Expression and prognostic analysis of AEG-1, NKD-1and β-catenin in gastric cancer tissues

Ruizhen Wang, Weidong Guo
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Abstract

Objective: To investigate the expressions of AEG-1, NKD-1 and β-catenin in gastric cancer (GC), and analyze their relationship with clinicopathological features and prognosis and the correlation among the three proteins.Methods: Fifty GC tissues and 50 adjacent normal tissues of patients who underwent radical gastrectomy in the Third Affiliated Hospital of Inner Mongolia Medical University during December 2015 to June 2017 were collected. The expressions of AEG-1, NKD-1 and β-catenin were detected by immunohistochemical SP method and qRT-PCR. The relationship between positive expression and clinical features and survival time of patients was analyzed, and the correlation between the three was analyzed.Results: The positive expression rates of AEG-1 and β-catenin in gastric cancer were 74% (37/50), 60% (30/50), respectively, which was significantly higher than that of paracancer tissue (18% [9/50] and 26% [13/50]). The positive expression rate of NKD1 in gastric cancer tissues was 20% (10/50), which was significantly lower than that in adjacent tissues [88% (44/50)]; and the differences were statistically significant (p < . 05). AEG-1 mRNA expression level (1.0148±0.0019) and β-catenin mRNA expression level (1.0000±0.0005) in gastric cancer tissues were significantly higher than that of AEG-1 mRNA expression level (1.0002±0.0036) and β-catenin expression level in adjacent tissues mRMA expression level (0.9984±0.0012), and the differences were statistically significant (p < .05). The expression level of NKD1 mRNA in gastric cancer tissues (1.0008±0.0073) was significantly lower than that in adjacent tissues (1.0291±0.0041), and the differences were statistically significant (p < .05). The positive expression of AEG-1, NKD1 and β-catenin in gastric cancer tissues was not related to age, sex or tumor size (p > .05), but was related to differentiation degree, TNM stage and lymph node metastasis (p < .05). In gastric cancer, there was a positive correlation between AEG-1 and β-catenin protein expression (r = .678, p < .001), and a negative correlation between AEG-1 and NKD1 protein expression (r = -.323, p = .012). β-catenin expression was negatively correlated with NKD1 expression (r = -.347, p = .007). The survival time of patients with positive expression of AEG-1 and β-catenin was significantly shortened compared with those with negative expression (p < .05), while the survival time of patients with positive expression of NKD1 was longer than that of patients with negative expression of NKD1 (p < .05).Conclusion: The abnormal expression of AEG-1, NKD-1 and β-catenin is closely related with the occurrence, development, invasion, metastasis and prognosis of  gastric cancer, which provide a therapeutic target and may become markers for prognosis evaluation.
胃癌组织中 AEG-1、NKD-1 和 β-catenin 的表达及预后分析
目的探讨AEG-1、NKD-1和β-catenin在胃癌(GC)中的表达,分析其与临床病理特征和预后的关系以及三种蛋白之间的相关性:收集2015年12月至2017年6月在内蒙古医科大学第三附属医院接受根治性胃切除术患者的50例GC组织和50例邻近正常组织。采用免疫组化SP法和qRT-PCR法检测AEG-1、NKD-1和β-catenin的表达。分析阳性表达与患者临床特征和生存时间的关系,并分析三者之间的相关性:结果:AEG-1和β-catenin在胃癌中的阳性表达率分别为74%(37/50)和60%(30/50),明显高于癌旁组织(18%[9/50]和26%[13/50])。NKD1在胃癌组织中的阳性表达率为20%(10/50),明显低于邻近组织[88%(44/50)],差异有统计学意义(P < .05)。胃癌组织中 AEG-1 mRNA 表达水平(1.0148±0.0019)和 β-catenin mRNA 表达水平(1.0000±0.0005)明显高于邻近组织中 AEG-1 mRNA 表达水平(1.0002±0.0036)和 β-catenin 表达水平 mRMA 表达水平(0.9984±0.0012),差异有统计学意义(P < .05)。胃癌组织中 NKD1 mRNA 的表达水平(1.0008±0.0073)明显低于邻近组织(1.0291±0.0041),差异有统计学意义(P<0.05)。AEG-1、NKD1和β-catenin在胃癌组织中的阳性表达与年龄、性别和肿瘤大小无关(p > .05),但与分化程度、TNM分期和淋巴结转移有关(p < .05)。在胃癌中,AEG-1与β-catenin蛋白表达呈正相关(r = .678,p < .001),AEG-1与NKD1蛋白表达呈负相关(r = -.323,p = .012)。β-catenin表达与NKD1表达呈负相关(r = -.347,p = .007)。与阴性表达的患者相比,AEG-1和β-catenin阳性表达患者的生存时间明显缩短(p < .05),而NKD1阳性表达患者的生存时间长于NKD1阴性表达患者(p < .05):结论:AEG-1、NKD-1和β-catenin的异常表达与胃癌的发生、发展、侵袭、转移和预后密切相关,为治疗提供了靶点,并可能成为预后评估的标志物。
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