临床肿瘤学杂志

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胃癌组织中粘附分子整合素CD11c的表达及对预后的影响

朱大伟1,陈俊俊2,裴红蕾2

  

  1. 1 213003江苏常州常州市第一人民医院科教科 2 213003常州市第一人民医院放射肿瘤科
  • 收稿日期:2013-03-10 修回日期:2013-06-15 出版日期:2013-09-30 发布日期:2013-09-30
  • 通讯作者: 裴红蕾

The expression of adhesion molecule CD11c in gastric cancer and its clinical significance

ZHU Dawei,CHEN Junjun,PEI Honglei   

  1. Department of Science and Technology, the First Peoples Hospital of Changzhou, Changzhou 213003, China
  • Received:2013-03-10 Revised:2013-06-15 Online:2013-09-30 Published:2013-09-30
  • Contact: PEI Honglei

摘要: 目的 探讨粘附分子整合素CD11c在胃癌组织中的表达及其与临床病理特征和预后的关系。方法 采用免疫组化染色法检测144例胃癌、10例胃炎和10例胃息肉组织中CD11c的表达水平,并分析影响预后的因素。 结果 胃癌组织中CD11c的表达水平为(9.9±6.4)个/HPF,明显高于胃炎组织的(5.1±1.8)个/HPF及胃息肉组织的(4.5±2.3)个/HPF。单因素分析显示,CD11c的表达水平与年龄、组织学类型、有无复发无关(P>0.05),与性别、肿瘤部位、肿瘤大小、浸润深度、淋巴结转移、病理分级和TNM分期有关(P<0.05)。CD11c高表达组的中位总生存时间(OS)为67.0个月(95%CI:39.0~112.0个月),低表达组为290个月(95%CI:21.0~39.0个月),差异有统计学意义(P<0.05)。Ⅲ、Ⅳ期患者中,CD11c高表达者中位OS较低表达者延长,差异有统计学意义(P<0.05)。Cox多因素分析显示,CD11c高表达组较低表达组死亡风险显著降低(RR=0.52,95%CI:0.29~0.94)。结论 CD11c表达水平与胃癌的预后有关,可以作为胃癌预后的指标。

Abstract: Objective To investigate the expression of adhesion molecule CD11c in gastric cancer tissues and the relevance with patients clinicopathologic features and prognosis. Methods The expression of CD11c in tissues from 144 gastric cancer patients,10 gastritis patients and 10 gastric polyp patients was detected by immunohistochemistry. The relationship between CD11c expression and clinicopathologic feature, prognosis of gastric cancer were also analyzed. Results The CD11c expression in gastric cancer tissues was (9.9±6.4)/HPF, significantly higher than (5.1±1.8)/HPF in gastritis and (4.5±2.3)/HPF in gastric polyps tissues. The CD11c expression level in gastric cancer tissues was positively correlated to gender,tumor location,tumor size,depth of invasion,lymph node metastasis,pathological grade and TNM stage,while it was not correlated to age,histological types and recurrence. The median overall survival(OS) of CD11c highly expressed group and lowly expressed group were 67.0 months(95% CI:39.0-112.0 months)and 29.0 months(95% CI:21.0-39.0 months) with statistical difference(P<0.05). Of gastric cancer patients with stage Ⅲ and Ⅳ, the median OS of CD11c highly expressed group was longer compared with lowly expressed group(P<0.05). Cox multivariate analysis showed the CD11c highly expressed group significantly reduced the risk of death compared with lowly expressed group(RR=0.52,95% CI:0.29-0.94). Conclusion The CD11c expression level was correlated to the prognosis of gastric cancer,and CD11c can act as an indicator for prognosis of gastric cancer.

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