欢迎访问《岭南现代临床外科》官方网站,今天是

岭南现代临床外科 ›› 2021, Vol. 21 ›› Issue (06): 608-613.DOI: 10.3969/j.issn.1009-976X.2021.06.004

• 论著与临床研究 • 上一篇    下一篇

NEK7在原发性肝细胞肝癌患者中表达及其临床意义

宋燕州1, 康志龙1, 苏一男1, 张毅明1, 赵新1, 李志伟1, 李伟2,*   

  1. 1.深圳市第三人民医院(南方科技大学第二附属医院)肝胆外科,广东深圳 518000;
    2.连云港市第一人民医院(徐州医科大学附属连云港医院)肝胆外科,江苏连云港 222000
  • 通讯作者: * 李伟,Email:wli@njmu.edu.cn
  • 基金资助:
    连云港市第五期“521工程”科研项目(LYG52105-2018074)

Expression of NEK7 in patients with primary hepatocellular carcinoma and its clinical significance

SONG Yan-zhou1, KANG Zhi-long1, SU Yi-nan1, ZHANG Yi-ming1, ZHAO Xin1, LI Zhi-wei1, LI Wei2   

  1. 1. Department of Hepatobiliary Surgery, The Third People's Hospital of Shenzhen (The Second Affiliated Hospital of Southern University of Science and Technology), Shenzhen, Guangdong 518000 China;
    2. Department of Hepatobiliary Surgery, The First People's Hospital of Lianyungang(The Affiliated Lianyungang Hospital of Xuzhou Medical University), Lianyungang, Jiangsu 222000, China
  • Received:2021-03-26 Online:2021-12-20 Published:2022-01-19
  • Contact: LI Wei, wli@njmu.edu.cn

摘要: 目的 探究肝癌患者NEK7表达情况与患者临床生物学特征及预后的关系。方法 基于TCGA数据库提供的肝癌mRNA数据,以Cox回归及LASSO筛查选择重要的预后变量,Spearman相关性分析进行肝癌预后密切相关分子与NEK7表达的相关性分析。免疫组化检验肝癌标本癌组织、癌旁组织及非肿瘤肝脏组织中的NEK7表达的差异性,分析其不同表达情况与肝癌患者病理学特征之间的关系,并探究其不同表达水平肝癌患者预后差异性。结果 与肝癌预后密切相关的mRNA分子CCDC21及GTF3C2与NEK7之间的表达具有显著的相关性,单因素分析表明影响肝癌患者预后的因素主要有肿瘤分化程度、是否合并癌栓及NEK7表达情况,相较于癌旁组织及正常肝脏组织,肝癌组织中NEK7表达显著升高,且其表达水平及强度与肝癌分化程度、Child分级及是否合并有癌栓相关,高表达NEK7的肝癌患者,其生存时间较低表达者显著缩短。结论 肝癌患者预后因素主要有肿瘤分化程度、是否合并癌栓及NEK表达情况。NEK7在肝癌组织呈高表达状态,其表达水平及强度与肿瘤组织分化程度、Child分级及是否合并有癌栓相关,阳性表达NEK7肝癌患者生存时间显著缩短。

关键词: 原发性肝细胞肝癌, NEK7, 预后分析

Abstract: Objective To explore the relationship between the expression of NEK7 in clinical cases and the clinical biological characteristics and prognosis of liver cancer patients. Methods Based on the liver cancer mRNA data provided by the TCGA database, Cox regression and LASSO screening were used to select important prognostic variables, and Spearman correlation analysis between the expression of NEK7 and closely related molecules for the prognosis of liver cancer was performed. Immumohistochemical staining was used to test the differences in NEK7 expression in cancer tissues, adjacent tissues and non-tumor liver tissues of liver cancer specimens, and the relationship between their different expressions and the pathological characteristics of liver cancer patients was analyzed. We also explored the prognostic differences of patients with different expression levels of liver cancer. Results The expression of mRNA molecules CCDC21 and GTF3C2, which closely related to the prognosis of liver cancer, had a significant correlation with NEK7. Univariate analysis showed that the factors affecting the prognosis of liver cancer patients were mainly the degree of tumor differentiation, whether there were tumor thrombi and NEK7 expression. The expression of NEK7 in liver cancer tissues was significantly increased in cancer tissues, and its expression level and intensity were related to degree of liver cancer differentiation, Child stage and whether there are cancer emboli. In patients with liver cancer that overexpressed NEK7, their survival time was significantly reduced. Conclusion There is a significant correlation between NEK7 and mRNA molecules closely related to the prognosis of liver cancer. The prognostic factors of patients with liver cancer mainly include the degree of tumor differentiation, whether it is associated with tumor thrombus and the expression of NEK. NEK7 is highly expressed in liver cancer tissues, and its expression level and intensity are related to degree of liver cancer differentiation, Child stage and whether there are cancer emboli. Survival analysis shows that patients with positive expression of NEK7 have significantly shorter survival time.

Key words: primary hepatocellular carcinoma, NEK7, prognostic analysis

中图分类号: