基础医学与临床 ›› 2018, Vol. 38 ›› Issue (3): 394-399.

• 临床研究 • 上一篇    下一篇

法尼醇X受体表达与胰腺癌患者预后及病理分期相关

王维斌1,董良博1,赵邦博1,卢军1,赵玉沛2   

  1. 1. 北京协和医院
    2. 北京协和医院外科
  • 收稿日期:2017-11-09 修回日期:2017-12-20 出版日期:2018-03-05 发布日期:2018-02-27
  • 通讯作者: 赵玉沛 E-mail:zhao8028@263.net
  • 基金资助:
    北京协和医院青年基金

FXR expression is associated with the prognosis and pathological staging of patients with pancreatic cancer

  • Received:2017-11-09 Revised:2017-12-20 Online:2018-03-05 Published:2018-02-27

摘要: 目的 探索法尼醇X受体(FXR)与胰腺癌患者临床分期及生存时间的相关性。方法 培养8株胰腺癌细胞,用Western blot和real-time PCR检测FXR在胰腺癌细胞中的表达水平。临床收集5例正常胰腺组织和50例胰腺癌组织。用免疫组化检测FRX在组织中的蛋白表达水平;根据FXR的不同表达水平分为FXR低和高表达组,并且与胰腺癌患者临床资料进行相关性分析;应用Kaplan-Meier和log-rank方法进行生存分析,COX比例风险回归模型进行多因素分析,研究FXR表达水平与胰腺癌患者预后的相关性。结果 FXR在胰腺癌细胞及胰腺癌组织中呈不同程度的高表达,而且与胰腺癌组织病理G分期密切相关(p<0.05);FXR表达水平与病理G分期均与胰腺癌患者的生存时间具有显著相关性,FXR高表达患者的生存时间明显长于FXR低表达患者的生存时间(p<0.05)。结论 胰腺癌患者FXR表达水平与病理G分期密切相关,FXR表达水平和病理G分期均是胰腺癌患者独立的预后因素。

关键词: 胰腺癌, 免疫组化, 法尼醇X受体

Abstract: Objective To explore the correlation between Farnesoid X Receptor (FXR) and clinical stage and survival time of patients with pancreatic cancer. Methods The total protein and mRNA were extracted from cultured 8 pancreatic cancer cell lines, and the expression level of FXR in pancreatic cancer cells was detected by Western Bolt and Real-Time PCR. We Collected 5 cases of normal pancreatic tissue and 50 cases of pancreatic cancer tissues, and used immunohistochemistry method to detect FRX expression in normal pancreatic tissue and pancreatic cancer. According to the different expression level of FXR, these 50 patients were divided into low expression group and high expression group, and the correlation of clinical data and FRX expression level was analyzed. Furthermore, Kaplan-Meier and log-rank analysis of prognostic factors was assessed in a multivariable analysis using a Cox proportional hazards model. Results FXR was differently expressed in 8 pancreatic cancer cell lines and pancreatic cancer tissues. FXR was closely related to the pathological G stage of pancreatic cancer (P<0.05). FXR and pathological G stage were significantly correlated with the patients’ survival time. The survival time of the patients with high FXR expression was significantly longer than that of patients with low FXR expression (P<0.05). Conclusions The expression of FXR is closely related to the pathological G stage in patients with pancreatic cancer. Both FXR expression and pathological G stage are independent prognostic factors in patients with pancreatic cancer.

Key words: Pancreatic cancer, Immunohistochemistry, Farnesoid X Receptor(FXR)

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