血清中肝细胞生长因子含量对非小细胞肺癌的影响

The Relationship of Serum HGF Content and the Prognosis of Patients with Non-small Cell Lung Cancer

  • 摘要: 目的:探讨血清中肝细胞生长因子(HGF)含量对非小细胞肺癌(NSCLC)的影响。方法:用ELASA方法测定12例肺良性疾患和54例非小细胞肺癌(NSCLC)患者血清中肝细胞生长因子(HGF)含量在术前及术后第1、3、7、14天的变化,测定12例健康者血清中HGF含量。结果:12例健康者和12例肺良性疾病患者血清中都有微量的肝细胞生长因子(HGF),而肺癌患者血清中HGF含量(470.7±378.4pg/ml)明显高于正常健康者和肺良性疾病患者(P<0.05),其含量与病理类型、病理组织分级和临床分期、淋巴结转移情况无关。2年随访46例中死亡16例,其血清HGF含量明显高于30例生存者(P<0.05),21例血清HGF≥400pg/ml,其生存率明显低于<400pg/ml者(P<0.05)。66例手术患者术后血清HGF含量明显升高,术后第3天达高峰,而且肺癌患者术后第3天血HGF含量明显高于肺良性疾病(P<0.05)。术后第7、14天逐渐下降,而16例死亡病例术后第14天血清HGF仍明显高于术前(P<0.05)。结论:增高的血清HGF在肺癌中预示了一种更具有侵袭性的生物学行为。血清HGF含量水平可作为早期肺癌患者的高危因素指标。术后2周血HGF含量对指导预后更有意义。血清HGF含量400pg/ml可望成为不良预后指标的参照值。

     

    Abstract: Objective : To study the relationship of serum HGF content and survival on NSCLCpatients. Methods : We measured serum HGF content in 12 normal healthy people and 12 lung benigndisease patients, and 54 NSCLC patients using ELISA to determine the variation of HGF content beforeoperation and at day 1,3,7,14 pos-surgery. Results : HGF content in lung cancer patients (470.7+378.4pg/ml) is significantly higher than that of normal healthy people(223.3193pg/ml) and lung benigndisease patients(189.0+170.1pg/ml) (P<0.05). The content is unrelated to pathological types,differentia-tion situation and lymph node metastasis. 46 patients have underwent 2 years following-up, of which,16 patients died and their serum HGF contents are significantly higher than that of 30 survivors (P<0.05). The overall survival of 21 patients whose serum HGF level are higher than 400pg/ml are signifi-candy higher than that of patients whose serum HGF level are lower than 400pg/ml (P<0.05). Pos-perational serum HGF content in 66 patients who underwent surgical operation increased significantly,peaked at day 3 after operation. HGF content of lung cancer patients at day 3 pos-peration are sig-nificantly higher than that of lung benign disease patients (P<0.05). Serum HGF content of survivorsduring the follow-up period gradually decreased at day 7 and day 14 after operation, but serum HGFcontent of 16 dead patients at day 14 after operation is still significantly higher than that before opera-tion (P<0.05). Conclusions : ElevatedserunHGF level predictsmoreaggressive biology in lung cancer.Serum HGF level can he used as a high-risk indicator in early stage lung cancer patients. HGF contentat week 2 after operation has significance for predicting prognosis. 400pg/ml of serum HGF content canhe expectahly used as a reference value of poor prognostic indicator.

     

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