文章摘要

ALDH1和KiSS-1在大肠癌中的表达及其临床意义

作者: 1田静, 1李学敏, 1吴莉莉, 1代群, 2张湛
1 安徽医科大学第三临床学院,合肥市第三人民医院病理科,合肥 230022
2 肥西县人民医院病理科,合肥 231200
通讯: 田静 Email: 839426247@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.05.008

摘要

目的:检测ALDH1和KiSS-1蛋白在结直肠癌(colorectal carcinoma,CRC)组织中的表达情况,分析其与CRC浸润、转移及预后的关系。方法:采用免疫组织化学EnVision法检测102例CRC组织和50例正常结直肠黏膜组织中ALDH1和KiSS-1蛋白的表达情况。结果:对照组中ALDH1和KiSS-1蛋白的阳性表达率分别为10.0%和96.0%;CRC组中ALDH1和KiSS-1蛋白的阳性表达率分别为61.8%和38.2%,两组之间表达差异有统计学意义(P<0.05)。ALDH1和KiSS-1蛋白的阳性表达率在CRC肿瘤组织淋巴结转移与否以及不同TNM分期之间差异均有统计学意义(P<0.05)。Spearman相关分析表明ALDH1蛋白的阳性表达与KiSS-1蛋白的阳性表达之间呈负相关(P<0.05)。Kaplan-Meier生存分析表明:在CRC中ALDH1蛋白阳性组患者术后总的生存时间显著低于其阴性组患者,而KiSS-1蛋白阳性组患者术后总的生存时间显著高于其阴性组患者,log-rank组间分析表明差异有统计学意义(P<0.05)。多因素分析显示:ALDH1和KiSS-1蛋白的阳性表达、TNM分期均是影响CRC患者术后总的生存时间的独立预后因子。结论:反常表达的ALDH1和KiSS-1促进CRC的浸润和转移。在CRC患者中早期联合检测ALDH1和KiSS-1蛋白的表达对预测CRC浸润、转移和预后均有意义。
关键词: 结直肠癌;乙醛脱氢酶1;KiSS-1;免疫组织化学;预后

Expression of ALDH1 and KiSS-1 in colorectal carcinoma and its clinical significance

Authors: 1TIAN Jing, 1LI Xuemin, 1WU Lili, 1DAI Qun, 2ZHANG Zhan
1 Department of Pathology, Third People’s Hospital of Hefei, Third Clinical College of Anhui Medical University, Hefei 230022, China
2 Department of Pathology, People’s Hospital of Feixi County, Hefei 231200, China

CorrespondingAuthor: TIAN Jing Email: 839426247@qq.com

DOI: 10.3978/j.issn.2095-6959.2020.05.008

Abstract

Objective: To investigate the expression of ALDH1 and KiSS-1 protein in colorectal carcinoma (CRC) and their clinical significance. Methods: Expression of ALDH1 and KiSS-1 protein was detected by immunohistochemistry containing 102 samples of CRC tissues and 50 samples of normal colorectal mucosa tissues. Results: The positive rates of ALDH1and KiSS-1 protein in the control tissues and CRC tissues were 10.0%, 96.0% and 61.8%, 38.2%, respectively. And there was a significant difference between the two groups (P<0.05). Furthermore, their positive expressions were significantly correlated with lymph node metastasis (LNM) and tumor node metastasis (TNM) stages (all P<0.05). Spearman correlation analysis demonstrated that there was a negative association between ALDH1 expression and KiSS-1 expression (P<0.05). Kaplan-Meier survival analysis demonstrated that patients with positive expression of ALDH1 had an unfavorable overall survival time when compared with patients with negative expression of ALDH1; and there was a favorable overall survival time for patients with positive expression of KiSS-1 when compared with patients with negative expression of KiSS-1. Multivariate analysis demonstrated that positive expression of ALDH1 and KiSS-1, as well as TNM stages should be considered as independently prognostic factors for overall survival time in CRC patients. Conclusion: Abnormal expression of ALDH1 and KiSS-1 should promote CRC infiltration and metastasis. The combined detection of expression of ALDH1 and KiSS-1 protein should play an important role in predicting the infiltration, metastasis, and prognosis of CRC patients at the early stage.
Keywords: colorectal carcinoma; acetaldehyde dehydrogenase 1; KiSS-1; immunohistochemistry; prognosis

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