摘要
目的:分析髓样分化因子88(MyD88)在结直肠癌患者癌组织和癌旁组织中的表达,探讨其表达与结直肠癌患者临床病理参数和预后的关系,阐明MyD88表达的临床意义。方法:收集90例结直肠癌患者的癌组织及其相对应的癌远旁组织标本并分析其临床病理资料,免疫组织化学法检测MyD88在结直肠癌及癌远旁组织中的表达,应用Image-Pro Plus 6.0软件半定量分析MyD88在不同组织中的表达水平,采用Kaplan-Meier法对90例结直肠癌患者进行生存分析。结果:MyD88在结直肠癌组织中的表达水平明显高于癌远旁组织(P<0.01);MyD88表达水平与结直肠癌患者年龄、性别、肿瘤大小和组织学分化无明显关联(P>0.05),MyD88表达水平与结直肠癌患者临床分期、T分期、M分期和淋巴结转移状态有关联(P<0.05);MyD88高表达组结直肠癌患者生存率明显低于MyD88低表达组(P<0.05)。结论:MyD88在结直肠癌患者癌组织中高表达,且与患者的临床分期、T分期、M分期和淋巴结转移状态有关联。
Objective:To analyze the expressions of myeloid differentiation factor 88(MyD88)in cancer tissue and adjacent tissue of the patients with colorectal cancer and to explore the relationships between its expression and the clinicopathological parameters and the prognosis of the patients with colorectal cancer,and to clarify the clinical significance of MyD88 expression.Methods:A total of 90 cases of tumor tissue and adjacent tissue of the patients with colorectal cancer were collected and their clinical pathological materials were analyzed.The expressions of MyD88 in tumor tissue and adjacent tissue of the colorectal cancer patients were detected by immunohistochemistry.The expression levels of MyD88 in different tissues were analyzed by Image-Pro Plus 6.0 software.Kaplan-Meier method was used for survival analysis in the 90 patients with colorectal cancer.Results:The expression level of MyD88 in colorectal cancer tissue was significantly higher than that in adjacent colorectal cancer tissue(P<0.001).The MyD88 expression level had no correlations with the age,gender,tumor size and histologreal differentiation of the patients with colorectal cancer(P<0.05).The MyD88 expression level had correlations with the clinical stage,T stage,M stage and lymph node metastasis(P<0.05).The survival rate of the patients with colorectal cancer with higher expression of MyD88 was significantly lower than that of the patients with colorectal cancer with low expression of MyD88(P<0.05).Conclusion:MyD88 is highly expressed in colorectal cancer tissue and it is associated with the clinical stage,T stage,M stage,and the situation of lymph node metastasis of the patients with colorectal cancer.
作者
朱广伟
郑炜
黄永建
华进
杨树钢
叶建新
ZHU Guangwei;ZHENG Wei;HUANG Yongjian;HUA Jin;YANG Shugang;YE Jianxin(Department of Gastrointestinal Surgery 2 Section,First Affiliated Hospital,Fujian Medical University;Key Laboratory of Gastrointestinal Cancer Ministry of Education,Fujian Medical University,Fuzhou 350005,China)
出处
《吉林大学学报（医学版）》
CAS
CSCD
北大核心
2018年第5期1047-1051,共5页
Journal of Jilin University：Medicine Edition
基金
国家自然科学基金青年基金资助课题(81702424)
福建省科技厅自然科学基金资助课题(2017J01279)
福建省卫计委青年科研项目资助课题(2017-1-51)
关键词
结直肠肿瘤
髓样分化因子88
淋巴结转移
预后
colorectal neoplasms
myeloid differentiation factor 88
lymph node metastasis
prognosis
