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TSPAN1 protein expression:A significant prognostic indicator for patients with colorectal adenocarcinoma 被引量:6
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作者 Li Chen Yuan-Yuan Zhu +5 位作者 Xiao-Juan Zhang Gui-Lan Wang Xin-Yu Li Song He Jian-Bin Zhang Jian-Wei Zhu 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第18期2270-2276,共7页
AIM:To determine if TSPAN1 overexpression is associated with clinicopathological and prognostic factors in human colorectal adenocarcinoma.METHODS:Total RNA was extracted in 20 human adenocarcinoma tissues for TSPAN1 ... AIM:To determine if TSPAN1 overexpression is associated with clinicopathological and prognostic factors in human colorectal adenocarcinoma.METHODS:Total RNA was extracted in 20 human adenocarcinoma tissues for TSPAN1 mRNA assay by RT-PCR.Eighty-eight specimens of human colorectal adenocarcinoma were surgically removed.TSPAN1 protein levels in cancer tissues were determined by immunohistochemistry using a polyclonal antibody against self-prepared TSPAN1.The correlation between TSPAN1 expression and the clinicopathological factors and the overall survival rate was analyzed by univariate and multivariate assay.RESULTS:TSPAN1 mRNA was detected in 90.0%(18/20) of cancerous tissues.The light density of TSPAN1 mRNA expression levels was 0.89 ± 0.30 in adenocarcinoma by gel-image system.TSPAN1 protein expression was detected in 78.41%(69/88) and weakly expressed in 40% normal colorectal tissues.There were significant differences between colorectal adenocarcinoma and normal control epithelium(P < 0.05).TSPAN1 protein expression in colorectal cancerous tissue was significantly correlated with the histological grade,cell expression PCNA,lymph nodal metastasis and TNM staging of the disease.Patients with TSPAN1 protein overexpression had a significantly shorter survival period than that in patients with TSPAN1 protein negative or weak expression,respectively(P < 0.05).Furthermore,by multivariate analysis,TSPAN1 protein expression demonstrated an independent prognostic factor for human colorectal cancers(P < 0.05,relative risk 0.755;95% confidence interval 0.302-1.208).CONCLUSION:The expression of TSPAN1 gene is increased in colorectal carcinoma,suggesting that TSPAN1 might serve as an independent prognostic factor for the colorectal adenocarcinoma patients. 展开更多
关键词 TSPAN1 Colorectal adenocarcinoma Semi-quantitative RT-PCR immunohistochemistry PROGNOSIS
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系统免疫炎症指数对小细胞肺癌预防性脑照射患者脑转移和生存预测价值 被引量:13
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作者 王铎颖 郭栋 +4 位作者 滕菲菲 李爱杰 孔莉 石芳 于金明 《中华肿瘤防治杂志》 CAS 北大核心 2019年第19期1473-1478,共6页
目的小细胞肺癌(small cell lung cancer,SCLC)是肺癌中恶性程度最高的一种类型,经过标准放化疗和预防性头颅照射(prophylactic cranial irradiation,PCI),部分SCLC患者仍然发生脑转移(brain metastases,BM)。本研究旨在探讨一种基于中... 目的小细胞肺癌(small cell lung cancer,SCLC)是肺癌中恶性程度最高的一种类型,经过标准放化疗和预防性头颅照射(prophylactic cranial irradiation,PCI),部分SCLC患者仍然发生脑转移(brain metastases,BM)。本研究旨在探讨一种基于中性粒细胞(N)、血小板(P)和淋巴细胞(L)的系统免疫炎症指数(systemic immune-inflammation index,SII)对接受PCI治疗的SCLC患者BM发生风险及总生存(overall survival,OS)的预测能力。方法回顾性分析2006-02-01-2016-02-28山东省肿瘤医院经含铂化疗及胸部放疗后行PCI治疗的134例SCLC患者,采集患者治疗前1周内的外周血,计算SII。采用ROC曲线计算SII的最佳截断值。采用Kaplan-Meier法及Log-rank检验法对-BM及OS进行分析,Cox比例回归模型进行单因素及多因素分析。结果 SII的最佳截断值为468,依据SII最佳截断值将患者分为高组和低组。随访期间发生BM患者为41%(55/134),SII水平与BM的发生率有统计学意义的关联,P<0.001。多因素分析显示,临床分期(HR=1.866,95%CI为1.156~3.014,P=0.011)、KPS评分(HR=2.587,95%CI为1.578~4.241,P<0.001)和SII(HR=2.523,95%CI为1.551~4.105,P<0.001)可以作为BM发生风险的独立相关因素。高水平的SII与较差OS差异有统计学意义的关联,P<0.001。多因素分析显示,SII(HR=2.269,95%CI为1.458~3.532,P<0.001)是OS独立预后因素。结论 SII是SCLC患者经PCI治疗后发生BM的独立预测因子,可作为SCLC患者中BM发生风险的预测指标。高水平的SII与PCI术后SCLC患者较差的OS有统计学意义的关联,可作为SCLC患者OS的预测指标。 展开更多
关键词 小细胞肺癌 全身免疫炎症指数 临床预后指标 颅脑预防照射 脑转移
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