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进展期前列腺腺泡腺癌中MET状态与临床病理特征及预后的相关性

Correlation of MET Status with Clinicopathological Features and Prognosis of Advanced Prostatic Acinar Adenocarcinoma

  • 摘要:
    目的 探讨MET在进展期前列腺腺泡腺癌患者中的状态与临床病理学参数及预后的相关性。
    方法 纳入135例进展期前列腺腺泡腺癌患者标本。免疫组织化学(IHC)检测c-MET蛋白表达,荧光原位杂交(FISH)检测MET基因扩增,分析c-MET蛋白表达及基因扩增状况与临床病理学参数及预后的相关性。
    结果 c-MET阳性表达率为52.60%(71/135)。与癌旁组织相比,c-MET在肿瘤中呈异质性低表达。1.71%(2/117)病例存在 MET基因多倍体,未检测出MET扩增。c-MET蛋白的阳性表达与更高的Gleason评分/分级分组显著相关(P=0.0073)。c-MET的表达与无进展生存期(PFS)或治疗后t-PSA水平无显著相关。
    结论 c-MET蛋白在进展期前列腺腺泡腺癌中表达水平较低,可能不适于前列腺腺泡腺癌的ADC药物开发。

     

    Abstract:
    Objective To explore the correlation of MET status in patients with advanced prostatic acinar adenocarcinoma with the clinical pathological parameters and prognosis.
    Methods The specimen from 135 patients with advanced prostatic acinar adenocarcinoma was included. The expression of c-MET protein was detected via immunohistochemistry, and MET gene amplification was assessed by fluorescence in situ hybridization. The relationships of c-MET expression and gene amplification with clinicopathological features and prognosis were analyzed.
    Results The positive expression rate of c-MET was 52.60% (71/135). Compared with the c-MET expression in adjacent tissues, that in tumor tissues showed lower heterogeneous expression. Among the cases, 1.71% (2/117) exhibited MET gene polyploidy, but no gene amplification was detected. Positive c-MET expression was significantly correlated with high Gleason scores and grade groups (P=0.0073). However, no significant relationship was found between c-MET expression and progression-free survival or post-treatment t-PSA levels.
    Conclusion c-MET protein is expressed at a relatively low level in advanced prostatic acinar adenocarcinoma, suggesting that c-MET may not be a viable target for ADC drug development in prostatic acinar adenocarcinoma.

     

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