背景与目的:编码原钙黏蛋白10(protocadherin-10,PCDH10)的PCDH10基因启动子甲基化与胃癌患者不良预后相关。但PCDH10表达水平与胃癌预后的关系不明确。该研究旨在分析PCDH10表达水平与胃癌预后及临床病理因素间的关系,寻找预测胃癌患...背景与目的:编码原钙黏蛋白10(protocadherin-10,PCDH10)的PCDH10基因启动子甲基化与胃癌患者不良预后相关。但PCDH10表达水平与胃癌预后的关系不明确。该研究旨在分析PCDH10表达水平与胃癌预后及临床病理因素间的关系,寻找预测胃癌患者复发及死亡风险的指标。方法:采用实时荧光定量聚合酶链反应(real-time fluorescent quantitative polymerase chain reaction,RTFQ-PCR)方法检测115对胃癌组织与相应癌旁组织PCDH10 m RNA的表达水平,分析PCDH10 m RNA的表达水平与预后及临床病理因素的关系。采用Logistic回归分析建立预测患者5年内复发或死亡风险的模型。结果:PCDH10 m RNA低表达组与非低表达组相比,无进展生存时间(progression-free survival,PFS)与总生存时间(overall survival,OS)显著延长(P值分别为0.046与0.033),淋巴结转移较少(P=0.001),TNM分期较早(P=0.001)。Cox单因素分析发现,Lauren分型、T分期、N分期、M分期及PCDH10 m RNA表达水平与PFS及OS显著相关。包含PCDH10作为参数的Logistic回归模型对胃癌患者术后5年内复发或死亡风险的预测效率与仅包含传统临床病理学参数的Logistic回归模型的预测效率相当。结论:PCDH10低表达胃癌患者淋巴结转移较少,TNM分期较早,预后较好,可以作为预测胃癌患者预后的辅助指标。基于PCDH10表达水平的Logistic回归模型可以在淋巴结转移情况不明时起到辅助判断患者预后的作用。展开更多
Objective:To study the effect of protocadherin 10 (PCDH10) on infiltrative growth and epithelial-mesenchymal transition of cancer cells in gastric cancer.Methods: The patients with gastric cancer who underwent surgica...Objective:To study the effect of protocadherin 10 (PCDH10) on infiltrative growth and epithelial-mesenchymal transition of cancer cells in gastric cancer.Methods: The patients with gastric cancer who underwent surgical resection in Panzhihua Central Hospital were selected as the research subjects, and the gastric cancer lesions and adjacent lesions were collected after surgical resection to determine the mRNA expression of PCDH10 gene and epithelial-mesenchymal transition genes as well as the protein levels of proteases and their inhibitory molecules.Results: PCDH10, TIMP1, TIMP2, RASAL2 and E-cadherin mRNA expression levels in gastric cancer lesions were significantly lower than those in adjacent lesions whereas Vav2, Vav3, CatB, MMP9, ZEB1, Twist1 and Vimentin contents were significantly higher than those in adjacent lesions;Vav2, Vav3, CatB, MMP9, ZEB1, Twist1 and Vimentin contents in gastric caner lesions with lower PCDH10 expression were significantly higher than those in gastric caner lesions with higher PCDH10 expression whereas TIMP1, TIMP2, RASAL2 and E-cadherin contents were significantly lower than those in gastric caner lesions with higher PCDH10 expression.Conclusion: The low expression of PCDH10 in gastric cancer can promote the infiltrative growth and epithelial-mesenchymal transition of cancer cells.展开更多
文摘背景与目的:编码原钙黏蛋白10(protocadherin-10,PCDH10)的PCDH10基因启动子甲基化与胃癌患者不良预后相关。但PCDH10表达水平与胃癌预后的关系不明确。该研究旨在分析PCDH10表达水平与胃癌预后及临床病理因素间的关系,寻找预测胃癌患者复发及死亡风险的指标。方法:采用实时荧光定量聚合酶链反应(real-time fluorescent quantitative polymerase chain reaction,RTFQ-PCR)方法检测115对胃癌组织与相应癌旁组织PCDH10 m RNA的表达水平,分析PCDH10 m RNA的表达水平与预后及临床病理因素的关系。采用Logistic回归分析建立预测患者5年内复发或死亡风险的模型。结果:PCDH10 m RNA低表达组与非低表达组相比,无进展生存时间(progression-free survival,PFS)与总生存时间(overall survival,OS)显著延长(P值分别为0.046与0.033),淋巴结转移较少(P=0.001),TNM分期较早(P=0.001)。Cox单因素分析发现,Lauren分型、T分期、N分期、M分期及PCDH10 m RNA表达水平与PFS及OS显著相关。包含PCDH10作为参数的Logistic回归模型对胃癌患者术后5年内复发或死亡风险的预测效率与仅包含传统临床病理学参数的Logistic回归模型的预测效率相当。结论:PCDH10低表达胃癌患者淋巴结转移较少,TNM分期较早,预后较好,可以作为预测胃癌患者预后的辅助指标。基于PCDH10表达水平的Logistic回归模型可以在淋巴结转移情况不明时起到辅助判断患者预后的作用。
文摘Objective:To study the effect of protocadherin 10 (PCDH10) on infiltrative growth and epithelial-mesenchymal transition of cancer cells in gastric cancer.Methods: The patients with gastric cancer who underwent surgical resection in Panzhihua Central Hospital were selected as the research subjects, and the gastric cancer lesions and adjacent lesions were collected after surgical resection to determine the mRNA expression of PCDH10 gene and epithelial-mesenchymal transition genes as well as the protein levels of proteases and their inhibitory molecules.Results: PCDH10, TIMP1, TIMP2, RASAL2 and E-cadherin mRNA expression levels in gastric cancer lesions were significantly lower than those in adjacent lesions whereas Vav2, Vav3, CatB, MMP9, ZEB1, Twist1 and Vimentin contents were significantly higher than those in adjacent lesions;Vav2, Vav3, CatB, MMP9, ZEB1, Twist1 and Vimentin contents in gastric caner lesions with lower PCDH10 expression were significantly higher than those in gastric caner lesions with higher PCDH10 expression whereas TIMP1, TIMP2, RASAL2 and E-cadherin contents were significantly lower than those in gastric caner lesions with higher PCDH10 expression.Conclusion: The low expression of PCDH10 in gastric cancer can promote the infiltrative growth and epithelial-mesenchymal transition of cancer cells.