胃腺癌中可溶性B7-H3与膜B7-H3表达相关性的研究。

IF 1.9
Lili Huang, Yan Zhou, Qiuwei Sun, Lei Cao, Xueguang Zhang
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引用次数: 3

摘要

背景与目的:胃腺癌(GAC)是最常见的恶性肿瘤之一。越来越多的数据表明可溶性B7-H3 (sB7-H3)水平与恶性肿瘤之间存在相关性。本研究旨在探讨GAC患者血清中可溶性B7-H3的水平。进一步分析sB7-H3水平与组织B7-H3表达的相关性,探讨sB7-H3与GAC患者病理特征及预后的临床评价价值。方法:收集GAC血清及组织样本128份,胃炎患者血清及组织样本20份,健康对照血清及组织样本77份,健康对照组织样本5份。采用酶联免疫吸附法(ELISA)检测血清sB7-H3水平,免疫组化法检测细胞膜B7-H3 (mB7-H3)和Ki67的表达。采用Pearson卡方检验分析sB7-H3与mB7-H3、sB7-H3与Ki67、sB7-H3或mB7-H3与临床特征的相关性。结果:GAC患者血清B7-H3和组织B7-H3水平均显著高于胃炎患者和健康对照组。B7-H3水平与组织中B7-H3总表达量相关(r= 0.2801, P= 0.0014)。值得注意的是,在肿瘤细胞中,sB7-H3的浓度与其膜形态表达相关(r= 0.3251, P= 0.002),而在基质细胞中,sB7-H3的浓度与膜形态表达无关(r= 0.07676, P= 0.3891)。TNM III/IV期、浸润深度为T3/T4或有淋巴结转移患者的sB7-H3水平显著高于TNM I/II期(P= 0.0020)、浸润深度为T1/T2 (P= 0.0169)或无淋巴结转移患者(P= 0.0086)。TNM III/IV期及伴有淋巴结转移患者肿瘤B7-H3评分显著高于TNM I/II期(P= 0.0150)及无淋巴结转移患者(P= 0.182),基质B7-H3评分不显著。结论:可溶性B7-H3水平可反映GAC组织肿瘤细胞中B7-H3的表达。血清sB7-H3水平升高提示GAC患者临床病理特征较差。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of the role of soluble B7-H3 in association with membrane B7-H3 expression in gastric adenocarcinoma.

Background and objective: Gastric adenocarcinoma (GAC) is one of the most common malignancies. Increasing data have indicated a correlation between soluble B7-H3 (sB7-H3) levels and tumor malignancies. In this study, we aim to investigate the level of soluble B7-H3 in serum of GAC patients. Further, we analyze the correlation between sB7-H3 level and tissue B7-H3 expression and explore the clinical evaluation value of sB7-H3 associated with pathological characteristics and prognosis of GAC patients.

Methods: One hundred and twenty-eight serum and tissue samples of GAC, 20 serum and tissue samples of gastritis patients and 77 serum, 5 tissue samples of healthy controls were collected. The serum levels of sB7-H3 were detected by Enzyme-linked immunosorbent assay (ELISA), while the expression of membrane B7-H3 (mB7-H3) and Ki67 were evaluated by immunohistochemistry. The correlation between sB7-H3 and mB7-H3, sB7-H3 and Ki67, sB7-H3 or mB7-H3 and clinical features were analyzed by Pearson's Chi-square test.

Results: Both serum level of sB7-H3 and tissue B7-H3 of GAC patients were significantly higher than those of gastritis patients and healthy controls. sB7-H3 level was correlated with total B7-H3 expression in tissues (r= 0.2801, P= 0.0014). Notably, the concentration of sB7-H3 was correlated with its expression of membrane form in tumor cells (r= 0.3251, P= 0.002) while not in stromal cells (r= 0.07676, P= 0.3891). Moreover, the levels of sB7-H3 in patients with TNM stage III/IV or with infiltration depth T3/T4 or with lymph node metastasis were significantly higher than those of patients with TNM stage I/II (P= 0.0020) or with Infiltration depth T1/T2 (P= 0.0169) or with no lymph node metastasis (P= 0.0086). Tumor B7-H3 score, but not stromal B7-H3 score, in patients with TNM stage III/IV or with lymph node metastasis was significantly higher than those with TNM stage I/II (P= 0.0150) or with no lymph node metastasis (P= 0.182).

Conclusions: Soluble B7-H3 level may reflect the tissue B7-H3 expression on tumor cells of GAC tissues. Elevated level of sB7-H3 in serum suggests poor clinical pathological characteristics of GAC patients.

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