摘要
目的:探讨e IF4E和整合素αvβ6在结肠癌组织中的表达及临床意义。方法:采用免疫组化SP法检测69例结肠癌及30例正常结肠组织中e IF4E和整合素αvβ6蛋白的表达,并分析二者与结肠癌临床病理因素的关系。结果:结肠癌组织中e IF4E和整合素αvβ6蛋白的表达明显高于正常结肠组织,差异有统计学意义(P<0.01)。e IF4E表达与淋巴结转移有关(P=0.013),整合素αvβ6表达与肿瘤浸润深度、淋巴结转移及临床TNM分期有关(P=0.027,P=0.034,P=0.031)。结肠癌组织中e IF4E与整合素αvβ6蛋白的表达呈低度正相关(P=0.016,r=0.288)。Kaplan-Meier法生存分析显示,e IF4E和整合素αvβ6蛋白的表达与患者5年生存率显著相关(P=0.008,P=0.040)。Cox回归分析显示,e IF4E及整合素αVβ6蛋白的表达水平、组织分化程度、肿瘤浸润深度和年龄是结肠癌的独立危险因素,其中e IF4E高表达和αVβ6阳性表达的相对危险度分别是4.212(95%CI:1.779,9.973)和2.774(95%CI:1.148,6.700)。结论:结肠癌组织中e IF4E和整合素αvβ6蛋白可作为结肠癌患者术后预后不良的独立预测指标,二者潜在的信号通路可能成为治疗结肠癌的新靶点。
Objective:To investigate the expression of elF4E and Integrin α v β 6,their clinical significance as well as two proteins' correlation in colonic carcinoma tissue.Methods:The expression of elF4E and integrin α v β 6 was detected in 69 colonic carcinoma tissues and 30 normal colon tissues via SP immunohistochemistry method.And the relationship between the two proteins'expression and clinicopathological characteristics were analyzed.Results:The expression of elF4E and integrin αv β 6 in colon cancer tissue was significantly higher than that in normal colon tissue (P<0.001).The expression of elF4E was significantly associated with tumor metastasis,while integrin α v β 6 was related to invasion depth,tumor metastasis and clinical TNM stage (P=0.027,P=0.034,P=0.031 respectively).Moderately weak correlation exists between the two proteins (P=0.016,P=0.288).The survival analysis by Kaplan-Meier and Cox regression model showed that protein expression of high eIF4E and positive integrin αv β 6,as independent prognostic factors (RR=4.212,RR=2.774 respectively),tended to have a significantly poorer 5-year survival rate(P=0.008,P=0.040 respectively).Conclusion:elF4 E and integrin αv β 6 can be indicators of poor prognosis for patients with colon cancer.And the potential signaling loop involving them may provide a helpful therapeutic target in prevention and treatment of colon cancer.
出处
《中国现代普通外科进展》
CAS
2014年第6期439-443,共5页
Chinese Journal of Current Advances in General Surgery
基金
国家自然科学基金(81272653)
山东省自然科学基金(ZR2013HQ051)
关键词
结肠肿瘤
翻译起始因子
整合素ΑVΒ6
Colonic neoplasms
Eukaryotic initiation factor
Integrins αvβ6