结直肠癌患者中GBP1/2的表达及其与预后的关系
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作者单位:

华北石油管理局总医院 普外科,河北 任丘,062550

作者简介:

徐鑫龙,男,主治医师,研究方向为胃肠道疾病。

通讯作者:

中图分类号:

R735.3

基金项目:

★保定市科技计划项目(2041ZF155)。


Expression of GBP1/2 in patients with colorectal cancer and its relationship with prognosis
Author:
Affiliation:

Department of General Surgery, General Hospital of North China Petroleum Administration, Renqiu, 062550, Hebei, China

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    摘要:

    目的 探讨结直肠癌(CRC)患者鸟苷酸结合蛋白1/2(GBP1/2)表达水平及其与预后的关系。方法 选取2016年6月至2019年6月本院收治的86例CRC患者的癌组织和癌旁组织进行研究。使用实时荧光定量PCR(qRT-PCR)检测GBP1、GBP2 mRNA表达情况,免疫组化法检测GBP1、GBP2蛋白表达情况;分析CRC组织中GBP1、GBP2表达水平与临床病理特征的关系;Kaplan-Meier、Log-rank检验分析CRC组织中GBP1、GBP2表达水平与预后的关系;对CRC患者的预后影响因素进行COX回归分析。结果 CRC患者癌组织中GBP1、GBP2 mRNA表达水平及蛋白阳性表达率均显著低于癌旁组织(P<0.05);低分化CRC患者癌组织中GBP1、GBP2阳性表达率均显著低于中、高分化患者(P<0.05);Ⅲ期CRC患者癌组织中GBP1、GBP2阳性表达率均显著低于Ⅰ~Ⅱ期患者(P<0.05);GBP1、GBP2阳性组CRC患者累积生存率均显著高于GBP1、GBP2阴性组(P<0.05);GBP1、GBP2是影响CRC患者预后的独立保护因素(P<0.05),TNM分期是影响CRC患者预后的独立危险因素(P<0.05)。结论 GBP1、GBP2在CRC组织中表达水平较低,均与CRC患者预后相关,或可成为评估CRC患者预后的潜在指标。

    Abstract:

    Objective To investigate the expression level of guanylate-binding protein 1/2 (GBP1/2) in patients with colorectal cancer (CRC) and its relationship with prognosis.Methods The CRC tissues and paracancerous tissues of 86 CRC patients admitted to our hospital between June 2016 and June 2019 were gathered for research. Quantitative real-time PCR (qRT-PCR) method/immunohistochemistry method were applied to detect the mRNA/protein expression levels of GBP1 and GBP2. The relationship between the expression levels of GBP1 and GBP2 in CRC tissues and the clinicopathological characteristics was analyzed. Kaplan-Meier survival curve and log-rank test were used to analyze the relationship between the expression levels of GBP1 and GBP2 in CRC tissues and the prognosis. The factors affecting the prognosis of CRC patients were analyzed by COX regression.Results Compared with the paracancerous tissues, the mRNA expression levels of GBP1 and GBP2 and the rates of positive expression of GBP1 and GBP2 proteins in CRC tissues were decreased (P<0.05). The rates of positive expression of GBP1 and GBP2 proteins in poorly differentiated CRC tissues were lower than those in moderately and well differentiated CRC tissues (P<0.05). The rates of positive expression of GBP1 and GBP2 proteins in stage Ⅲ CRC patients were lower than those in stage Ⅰ~Ⅱ CRC patients (P<0.05). The cumulative survival rates of CRC patients in GBP1 and GBP2 positive groups were higher than those in GBP1 and GBP2 negative groups (P<0.05). GBP1 and GBP2 were independent protective factors affecting the prognosis of CRC patients (P<0.05), and TNM stage were the independent risk factor (P<0.05).Conclusion The GBP1 and GBP2 were lowly expressed in CRC tissues, and both were related to the prognosis of CRC patients. GBP1 and GBP2 may be potential indicators for evaluating the prognosis of CRC patients.

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徐鑫龙,李桓,马凯旋.结直肠癌患者中GBP1/2的表达及其与预后的关系[J].肿瘤药学,2024,14(5):589-594 ( in Chinese)

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