CCN家族成员CYR61 NOV mRNA在胃癌中的表达及意义

Expression and Significance of the CCN Family Members CYR61 and NOV in Human Gastric Carcinoma

  • 摘要: 目的 :探讨CCN家族成员CYR61(cysteine-rich61)mRNA和NOV(nephroblastoma overexpressed genes)mRNA在胃癌中的表达及其与胃癌发生、发展及预后的关系。 方法 :合成地高辛标记的cRNA探针,在组织芯片上进行原位杂交,检测100 例胃癌组织和25 例正常胃粘膜组织中CYR61 mRNA 和NOV mRNA 的表达情况。 结果 :CYR61 mRNA在正常胃粘膜和胃癌组织中的表达率分别为4.0%(1/25)和37.0%(37/100),两者之间有显著性差异(P=0.001);NOV mRNA在正常胃粘膜和胃癌组织中的表达率分别为64.0%(16/25)和52.0%(52/100),两者差异不显著(P=0.244)。CYR61 mRNA在胃癌中的表达增高与肿瘤大小(r=0.318,P=0.001)、浸润深度(r=0.235,P=0.014)、TNM分期(r=0.331,P=0.007)、淋巴结转移(r=0.285,P=0.004)和脉管侵犯(r=0.292,P=0.004)呈正相关;与胃癌的分化程度无关(r=0.037,P=0.709);CYR61 mRNA阳性表达的胃癌患者5年生存率低于阴性表达者(P=0.000)。相反,NOV mRNA的表达减低与胃癌的浸润深度(r=-0.262,P=0.009)和分化程度(r=-0.244,P=0.015)呈负相关;与肿瘤大小(r=-0.050,P=0.619)、TNM 分期(r=-0.080,P=0.317)、淋巴结转移(r=-0.120,P=0.232)和脉管侵犯(r=-0.062,P=0.537)无关;且NOV mRNA表达情况与胃癌患者的生存时间无明显相关性(P=0.052)。 结论 :在胃癌发生、发展过程中,CYR61可能发挥了促进作用,而NOV可能具有抑制因子的作用。

     

    Abstract: Objective : To study the mRNA expression of the CCN family members CYR61 (cysteine-rich61) andNOV (nephroblastoma overexpressed genes) in gastric cancer and the relationship between their expressionand the occurrence, development and prognosis of gastric cancer. Methods : A tissue microarray (TMA) wasprepared and c-RNA probes were synthesized. In situ hybridization (ISH) was then performed on TMA chipsto examine the expression of CYR61 and NOV mRNA in 25 samples of normal gastric mucosa and 100 gastric carcinoma specimens. Results : The expression rates of CYR61 mRNA in normal gastric mucosa tissueand gastric cancer tissue were 4% and 37%, respectively, with a statistical significance (P=0.001). The expression rate of NOV mRNA was 64% in normal tissues and 52% in tumor tissues, with no significant difference(P=0.244). CYR61 mRNA expression level was increased in the cases with a larger tumor diameter (r=0.318,P=0.001), higher invasion depth r=0.235, P=0.014), more advanced TNM stage (r=0.331, P=0.007), lymphaticmetastasis (r=0.285, P=0.004) and vessel metastasis (r=0.292, P=0.004). However, there was no relationshipbetween CYR61 mRNA expression and the differentiation of gastric cancer (r=0.037, P=0.709). The mean survival time and 5-year survival rate in cases with positive CYR61 mRNA expression were significantly lowerthan those seen in cases with negative CYR61 mRNA expression (P=0.000). The prognosis of the cases withpositive CYR61 mRNA expression was poor. In contrast, NOV mRNA expression level was decreased remarkably in the cases with higher invasion depth (r=-0.262, P=0.009) and lower differentiation grade (r=-0.244, P=0.015). However, there was no significant relationship between NOV mRNA expression and tumor diameter(r=-0.050, P=0.619), TNM stage (r=-0.080, P=0.317), lymphatic metastasis (r=-0.120, P=0.232), vessel metastasis (r=-0.062, P=0.537) or survival time (P=0.052). NOV could not act as an indicator of gastric cancer prognosis. Conclusion : CYR61 appears to be a promoter of the growth, invasion and metastasis of gastric cancer,while NOV may act as an inhibitor.

     

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