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    胃癌组织中SOCS2和SOCS5的表达水平及其临床意义

    Expression of SOCS2 and SOCS5 in gastric cancer tissues and their clinical significance

    • 摘要: 目的 通过检测胃癌组织中细胞因子信号转导抑制因子(SOCS)家族SOCS2和SOCS5的表达情况,探讨其与胃癌患者临床病理特征及预后之间的关系。方法 采用免疫组织化学方法(SP法)检测204例胃癌组织及其癌旁组织中SOCS2和SOCS5蛋白的表达水平。进一步分析SOCS2和SOCS5的表达与胃癌患者临床病理参数之间的关系,并对随访患者进行生存分析。结果 SOCS2和SOCS5在胃癌组织中的阳性表达率均高于癌旁组织。SOCS2的表达与胃癌的血管浸润和神经浸润有关,但与患者的性别、年龄、肿瘤大小、TNM分期、分化程度及淋巴转移无关,且与胃癌患者预后无关。SOCS5的表达与胃癌患者的各临床病理参数均无关,但在TNM Ⅲ—Ⅳ期的胃癌患者中,SOCS5阴性表达的患者总生存率明显低于SOCS5阳性表达的患者,且是影响晚期胃癌患者预后的因素。此外,SOCS2和SOCS5同时阳性表达的胃癌患者中位生存期显著长于同时阴性表达的患者。结论 SOCS2和SOCS5在胃癌组织中均高表达,且SOCS2和SOCS5在胃癌的发生、发展和预后中具有重要作用。两者联合表达可能通过协同作用显著改善患者的预后。

       

      Abstract: Objective To investigate the expression of suppressor of cytokine signaling (SOCS) family members SOCS2 and SOCS5 in gastric cancer tissues and its associations with the clinicopathological characteristics and prognosis of patients with gastric cancer.Methods The protein expression of SOCS2 and SOCS5 in 204 gastric cancer tissues and the corresponding adjacent non-tumor tissues was detected by Immunohistochemistry (SP method). The associations between SOCS2 and SOCS5 expression and clinicopathological parameters were analyzed, and survival analysis was performed in followed-up patients.Results The positive expression rates of SOCS2 and SOCS5 were both higher in gastric cancer tissues than in adjacent tissues. SOCS2 expression was associated with vascular invasion and perineural invasion, but showed no correlation with sex, age, tumor size, TNM stage, degree of differentiation, or lymph node metastasis. SOCS2 expression was not associated with prognosis. SOCS5 expression was not correlated with any clinicopathological parameter; however, among patients with TNM stage Ⅲ—Ⅳ gastric cancer, overall survival was significantly lower in those with negative SOCS5 expression than in those with positive SOCS5 expression, and SOCS5 was a prognostic factor in advanced gastric cancer. In addition, the median survival time of patients with concomitant positive expression of both SOCS2 and SOCS5 was significantly longer than that of patients with concomitant negative expression.Conclusions SOCS2 and SOCS5 are highly expressed in gastric cancer tissues and may play important roles in the occurrence, progression, and prognosis of gastric cancer. Their combined expression may synergistically improve prognosis.

       

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