摘要
目的探讨结直肠癌组织中酰基辅酶A去饱和酶1(SCD-1)的表达及其临床意义。方法收集2014年12月至2017年12月手术切除的77对结直肠癌组织和癌旁组织,采用免疫组化SP法检测上述组织中SCD-1的表达情况,分析其表达差异及与临床病理特征的关系。结果 SCD-1主要表达于细胞浆和胞膜。在结直肠癌组织中SCD-1的阳性表达率为66.2%(51/77),高于癌旁正常组织的13.0%(10/77),差异有统计学意义(P<0.05)。SCD-1表达与性别、年龄、分化程度和部位均无关(P>0.05),而与肿瘤大小、浸润深度、淋巴结转移和TNM分期有关(P<0.05)。其中肿瘤较大(≥5 cm)、浸润较深(T_3+T_4)、淋巴结转移和分期较晚(Ⅲ+Ⅳ)的组织中SCD-1阳性表达率分别为80.6%(29/36)、72.9%(43/59)、78.6%(33/42)和78.0%(32/41),均高于肿瘤较小(<5 cm)、浸润较浅(T_1+T_2)、无淋巴结转移和分期较早(Ⅰ+Ⅱ)组织的53.7%(22/41)、44.4%(8/18)、51.4%(18/35)和52.8%(19/36),差异均有统计学意义(P<0.05)。结论 SCD-1蛋白高表达可能参与结直肠癌的发生、发展,SCD-1表达可能是肿瘤进展的潜在标志物。
Objective To investigate the expression and clinical significance of stearoy1-COA desaturase-1(SCD-1) in colorectal cancer tissues. Methods Seventy-seven pairs of colorectal cancer tissues and adjacent tissues were collected from December 2014 to December 2017. The expression of SCD-1 in the above tissues was detected by immunohistochemical SP method. The difference of SCD-1 expression and its relationship with clinicopathological features were analyzed. Results SCD-1 was mainly expressed in cytoplasm and cell membrane by immunohistochemistry. The positive rate of SCD-1 expression was 66.2%(51/77) in colorectal cancer tissues, higher than 13.0%(10/77) of adjacent tissues with significant difference(P<0.05). The expression of SCD-1 was not related to gender, age, differentiation and tumor location(P>0.05), but associated with tumor size, depth of invasion, lymphnode metastasis and TNM staging(P<0.05). The positive expression rates of SCD-1 in tumors of ≥5 cm in size, deep infiltration(T_3+T_4), lymph node metastasis and late staging(Ⅲ+Ⅳ) were 80.6%(29/36), 72.9%(43/59), 78.6%(33/42) and 78.0%(32/41), higher than 53.7%(22/41), 44.4%(8/18), 51.4%(18/35) and 52.8%(19/36) in corresponding tumors of small tumors(<5 cm), superficial infiltration(T_1+T_2), non-lymph node metastasis and early staging(Ⅰ+Ⅱ) with statistical significance(P<0.05). Conclusion The elevated expression of SCD-1 may be involved in the development of colorectal cancer, and SCD-1 may be a potential marker for tumor progression.
引文
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