目的探讨醛酮还原酶1B10(aldo-keto reductase family 1B10,AKR1B10)在甲状腺乳头状癌(papillary thyroid carcinoma,PTC)组织中的表达及其临床意义。方法收集2013年1月至2015年7月于郴州市第一人民医院经超声诊断的237例甲状腺结节患...目的探讨醛酮还原酶1B10(aldo-keto reductase family 1B10,AKR1B10)在甲状腺乳头状癌(papillary thyroid carcinoma,PTC)组织中的表达及其临床意义。方法收集2013年1月至2015年7月于郴州市第一人民医院经超声诊断的237例甲状腺结节患者的病理标本。采用Western blot法检测甲状腺正常组织和PTC组织中AKR1B10蛋白的表达;采用免疫组织化学法检测不同甲状腺组织AKR1B10蛋白的表达。结果 Western blot结果显示,AKR1B10蛋白在PTC组织中的表达水平明显高于甲状腺正常组织(0.82±0.10 vs 0.22±0.07,t=2.702,P=0.011)。免疫组织化学法结果显示,AKR1B10在PTC组织中呈高表达,且在不同甲状腺组织中其阳性表达率最高(79.5%)。AKR1B10表达与甲状腺癌组织周围淋巴结转移有关(P=0.007)。结论 AKR1B10在甲状腺乳头状癌组织中呈高表达,且与周围淋巴结转移有关。展开更多
目的:探究醛酮还原酶家族1成员10(Aldo-keto reductase family 1 member B10,AKR1B10)在肝癌和肝病变组织中的表达情况,阐明AKR1B10在肝癌发病过程中的作用。方法:收集2013年3月至2 0 1 6年5月间吉林大学第二医院肝胆外科收集的石蜡包...目的:探究醛酮还原酶家族1成员10(Aldo-keto reductase family 1 member B10,AKR1B10)在肝癌和肝病变组织中的表达情况,阐明AKR1B10在肝癌发病过程中的作用。方法:收集2013年3月至2 0 1 6年5月间吉林大学第二医院肝胆外科收集的石蜡包埋病理切片和相关病理资料1 2 7例,其中肝癌61例、肝良性非肿瘤性病变54例及肝良性占位性病变12例,采用免疫组织化学方法检测AKR1B10在肝癌组织、肝良性非肿瘤性病变组织和肝良性占位性病变组织中的表达,分析其与其他临床病理资料的相关性。结果:肝良性占位性病变组织、肝良性非肿瘤性病变组织和肝癌组织中AKR1B10依次升高,3组间差异均有统计学意义(P<0.05)。肝良性非肿瘤性病变组织中A KR1B10与患者的年龄、性别、吸烟、饮酒等临床资料无相关性(P>0.05);与血清甲胎蛋白水平和肝细胞脂肪变性比例呈正相关(r=0.539,P=0.002;r=0.306,P=0.004)。结论:AKR1B10在肝癌组织和肝良性非肿瘤性病变组织中呈现高表达,并与甲胎蛋白水平和肝细胞脂肪变性比例呈正相关,可成为肝癌早期诊断的分子标志物。展开更多
AIM To clarify the association between aldo-keto reductase family 1 member B10(AKR1B10) expression and hepatocarcinogenesis after hepatitis C virus eradication.METHODS In this study,we enrolled 303 chronic hepatitis C...AIM To clarify the association between aldo-keto reductase family 1 member B10(AKR1B10) expression and hepatocarcinogenesis after hepatitis C virus eradication.METHODS In this study,we enrolled 303 chronic hepatitis C patients who had achieved sustained virological response(SVR) through interferon-based antiviral therapy. Pretreatment AKR1B10 expression in the liver was immunohistochemically assessed and quantified as a percentage of positive staining area by using image-analysis software. A multivariate Cox analysis was used to estimate the hazard ratios(HRs) of AKR1B10 expression for hepatocellular carcinoma(HCC) development after achieving SVR. The cumulative incidences of HCC development were evaluated using Kaplan-Meier analysis and the log-rank test.RESULTS Of the 303 chronic hepatitis C patients,153(50.5%) showed scarce hepatic AKR1B10 expression,quantified as 0%,which was similar to the expression in control normal liver tissues. However,the remaining 150 patients(49.5%) exhibited various degrees of AKR1B10 expression in the liver,with a maximal AKR1B10 expression of 73%. During the median follow-up time of 3.6 years(range 1.0-10.0 years),8/303 patients developed HCC. Multivariate analysis revealed that only high AKR1B10 expression(≥ 8%) was an independent risk factor for HCC development(HR = 15.4,95%CI: 1. 