[Expression and clinical significance of LRFN4 in colorectal cancer tissue]

Zhonghua Yi Xue Za Zhi. 2020 Jun 9;100(22):1745-1749. doi: 10.3760/cma.j.cn112137-20190905-01975.
[Article in Chinese]

Abstract

Objective: To investigate the expression and clinical significance of LRFN4 in colorectal cancer. Methods: A total of 210 cases of colorectal cancer tissues and 228 cases of corresponding surgical margin tissues were collected. Immunohistochemistry was employed to evaluate the expression of LRFN4 in colorectal cancer.The correlation between LRFN4 expression and clinicopathological features of colorectal cancer as well as patient outcome were analyzed. Results: The positive rate of LRFN4 in colorectal cancer and in non-cancer was 55.24%(116/210), and 37.28% (85/228) , respectively.The expression of LRFN4 in colorectal cancer tissues was higher than that in non-cancer tissues(χ(2)=14.196, P<0.001). High expression of LRFN4 was significantly correlated with tumor location(χ(2)=4.133,P=0.042), T staging(χ(2)=6.494,P=0.039), N staging(χ(2)=11.715,P=0.008), TNM staging(χ(2)=13.398,P=0.004), CEA (χ(2)=6.017, P=0.049), but without gender, age, degree of differentiation, M staging(P>0.05).The Kaplan-Meier survival curves indicated that high LRFN4 expression was associated with good survival (P<0.05). In addition, Cox proportional hazards model showed that the high expression of LRFN4(HR=0.585, P=0.018)was an independent risk factor for prognosis in patients with colorectal cancer. Conclusions: The expression of LRFN4 is up-regulated in colorectal cancer, which is significantly correlated with the clinicopathological features and prognosis. High expression of LRFN4 reduced the risk of death in patients with colorectal cancer.

目的: 观察LRFN4在结直肠癌中的表达及其临床意义。 方法: 分别收集2002年1月至2008年12月南通大学附属医院进行结直肠癌手术的210例结直肠癌患者癌组织,228例对应手术切缘(非癌组织),采用免疫组织化学法检测LRFN4蛋白表达情况,并分析其与临床病理特征及预后的关系。 结果: 结直肠癌组织中LRFN4的阳性表达率为55.24%(116/210),非癌组织中LRFN4的阳性表达率为37.28%(85/228),差异有统计学意义(χ(2)=14.196,P<0.001)。结直肠癌组织中LRFN4的表达与肿瘤部位(χ(2)=4.133,P=0.042)、肿瘤浸润深度(T分期)(χ(2)=6.494,P=0.039)、区域淋巴结转移(N分期)(χ(2)=11.715,P=0.008)、TNM分期(χ(2)=13.398,P=0.004)、癌胚抗原(CEA)(χ(2)=6.017,P=0.049)显著相关,而与患者性别、年龄、分化程度、远处转移(M分期)无显著相关(P>0.05)。经Kaplan-Meier生存曲线统计分析,LRFN4在结直肠癌中的高表达与患者总生存率升高相关(P<0.05)。此外,我们对其进行Cox比例风险模型统计分析,LRFN4的高表达(HR=0.585,P=0.018)是结直肠癌患者预后良好的独立危险因素。 结论: LRFN4在结直肠癌组织中高表达,且与临床病理特征及预后密切相关,LRFN4高表达显著降低了患者的死亡风险。.

Keywords: Colorectal cancer; LRFN4; Prognosis.

MeSH terms

  • Biomarkers, Tumor
  • Colorectal Neoplasms*
  • Humans
  • Kaplan-Meier Estimate
  • Membrane Glycoproteins
  • Neoplasm Staging
  • Nerve Tissue Proteins
  • Prognosis
  • Proportional Hazards Models

Substances

  • Biomarkers, Tumor
  • LRFN4 protein, human
  • Membrane Glycoproteins
  • Nerve Tissue Proteins