性高表达率分别为68.0%和56.0%,显著高于癌旁组织,差异有统计学意义(P值分别为0.001和0.005)。CRT、CD47表达水平与胃癌分化程度、淋巴结转移、肿瘤侵犯深度正相关;CRT、CD47高表达组较低表达组生存时间短,差异有统计学意义(P < 0.05)。
    结论 CRT、CD47是胃癌有潜在价值的标志物,可能为胃癌的早期诊断与免疫治疗提供潜在靶点。

     

    Abstract:
    Objective To investigate the expression levels of calcium net protein (CRT) and CD47 in gastric cancer tissues and its relationship with clinical parameters, to explore the significance of CRT and CD47 in gastric cancer tissues.
    Methods We collected the pathological specimens and clinical data of 50 patients undergoing radical gastrectomy in our hospital. At the same time, the corresponding normal tissues were collected as control group. Immunohistochemical method was used to detect the expression of CRT and CD47. We analyzed the difference of CRT and CD47 expression between gastric cancer and paracancerous tissues and their relationship with age, sex, tumor size, lymph node metastasis, tumor differentiation and tumor invasion depth (T stage). Kaplan-Meier curve was used to analyze the 3-year overall survival rate after radical resection of gastric cancer.
    Results The expression rates of CRT and CD47 in gastric cancer tissues were 68.0% and 56.0% respectively, significantly higher than those in adjacent normal tissues. The expression levels of CRT and CD47 were related to the differentiation degree, lymph node metastasis and tumor invasion. The survival time of high CRT and CD47 expression group was shorter than that in low expression group (P < 0.05).
    Conclusion CRT and CD47 are potential markers of gastric cancer, which may provide potential targets for the early diagnosis and immunotherapy of gastric cancer.

     

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