癌变·畸变·突变 ›› 2017, Vol. 29 ›› Issue (6): 427-430,436.doi: 10.3969/j.issn.1004-616x.2017.06.005

• 论著 • 上一篇    下一篇

跨膜4超家族成员1在原发性肝细胞癌组织中的表达及其对患者预后的影响

彭威, 邱氟   

  1. 中南大学湘雅三医院普外科, 湖南 长沙 410013
  • 收稿日期:2017-04-02 修回日期:2017-09-28 出版日期:2017-11-30 发布日期:2017-11-30
  • 通讯作者: 邱氟,E-mail:qiuffu@163.com E-mail:qiuffu@163.com
  • 作者简介:彭威,E-mail:pengweixy@163.com。
  • 基金资助:
    湖南省重点研发计划项目(2015JC3003)

Expression and prognostic influence of TM4SF1 in hepatocellular carcinoma

PENG Wei, QIU Fu   

  1. Department of General Surgery, Xiangya Third Hospital, Central South University, Changsha 410013, Hunan, China
  • Received:2017-04-02 Revised:2017-09-28 Online:2017-11-30 Published:2017-11-30

摘要: 目的:探讨跨膜4超家族成员1(TM4SF1)在原发性肝细胞癌(HCC)组织中的表达及其与HCC患者预后的关系。方法:用免疫组织化学方法检测TM4SF1在120例HCC组织和相应癌旁组织,以及30例非恶性肿瘤患者正常肝组织(正常对照组)中的表达,并分析其与HCC患者临床病理指标及预后的关系。结果:TM4SF1在肝癌组织中的表达明显高于癌旁组织及正常对照肝组织(P均 < 0.01)。TM4SF1在甲胎蛋白(AFP)高水平组、有淋巴结转移组、有门静脉癌栓(PVTT)组、临床TNM分期Ⅲ-Ⅳ期组、分化程度低-未分化组、术后转移组、复发组的表达分别高于AFP低水平组、无淋巴结转移组、无PVTT组、Ⅰ-Ⅱ期组、高-中分化组、术后无转移组、无复发组(P均 < 0.05)。TM4SF1高表达组的无瘤生存期和总生存期明显短于低表达组(P均 < 0.01)。TM4SF1高表达、PVTT、TNM分期Ⅲ-Ⅳ期是无瘤生存期和总生存期的独立风险因素(P均 < 0.05)。结论:TM4SF1在HCC中高表达,并参与HCC发生、发展过程。TM4SF1的表达水平可能作为判断HCC预后的指标。

关键词: 跨膜4超家族成员1, 肝细胞癌, 复发, 预后

Abstract: OBJECTIVE:To investigate the expression of TM4SF1 and its prognostic value in hepatocellular carcinoma (HCC) patients. METHODS:Immunohistochemistry was performed to determine the expression levels of the TM4SF1 protein in 120 cases of HCC cancerous tissues and their adjacent noncancerous tissues,as well as 30 normal liver tissues from patients without malignant tumors. Associations between TM4SF1 and clinicopathological features as well as prognosis of HCC patients were analyzed. RESULTS:Expression of TM4SF1 in HCC cancerous tissues was significantly higher than noncancerous tissues(P < 0.01). Expression was higher in the high level AFP,lymph node metastasis,PVTT,stages Ⅲ-Ⅳ,poorly differentiated,recurrence,and distant metastasis groups than the low level AFP,without lymph node metastasis,without PVTT,stages Ⅰ-Ⅱ,high differentiated,no recurrence,and no distant metastasis groups (P < 0.05). The high expression levels of TM4SF1 protein were associated with shorter DFS and OS after surgery (P < 0.01). High TM4SF1 level,PVTT,stage Ⅲ-Ⅳ were independent predictors for DFS and OS (P < 0.05). CONCLUSION:TM4SF1 was highly expressed in HCC tissues therefore it may play an important role in HCC carcinogenesis. High TM4SF1 is potentially valuable for prognosis of HCC.

Key words: transmembrane 4 superfamily member1, hepatocellular carcinoma, recurrence, prognosis

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