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UGT8在胃癌组织中的表达及对胃癌细胞转移的调控作用

何旭旭 赵萌 杨一群 左芦根 耿志军 葛思堂 陈德利

何旭旭, 赵萌, 杨一群, 左芦根, 耿志军, 葛思堂, 陈德利. UGT8在胃癌组织中的表达及对胃癌细胞转移的调控作用[J]. 中华全科医学, 2023, 21(4): 544-548. doi: 10.16766/j.cnki.issn.1674-4152.002927
引用本文: 何旭旭, 赵萌, 杨一群, 左芦根, 耿志军, 葛思堂, 陈德利. UGT8在胃癌组织中的表达及对胃癌细胞转移的调控作用[J]. 中华全科医学, 2023, 21(4): 544-548. doi: 10.16766/j.cnki.issn.1674-4152.002927
HE Xuxu, ZHAO Meng, YANG Yiqun, ZUO Lugen, GENG Zhijun, GE Sitang, CHEN Deli. UGT8 expression in gastric cancer tissues and its regulatory effect on gastric cancer metastasis[J]. Chinese Journal of General Practice, 2023, 21(4): 544-548. doi: 10.16766/j.cnki.issn.1674-4152.002927
Citation: HE Xuxu, ZHAO Meng, YANG Yiqun, ZUO Lugen, GENG Zhijun, GE Sitang, CHEN Deli. UGT8 expression in gastric cancer tissues and its regulatory effect on gastric cancer metastasis[J]. Chinese Journal of General Practice, 2023, 21(4): 544-548. doi: 10.16766/j.cnki.issn.1674-4152.002927

UGT8在胃癌组织中的表达及对胃癌细胞转移的调控作用

doi: 10.16766/j.cnki.issn.1674-4152.002927
基金项目: 

安徽高校自然科学研究项目 KJ2021A0685

详细信息
    通讯作者:

    陈德利,E-mail:13965295950@139.com

  • 中图分类号: R735.2  R730.231

UGT8 expression in gastric cancer tissues and its regulatory effect on gastric cancer metastasis

  • 摘要:   目的  研究尿苷二磷酸糖基转移酶8(UGT8)在胃癌组织中的表达情况, 并探讨其与患者远期预后的关系及对胃癌细胞转移的调控作用。  方法  纳入分析2013年12月-2016年10月于蚌埠医学院第一附属医院行胃癌根治术的109例患者; 采用免疫组化与免疫印迹法检测UGT8在胃癌组织中的表达水平; 运用统计学方法分析胃癌中UGT8表达水平与临床病理参数之间的关系; 采用Cox回归模型和ROC曲线评估影响患者术后5年生存率的独立风险因素和UGT8的诊断效能; 采用GEO数据库获取胃癌数据集并对UGT8进行GO和KEGG富集分析; 体外分析UGT8对胃癌细胞(MGC-803)转移的影响。  结果  胃癌组织中UGT8的表达水平显著高于癌旁组织(P < 0.01);UGT8高表达组肿瘤直径(≥5 cm)、T3~4期、N2~3期、CEA≥5 μg/L及糖类抗原19-9≥37 kU/L患者比例明显高于UGT8低表达组(均P < 0.05)。Cox回归分析显示UGT8高表达是影响胃癌患者术后5年生存率的独立风险因素。ROC曲线分析显示UGT8预判胃癌患者术后5年死亡的敏感性为73.00%, 特异性为78.30%(P < 0.01)。GO富集分析显示UGT8涉及钙黏蛋白结合活性, KEGG富集结果显示UGT8主要参与黏附通路等。免疫印迹实验显示UGT8可促进癌细胞转移相关信号基质细胞衍生因子-1(SDF-1)和趋化因子受体4(CXCR4)的磷酸化(P < 0.05)。  结论  UGT8在胃癌组织中高表达与预后不良相关, 并可能通过调控SDF-1/CXCR4信号参与胃癌细胞转移进程。

     

  • 图  1  免疫组化和免疫印迹实验检测UGT8在胃癌组织中的表达情况

    注:A示免疫组化检测胃癌及癌旁组织中UGT8的表达情况;B示胃癌组织UGT8的IOD值统计,aP < 0.05;C示免疫印迹法检测UGT8在癌组织和癌旁组织的表达(N为癌旁组织,T为癌组织);D示UGT8蛋白的相对表达量统计,bP < 0.05。

