[1]龚 磊,吕真冰,喻 晶,等.SIRT1、Phospho-SIRT1在结肠癌组织中的表达及临床意义*[J].陕西医学杂志,2020,49(3):274-278.
 GONG Lei,LV Zhenbing,YU Jing,et al.Expression and clinical significance of SIRT1 and Phospho-SIRT1 in colon cancer tissues[J].,2020,49(3):274-278.
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SIRT1、Phospho-SIRT1在结肠癌组织中的表达及临床意义*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年3期
页码:
274-278
栏目:
基础研究
出版日期:
2020-03-05

文章信息/Info

Title:
Expression and clinical significance of SIRT1 and Phospho-SIRT1 in colon cancer tissues
文章编号:
DOI:〖HT5K〗10.3969/j.issn.10007377.2020.03.004
作者:
龚 磊1吕真冰1喻 晶1任明扬1田云鸿1彭 洪2△
1.川北医学院第二临床学院(四川省南充市中心医院)胃肠外科(南充 637000); 2.川北医学院第二临床学院(四川省南充市中心医院)中西医结合肛肠科(南充 637000)
Author(s):
GONG LeiLV ZhenbingYU Jinget al.
The Second Clinical College of North Sichuan Medical College(Gastrointestinal Surgery,Nanchong Central Hospital,Sichuan Province)(Nanchong 637000)
关键词:
结肠癌 SIRT1 Phospho-SIRT1 TNM分期 淋巴结转移
Keywords:
Colon cancer SIRT1 Phospho-SIRT1 TNM stage Lymph node metastasis
分类号:
R363.2
文献标志码:
A
摘要:
目的:探讨沉默信息调节因子同源类似物1(SIRT1)和磷酸化沉默信息调节因子同源类似物1(Phospho-SIRT1)在结肠癌组织中的表达及临床意义。方法:选取行手术切除的结肠癌存档蜡块和癌旁正常组织(距病变部位>5cm处,且证实为无癌浸润)石蜡标本各60例。采用Western blot法检测结肠癌组织中SIRT1、Phospho-SIRT1水平,并分析结肠癌患者3年生存率影响因素。结果:SIRT1、Phospho-SIRT1在结肠癌组织中的阳性表达率均高于癌旁正常组织(P<0.05)。TNM分期I~II期的患者SIRT1、Phospho-SIRT1阳性表达率均低于Ⅲ~Ⅳ期患者(P<0.05); P53阳性患者SIRT1阳性表达率低于P53阴性患者,Ki67阳性患者Phospho-SIRT1阳性表达率高于Ki67阴性患者(P<0.05)。单因素分析显示,TNM分期I~II期的患者3年生存率高于Ⅲ~Ⅳ期患者(P<0.05),淋巴结有转移的患者3年生存率低于淋巴结无转移患者(P<0.05); SIRT1、Phospho-SIRT1阳性患者3年生存率均低于阴性患者,差异均有统计学意义(P<0.05)。多因素分析显示,TNM Ⅲ~Ⅳ分期、淋巴结有转移、SIRT1和Phospho-SIRT1阳性表达是影响结肠癌患者预后的独立危险因素(P<0.05)。结论:SIRT1、Phospho-SIRT1在结肠癌组织中的表达均高于癌旁正常组织; SIRT1、Phospho-SIRT1水平与患者的TNM分期和淋巴结转移有关; 其中SIRT1水平与患者P53蛋白表达相关,Phospho-SIRT1水平与患者的Ki67蛋白表达相关; TNM分期、淋巴结转移、SIRT1、Phospho-SIRT1四个因素是影响结肠癌患者预后生存的关键。
Abstract:
Objective:To explore expression and clinical significance of silent information regulator homologues 1(SIRT1)and phosphorylation SIRT1(Phospho-SIRT1)in colon cancer tissues.Methods:Sixty archived paraffin blocks of colon cancer surgically removed in our hospital and sixty paraffin specimens of adjacent normal tissues(more than 5 cm from the lesion and confirmed to be cancer-free infiltration)were enrolled.The levels of SIRT1 and Phospho-SIRT1 in colon cancer tissues were detected by Western blot.The influencing factors of 3-year survival rate of colon cancer patients were analyzed.Results:The positive expression rates of SIRT1 and Phospho-SIRT1 in colon cancer tissues were higher than those in adjacent normal tissues(P<0.05).The positive expression rates of SIRT1 and Phospho-SIRT1 in patients with TNM stage Ⅰ to Ⅱ were lower than those with TNM stage Ⅲ to Ⅳ(P<0.05).The positive expression rate of SIRT1 in patients with positive P53 was lower than that with negative P53.The positive expression rate of Phospho-SIRT1 in patients with positive Ki67 was higher than that with negative Ki-67(P<0.05).Univariate analysis showed that 3-year survival rate of patients with TNM stage Ⅰ to Ⅱ was higher than that of patients with stage Ⅲ to Ⅳ(P<0.05).The 3-year survival rate of patients with lymph node metastasis was lower than that of patients without lymph node metastasis(P<0.05).The 3-year survival rate of patients with positive SIRT1 and Phospho-SIRT1 was lower than that of patients with negative SIRT1 and Phospho-SIRT1(P<0.05).Multivariate analysis showed that TNM stage Ⅲ to Ⅳ,lymph node metastasis,positive expression of SIRT1 and Phospho-SIRT1 were independent risk factors influencing prognosis of patients with colon cancer(P<0.05).Conclusion:The expression of SIRT1 and Phospho-SIRT1 in colon cancer tissues is higher than that in adjacent normal tissues.The levels of SIRT1 and Phospho-SIRT1 are related to TNM staging and lymph node metastasis of patients.The level of SIRT1 is related to the expression of P53 protein.The level of Phospho-SIRT1 is related to the expression of Ki67 protein,TNM staging,lymph node metastasis,SIRT1,and Phospho-SIRT1 are key factors influencing prognosis of patients with colon cancer.

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备注/Memo

备注/Memo:
*四川省卫生健康委员会科研课题(1100478);川北医学院校级科研发展计划项目( CBY18-A-ZD13)
更新日期/Last Update: 2020-03-25