临床肿瘤学杂志

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HOXB9在胃癌组织中的表达及其预后意义

顾勇1,杨艳2,沙素梅1,李娜1
  

  1. 1 710054 西安 武警陕西总队医院消化内科 2 710032 第四军医大学西京消化病医院四科
  • 收稿日期:2015-06-18 修回日期:2015-08-28 出版日期:2015-11-30 发布日期:2015-11-30
  • 通讯作者: 顾勇

Expression and prognostic value of nuclear HOXB9 in gastric cancer tissue

GU Yong, YANG Yan, SHA Sumei, LI Na   

  1. Digestive System Department,Shaanxi Provincial Crops Hospital of Chinese Peoples Armed Police Force, Xi'an 710054, China
  • Received:2015-06-18 Revised:2015-08-28 Online:2015-11-30 Published:2015-11-30
  • Contact: GU Yong

摘要:

目的探讨HOXB9蛋白在胃癌组织中的表达及临床意义,分析其在胃癌预后中的意义。
方法收集胃癌组织及相匹配的癌旁组织190例,采用免疫组化SP法检测HOXB9蛋白的表达,分析其表达与临床病理特征和预后的关系。结果 HOXB9蛋白在胃癌及癌旁组织中的阳性表达率分别为45.3%(86/190)和95.8%(182/190),差异有统计学意义(P<0.001)。HOXB9蛋白表达与性别、年龄无关,而与分化程度
、病理分期、淋巴结转移有关(P<0.05)。全组患者中位总生存期(OS)为31个月,HOXB9阴性表达和阳性表达患者的中位OS分别为26个月和36个月(P<0.05)。Cox多因素分析显示,HOXB9是影响胃癌预后的独立因素。结论 HOXB9可能参与胃癌的发生、发展,有望成为胃癌预后的预测指标。

Abstract:

Objective To investigate the expression of HOXB9 in gastric cancer tissues and its correlation with clinicopathological features, and to analyze its prognostic value in patients with gastric cancer. Methods Immunohistochemical SP method was used to detect the expression of HOXB9 in 190 gastric cancer tissues and adjacent normal tissues. And the correlation of its expression with clinicopathological features and prognosis was studied. Results The positive rate of HOXB9 was 95.8%(182/190) and 45.3%(86/190) in adjacent normal tissue and gastric cancer tissue(P<0.001). The expression of HOXB9 was associated with histological differentiation, TNM stage and lymph node metastasis,but not with gender and age. The median overall survival(OS) of gastric cancer patients was 31 months, and the patients with HOXB9 positive expression was 26.0 months, 1ower than 36.0 months of patients with negative expression(P<0.005). Cox proportional hazards model revealed that HOXB9 expression was an independent prognostic factor for postoperative survival of gastric cancer. Conclusion HOXB9 may be involved in the occurrence and development of gastric cancer. HOXB9 may serve as an prognostic biomarker for the survival of patients with gastric cancer.

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