8- 1 3 2. 5,P = 0. 0 1 2). T h e 5- y e a r c u m u l a t i v e incidences of HCC development were 13.7% and 0.5% in patients with high and low AKR1B10 expression,respectively(P < 0.001). During the follow-up period after viral eradication,patients expressing high levels of AKR1B10 expressed markedly higher levels of alanine aminotransferase and α-fetoprotein than did patients exhibiting low AKR1B10 expression.CONCLUSION Chronic hepatitis C patients expressing high levels of hepatic AKR1B10 had an increased risk of HCC development even after SVR.展开更多
目的探讨醛糖还原酶1B10(aldo-keto reductase family 1 member B10,AKR1B10)在肝癌组织中的表达及其与患者术前血清AFP水平的关系。方法采用免疫组化技术检测65例肝癌组织及其相应的癌旁肝组织、14例正常肝组织中AKR1B10蛋白的表达情况...目的探讨醛糖还原酶1B10(aldo-keto reductase family 1 member B10,AKR1B10)在肝癌组织中的表达及其与患者术前血清AFP水平的关系。方法采用免疫组化技术检测65例肝癌组织及其相应的癌旁肝组织、14例正常肝组织中AKR1B10蛋白的表达情况,分析AKR1B10蛋白在肝癌组织中的表达与患者术前血清AFP水平的关系。结果 AKR1B10蛋白在正常肝组织、癌旁肝组织及肝癌组织中的表达率和表达量均依次升高,两两比较差异均有统计学意义(P均<0.05)。在肝癌组织中AKR1B10蛋白的阳性表达率为76.9%,明显高于患者术前血清AFP的阳性率55.4%(P<0.05)。术前血清AFP阴性的29例患者中,有21例肝癌组织中AKR1B10蛋白阳性表达,阳性率为72.4%。AKR1B10蛋白在肝癌组织中的表达与患者术前血清AFP的水平无相关性(P>0.05)。结论 AKR1B10蛋白在正常肝组织、癌旁肝组织及肝癌组织中的表达依次升高,尤其是在肝癌患者术前血清AFP阴性的肝癌组织中表达较高,提示AKR1B10在肝癌的诊断方面具有潜在的临床应用价值。展开更多
目的:探讨醛酮还原酶家族1B10(Aldo-keto reductase family 1,member B10,AKR1B10)与磷脂酰肌醇蛋白多糖-3(glypican-3,GPC-3)免疫组化检测在诊断肝细胞癌(HCC)的应用价值。方法:收集本院56例肝细胞癌,采用AKR1B10、GPC-3和联合法免疫...目的:探讨醛酮还原酶家族1B10(Aldo-keto reductase family 1,member B10,AKR1B10)与磷脂酰肌醇蛋白多糖-3(glypican-3,GPC-3)免疫组化检测在诊断肝细胞癌(HCC)的应用价值。方法:收集本院56例肝细胞癌,采用AKR1B10、GPC-3和联合法免疫组化染色,比较三种检测方法肝细胞癌的表达及强度。结果:三种免疫组化检测中,AKR1B10组、GPC-3组、联合组的阴性率分别为三组阳性率分别为73.21%、80.36%、91.07%,差异有统计学差异(P<0.05)。结论:AKR1B10与GPC-3免疫组化检测对HCC诊断均具有高度特异性、敏感性,AKR1B10与GPC-3联合法准确率和有效率更高,对肝癌患者预后有重大意义。展开更多
文摘目的探讨醛酮还原酶1B10(aldo-keto reductase family 1B10,AKR1B10)在甲状腺乳头状癌(papillary thyroid carcinoma,PTC)组织中的表达及其临床意义。方法收集2013年1月至2015年7月于郴州市第一人民医院经超声诊断的237例甲状腺结节患者的病理标本。采用Western blot法检测甲状腺正常组织和PTC组织中AKR1B10蛋白的表达;采用免疫组织化学法检测不同甲状腺组织AKR1B10蛋白的表达。结果 Western blot结果显示,AKR1B10蛋白在PTC组织中的表达水平明显高于甲状腺正常组织(0.82±0.10 vs 0.22±0.07,t=2.702,P=0.011)。免疫组织化学法结果显示,AKR1B10在PTC组织中呈高表达,且在不同甲状腺组织中其阳性表达率最高(79.5%)。AKR1B10表达与甲状腺癌组织周围淋巴结转移有关(P=0.007)。结论 AKR1B10在甲状腺乳头状癌组织中呈高表达,且与周围淋巴结转移有关。
基金Supported by Grant-in-Aid from the Ministry of Health,Labor and Welfare of Japan
