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400038 重庆,陆军军医大学(第三军医大学)第一附属医院全军肝胆外科研究所
[张雷达,Email: zld666@aliyun.com ZHANG Leida, E-mail: zld666@aliyun.com
收稿:2022-09-30,
修回:2022-10-15,
纸质出版:2022-12-30
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刘泽宇, 罗袁登, 李勋, 等. GALNS蛋白在肝细胞癌中的临床意义及体外生物学功能[J]. 陆军军医大学学报, 2022,44(24):2514-2521.
Zeyu LIU, Yuandeng LUO, Xun LI, et al. Clinical significance and
刘泽宇, 罗袁登, 李勋, 等. GALNS蛋白在肝细胞癌中的临床意义及体外生物学功能[J]. 陆军军医大学学报, 2022,44(24):2514-2521. DOI: 10.16016/j.2097-0927.202209304.
Zeyu LIU, Yuandeng LUO, Xun LI, et al. Clinical significance and
目的
2
探讨N-乙酰半乳糖胺-6-硫酸盐硫酸酯酶(N-acetylgalactosamine-6-sulfatase
GALNS)在肝细胞癌(hepatocellular carcinoma
HCC)中的临床意义及体外生物学功能。
方法
2
采用回顾性队列研究,对2008年1月至2014年12月间在陆军军医大学第一附属医院收治的72例肝癌患者的肿瘤组织与癌旁组织,根据免疫组织化学染色(immunohistochemical staining
IHC)结果和临床病理资料,分析GALNS在肝细胞癌中的临床意义;通过细胞迁移及增殖实验检测GALNS在肝癌细胞中的体外生物学功能。观察指标:①肝癌组织和癌旁组织的GALNS表达情况以及其与临床病理特征的关系;②GALNS对肝癌患者生存分析及危险因素分析;③下调GALNS对肝癌细胞增殖与迁移的影响。
结果
2
① 肝癌组织中GALNS蛋白高表达和低表达分别为32例和40例,GALNS高表达与肿瘤长径、TNM分期、肝内转移有关,差异均有统计学意义(
χ
2
=20.649,14.849,5.667,
P
<
0.05);②收集陆军军医大学第一附属医院2008年至2014年间的72例患者,GALNS蛋白低表达和高表达肝癌患者,术后1、3、5年生存率分别为87.50%、42.50%、40.00%和37.50%、12.50%、3.13%。GALNS低表达组的生存率优于高表达组,两组比较差异有统计学意义(
χ
2
=9.268,
P
<
0.05);③GALNS(
HR
=2.502,95%
CI:
1.369~4.572,
P
=0.003)、远处转移(
HR
=1.908,95%
CI:
1.018~3.573,
P
=0.044)、血管侵犯(
HR
=2.361,95%
CI
: 1.267~4.398,
P
=0.007)和病理分期(
HR
=2.223,95%
CI
: 1.185~4.171,
P
=0.013)是肝细胞癌的独立危险因素;④下调GALNS可显著抑制肝癌细胞增殖与转移(
P
<
0.05)。
结论
2
GALNS在肝癌组织中高表达,是影响肝癌患者预后的独立危险因素,下调GALNS可抑制肝癌细胞的增殖与迁移。
Objective
2
To investigate the clinical significance and
in vitro
biological function of N-acetylgalactosamine-6-sulfate sulfatase (GALNS) in hepatocellular carcinoma (HCC).
Methods
2
A retrospective cohort study was conducted on 72 HCC patients in our hospital from January 2008 to December 2014. Their HCC tissues and para-cancerous tissues were collected and detected for GALNS expression with immunohistochemical staining. The clinical significance of GALNS in HCC was analyzed based on the results to immunohistochemical staining and clinicopathological data. The biological function of GALNS in HCC cell lines Huh7 and LM3 was detected by cell migration and proliferation assay after GALNS knockdown.
Results
2
① In the 72 HCC tissues
there were 32 samples with high and 40 with low expression of GALNS. Its high level was associated with tumor length
TNM stage and intrahepatic metastasis (
Chi
-square=20.649
14.849
5.667
P
<
0.05); ②The 1-
3- and 5-year survival rates of the 72 patients after surgical treatment were 87.50%
42.50% and 40.00%
respectively for those with low GALNS level
and 37.50%
12.50% and 3.13%
for those high expression level. The survival rate was significantly better in the low expression patients than those of high level (
Chi
-square=9.268
P
<
0.05); ③GALNS expression (HR=2.502
95%
CI
=1.369- 4.572
P
=0.003)
distant metastasis (HR=1.908
95%
CI
=1.018-3.573
P
=0.044)
vascular invasion (HR=2.361
95%
CI
=1.267-4.398
P
=0.044)
P
=0.007) and pathological stage (HR=2.223
95%
CI
=1.185-4.171
P
=0.013) were independent risk factors for HCC. ④Down-regulation of GALNS significantly inhibited the proliferation and metastasis of HCC cells (
P
<
0.05).
Conclusion
2
GALNS is highly expressed in liver cancer tissues and an independent risk factor for the prognosis of HCC patients. Downregulation of GALNS can inhibit the proliferation and migration of liver cancer cells.
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