C-FOS、MMP-11在喉鳞状细胞癌中表达及其与预后相关性

    Expression of C-FOS and MMP-11 in LSCC and their correlation with postoperative recurrence

    • 摘要:
      目的: 探讨喉鳞状细胞癌(LSCC)组织中原癌基因蛋白C-FOS、基质金属蛋白酶-11(MMP-11)表达,并分析其与病人预后相关性。
      方法: 选择LSCC病人98例,取肿瘤组织(LSCC组)和癌旁组织(癌旁组),并选取30例正常黏膜组织作为对照(对照组)。比较3组C-FOS、MMP-11表达情况,分析C-FOS、MMP-11阳性表达与LSCC临床特征相关性及其对LSCC复发的预测价值。
      结果: LSCC组、癌旁组和对照组C-FOS、MMP-11表达阳性率间差异均有统计学意义(P < 0.01)。不同TNM分期、组织学分级和淋巴结转移情况的LSCC病人C-FOS、MMP-11表达阳性率差异均有统计学意义(P < 0.05 ~ P < 0.01)。随访12个月,复发组LSCC病人MMP-11表达阳性率与未复发组差异有统计学意义(P < 0.05)。ROC曲线分析显示,C-FOS、MMP-11及二者联合预测LSCC复发AUC分别为0.631、0.613、0.656。
      结论: LSCC病人C-FOS和MMP-11表达阳性率升高,且阳性率与病人TNM分期、分化程度及淋巴结转移相关,C-FOS和MMP-11对LSCC病人复发有一定预测价值。

       

      Abstract:
      Objective Expression of proto-oncogene protein C-FOS and matrix metalloproteinase-11 (MMP-11) in laryngeal squamous cell carcinoma (LSCC) tissues and their correlation with patient prognosis;
      Methods A total of 98 LSCC patients were selected, and samples were collected from tumor tissues (LSCC group) and adjacent cancer tissues (para-carcinoma group). Additionally, 30 cases of normal mucosa tissues were selected as controls (control group). The expression of C-FOS and MMP-11 was compared among the three groups, and the correlation between positive expression of C-FOS and MMP-11 with LSCC clinical characteristics and their predictive value for LSCC recurrence was analyzed.
      Results Statistically significant differences were observed in the positive expression rates of C-FOS and MMP-11 among the LSCC group, para-carcinoma group, and control group (P < 0.01). The positive expression rates of C-FOS and MMP-11 showed statistically significant differences among LSCC patients with different TNM stages, histological grades, and lymph node metastasis status (P < 0.05 to P < 0.01). After 12 months of follow-up, there was a statistically significant difference in the positive expression rate of MMP-11 between the recurrence group and non-recurrence group of LSCC patients (P < 0.05). ROC curve analysis showed that the AUC values for predicting LSCC recurrence were 0.631, 0.613, and 0.656 for C-FOS, MMP-11, and their combination, respectively.
      Conclusion The positive expression rates of C-FOS and MMP-11 are elevated in LSCC patients and are correlated with TNM stage, differentiation degree, and lymph node metastasis. C-FOS and MMP-11 have certain predictive value for recurrence in LSCC patients.

       

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