文摘AIM To clarify the association between aldo-keto reductase family 1 member B10(AKR1B10) expression and hepatocarcinogenesis after hepatitis C virus eradication.METHODS In this study,we enrolled 303 chronic hepatitis C patients who had achieved sustained virological response(SVR) through interferon-based antiviral therapy. Pretreatment AKR1B10 expression in the liver was immunohistochemically assessed and quantified as a percentage of positive staining area by using image-analysis software. A multivariate Cox analysis was used to estimate the hazard ratios(HRs) of AKR1B10 expression for hepatocellular carcinoma(HCC) development after achieving SVR. The cumulative incidences of HCC development were evaluated using Kaplan-Meier analysis and the log-rank test.RESULTS Of the 303 chronic hepatitis C patients,153(50.5%) showed scarce hepatic AKR1B10 expression,quantified as 0%,which was similar to the expression in control normal liver tissues. However,the remaining 150 patients(49.5%) exhibited various degrees of AKR1B10 expression in the liver,with a maximal AKR1B10 expression of 73%. During the median follow-up time of 3.6 years(range 1.0-10.0 years),8/303 patients developed HCC. Multivariate analysis revealed that only high AKR1B10 expression(≥ 8%) was an independent risk factor for HCC development(HR = 15.4,95%CI: 1. 8- 1 3 2. 5,P = 0. 0 1 2). T h e 5- y e a r c u m u l a t i v e incidences of HCC development were 13.7% and 0.5% in patients with high and low AKR1B10 expression,respectively(P < 0.001). During the follow-up period after viral eradication,patients expressing high levels of AKR1B10 expressed markedly higher levels of alanine aminotransferase and α-fetoprotein than did patients exhibiting low AKR1B10 expression.CONCLUSION Chronic hepatitis C patients expressing high levels of hepatic AKR1B10 had an increased risk of HCC development even after SVR.
文摘目的探讨醛糖还原酶1B10(aldo-keto reductase family 1 member B10,AKR1B10)在肝癌组织中的表达及其与患者术前血清AFP水平的关系。方法采用免疫组化技术检测65例肝癌组织及其相应的癌旁肝组织、14例正常肝组织中AKR1B10蛋白的表达情况,分析AKR1B10蛋白在肝癌组织中的表达与患者术前血清AFP水平的关系。结果 AKR1B10蛋白在正常肝组织、癌旁肝组织及肝癌组织中的表达率和表达量均依次升高,两两比较差异均有统计学意义(P均<0.05)。在肝癌组织中AKR1B10蛋白的阳性表达率为76.9%,明显高于患者术前血清AFP的阳性率55.4%(P<0.05)。术前血清AFP阴性的29例患者中,有21例肝癌组织中AKR1B10蛋白阳性表达,阳性率为72.4%。AKR1B10蛋白在肝癌组织中的表达与患者术前血清AFP的水平无相关性(P>0.05)。结论 AKR1B10蛋白在正常肝组织、癌旁肝组织及肝癌组织中的表达依次升高,尤其是在肝癌患者术前血清AFP阴性的肝癌组织中表达较高,提示AKR1B10在肝癌的诊断方面具有潜在的临床应用价值。
文摘目的:探讨醛酮还原酶家族1B10(Aldo-keto reductase family 1,member B10,AKR1B10)与磷脂酰肌醇蛋白多糖-3(glypican-3,GPC-3)免疫组化检测在诊断肝细胞癌(HCC)的应用价值。方法:收集本院56例肝细胞癌,采用AKR1B10、GPC-3和联合法免疫组化染色,比较三种检测方法肝细胞癌的表达及强度。结果:三种免疫组化检测中,AKR1B10组、GPC-3组、联合组的阴性率分别为三组阳性率分别为73.21%、80.36%、91.07%,差异有统计学差异(P<0.05)。结论:AKR1B10与GPC-3免疫组化检测对HCC诊断均具有高度特异性、敏感性,AKR1B10与GPC-3联合法准确率和有效率更高,对肝癌患者预后有重大意义。
