大肠癌中C-Met VEGF及其受体KDR 的表达与预后的相关性*

The Relationship of the Expression of C-Met and VEGF and Its Receptor KDR with the Prognosis of Colorectal Carcinoma

  • 摘要: 目的:探讨C-Met 、VEGF及其受体KDR在大肠癌组织中的表达与预后的关系,为判断大肠癌患者预后提供参考。方法:应用免疫组织化学法检测60例大肠癌标本中C-Met 、VEGF及其受体KDR的表达情况。随访统计5 年生存率。结果:C-Met 、VEGF及其受体KDR在大肠癌组织中的表达阳性率分别为43.3% 、61.7% 及68.3% ;三者在大肠癌组织中的表达与患者的年龄及性别无明显相关(P>0.05),与肿瘤侵袭深度、是否淋巴结转移及Dukes分期密切相关(P 均<0.05)。 C-Met 、VEGF及KDR阳性者5年生存率分别为42.3% 、43.2% 及51.2% ,阴性者5 年生存率分别为73.5% 、87.0% 及78.9% ,两组差异有统计学意义(P<0.05)。 Cox回归生存分析显示:对于大肠癌患者,VEGF、KDR及C-Met 均是独立危险因素;联合检测VEGF、KDR及C-Met ,是预测大肠癌预后很好的指标。结论:C-Met 、VEGF及其受体KDR在大肠癌患者组织中的表达与大肠癌的发生、发展有关,三者均阳性表达提示患者预后差,可作为评价预后的指标。

     

    Abstract: Objective:To study the expression of C-Met, VEGF and its receptor KDR in colorectal carcinoma and their relationship with the prognosis of colorectal cancer. Methods:The expression of C-Met, VEGF and its receptor KDR in colorectal carcinoma tissue ( 60samples) were detected with immunohistochemisty. Follow-up was performed and5-year survival rate was analyzed.Results: The positive rate of C-Met, VEGF and its receptor KDR expression in colorectal carci-noma tissue was 43.3%,61.7% and 68.3%, respectively. The expression of C-Met, VEGF and its receptor KDR in colorec-tal carcinoma tissue was closely associated with the depth of invasion, lymph node metastasis and Dukes stage ( P<0.05), but was not related to patients' age or sex ( P>0.05). The five-year survival rate of patients with positive expression of C-Met, VEGF and its receptor KDR were42.3%,43.2% and 51.2%. The five-year survival rates of patients without C-Met, VEGF and its receptor KDR were 73.5% ,87.0% and 78.9% , respectively. The difference was statistically significant ( P<0.05). Cox regression analysis showed that C-Met, VEGF and its receptor KDR were risk factors. Combined detection of C-Met, VEGF and its receptor KDR provided useful information for prognosis prediction of colorectal cancer patients.Conclusion: The expression of C-Met, VEGF and its receptor KDR in colorectal carcinoma is correlated with tumor occurrence and development. Positive expression of the three indicies indicate poor prognosis.

     

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