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find Keyword "Carcinoma/Neoplasma" 1 results
  • Epithelial-Mesenchymal Transition Related Factors and CD133 Protein Expressions in Primary Lesion of Gastric Cancer and Its Relationship with Clinicopathologic Features and Prognosis

    Objective To investigate the prognostic value of epithelial-mesenchymal transition (EMT) related proteins (Snail, E-cadherin, and N-cadherin) in gastric cancer and its relationship with tumor initiating cells (TICs) marker (CD133). Methods The expressions of EMT-related proteins and CD133 protein in the gastric cancer tissues and normal gastric mucosa tissues adjacent to gastric cancer were detected by Western blot method. The relations between the expressions of EMT-related factors proteins and CD133 protein and the clinicopathologic characters were analyzed. The correlations between EMT-related factors and CD133 were analyzed by Spearman. The correlations between EMT-related factors expressions and CD133 expression and survival were analyzed by Kaplan-Meier method and Log-rank test. Results ① The protein expression levels of Snail, N-cadherin, and CD133 in the gastric cancer tissues were significantly higher than those in the normal gastric mucosa tissues adjacent to gastric cancer (Snail:0.599±0.114 versus 0.259±0.108, P=0.020;N-cadherin:0.754±0.154 versus 0.329±0.134, P=0.001;CD133:0.635±0.119 versus 0.485±0.116, P=0.029), while the protein expression level of E-cadherin was lower than that in the normal gastric mucosa tissues adjacent to gastric cancer (0.378±0.123 versus 0.752±0.156, P=0.003).② The expression levels of Snail and N-cadherin in the gastric cancer patients with vascular invasion, lymphatic vessel invasion,N3 lymph node metastasis, diameter more than 5 cm, and Ⅲ+Ⅳ staging were significantly higher than those in the patients without vascular invasion, lymphatic vessel invasion, N0-N2 lymph node metastasis, diameter less than 5 cm, andⅠ+Ⅱ staging(P<0.05), while E-cadherin protein expression was lower than that in the patients without vascular invasion, lymphatic vessel invasion, N0-N2 lymph nodes metastasis, andⅠ+Ⅱstaging (P<0.05). The expression levels of CD133 in the gastric cancer patients with lymphatic vessel invasion, diameter more than 5 cm, and Ⅲ+Ⅳ staging were significantly higher than those in the patients without lymphatic vessel invasion, diameter less than 5 cm, andⅠ+Ⅱ staging (P<0.05). ③The Snail and N-cadherin protein expressions were significantly positive correlated with CD133 protein expression, respectively (rs=0.278, P=0.048;rs=0.406, P=0.003), while E-cadherin protein expression was significantly negative correlated with CD133 protein expression (rs=-0.504, P=0.000).④ The survival time in the patients with lower expressions of Snail, N-cadherin, and CD133 were significantly longer than those in the patients with higher expressions of Snail, N-cadherin, and CD133 (P<0.05). The combination of Snail, N-cadherin, E-cadherin, and CD133 could effectively predict survival. Conclusions There is a significant correlation between EMT and gastric cancer TICs, and which are correlated with aggressive clinicopathologic features of gastric cancer. The combination of Snail, E-cadherin, N-cadherin, and CD133 may be effectively predict the prognosis of gastric cancer patients.

    Release date:2016-09-08 10:34 Export PDF Favorites Scan
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