    Figure  1.  The expression of UGT8 in gastric cancer was detected by immunohistochemistry and Western blotting

    图  2  UGT8对胃癌细胞迁移与侵袭能力的影响

    注:A示免疫印迹法验证慢病毒干扰及过表达成功;B示免疫印迹检测慢病毒干扰及过表达UGT8蛋白的相对表达量,aP < 0.05;C示Transwell法分析UGT8对胃癌细胞的迁移能力的影响,bP < 0.05;D示Transwell法分析UGT8对胃癌细胞的侵袭能力的影响,bP < 0.05。

    Figure  2.  Effects of UGT8 on migration and invasion ability of gastric cancer cells

    图  3  UGT8调控胃癌细胞转移的分子机制

    注: A示免疫印迹检测上调及下调UGT8对转移信号分子的影响;B示统计并分析蛋白相对表达量,aP < 0.05。

    Figure  3.  Molecular mechanism of UGT8 regulation on gastric cancer cell metastasis

    表  1  胃癌组织中UGT8的表达与临床病理参数之间的关系[例(%)]

    Table  1.   Relationship between UGT8 expression and clinicopathological parameters in gastric cancer[cases(%)]

    因素 例数 UGT8 χ2 P
    低表达 高表达
    性别 0.014 0.906
      男性 66 33(50.0) 33(50.0)
      女性 43 21(48.8) 22(51.2)
    年龄(岁) 2.127 0.145
      <60 41 24(58.5) 17(41.5)
      ≥60 68 30(44.1) 38(55.9)
    CEA(μg/L) 7.125 0.008
      <5 39 26(66.7) 13(33.3)
      ≥5 70 28(40.0) 42(60.0)
    CA19-9(KU/L) 11.367 0.001
      <37 47 32(68.1) 15(31.9)
      ≥37 62 22(35.5) 40(64.5)
    肿瘤大小(cm) 6.809 0.009
      <5 45 29(64.4) 16(35.6)
      ≥5 64 25(39.1) 39(60.9)
    T分期 7.692 0.006
      1~2期 33 23(69.7) 10(30.3)
      3~4期 76 31(40.8) 45(59.2)
    N分期 4.060 0.044
      0~1期 56 33(58.9) 23(41.1)
      2~3期 53 21(39.6) 32(60.4)
    下载: 导出CSV

    表  2  胃癌预后影响因素的单因素分析

    Table  2.   Univariate analysis of prognostic influencing factors of gastric cancer

    变量 B SE Wald χ2 P HR 95% CI
    性别 0.304 0.254 1.435 0.231 1.355 0.824~2.230
    年龄 0.386 0.271 2.029 0.154 1.471 0.865~2.502
    CEA 1.135 0.313 13.190 < 0.001 3.113 1.687~5.745
    CA19-9 1.008 0.286 12.426 < 0.001 2.739 1.564~4.797
    UGT8 1.525 0.283 28.996 < 0.001 4.597 2.638~8.009
    肿瘤大小 1.306 0.306 18.264 < 0.001 3.692 2.028~6.721
    T分期 1.360 0.362 14.139 < 0.001 3.894 1.917~7.910
    N分期 1.476 0.283 27.208 < 0.001 4.377 2.514~7.624
    下载: 导出CSV

    表  3  胃癌预后影响因素的Cox多因素分析

    Table  3.   Cox multivariate analysis of prognostic influencing factors of gastric cancer

    变量 B SE Wald χ2 P HR 95% CI
    CEA 0.829 0.344 5.820 0.016 2.291 1.168~4.492
    CA19-9 -0.405 0.368 1.209 0.272 0.667 0.324~1.373
    UGT8 1.079 0.324 11.115 < 0.001 2.941 1.560~5.546
    肿瘤大小 0.463 0.363 1.630 0.202 1.589 0.780~3.236
    T分期 1.052 0.386 7.426 0.006 2.864 1.344~6.106
    N分期 1.211 0.312 15.085 < 0.001 3.355 1.822~6.181
    下载: 导出CSV
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  • 收稿日期:  2022-09-05
  • 网络出版日期:  2023-05-31

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