实用医学杂志 ›› 2022, Vol. 38 ›› Issue (24): 3125-3134.doi: 10.3969/j.issn.1006⁃5725.2022.24.018

• 临床研究 • 上一篇    下一篇

SLC7A11在KRAS 突变胰腺癌中的表达及临床意义

张萌1 刘旭明2 麦皓尘1 曾志芬1    

  1. 中山大学孙逸仙纪念医院1 全科医学科,2 病理科(广州 510000)

  • 出版日期:2022-12-25 发布日期:2022-12-25
  • 通讯作者: 曾志芬 E⁃mail: august⁃zzf@163.com
  • 基金资助:
    广东省科技计划项目(编号:202201010856)

The expression and clinical significance of SLC7A11 in KRAS mutant pancreatic cancer

ZHANG Meng* LIU Xuming,MAI Haochen,ZENG Zhifen.   


  1. General Medicine Department,*Pathology Department,Sun Yat⁃sen Me⁃morial Hospital,Sun Yat⁃sen University,Guangzhou 510000,China
  • Online:2022-12-25 Published:2022-12-25
  • Contact: ZENG Zhifen E⁃mail:august⁃zzf@163.com

摘要:

目的 了解 SLC7A11 KRAS 突变胰腺癌中的阳性表达率,并探讨其与胰腺癌分化、转移、 分期及预后的关系。方法 选取 2019 1 1 日至 2021 12 31 日入住中山大学孙逸仙纪念医院、手 术病理确诊为胰腺癌、完成了 KRAS 基因检测且具备完整临床资料及后续随访条件的 54 例患者,其中 KRAS 突变 27 例,设为实验组;无 KRAS 突变 27 例,设为对照组。全部病例均检测手术病理组织的 SLC7A11 表达,并收集其一般情况、分化程度、淋巴结转移、肿瘤大小、疾病分期及生存期临床资料。比 较两组胰腺癌 SLC7A11 表达的阳性率,并采用卡方检验分析 SLC7A11 的表达与上述研究因素的关系。 结果 KRAS 突变胰腺癌肿瘤组织中的 SLC7A11 的阳性表达率显著高于对照组(P = 0.002),且其与 SLC7A11 的阳性表达与更晚的疾病分期(P < 0.001)、更差的组织学分级(P = 0.003)、更多的淋巴结转移 P = 0.038)、更短的生存期(P < 0.001)相关,其差异具有统计学意义。结论 KRAS 突变的胰腺癌组织的 SLC7A11 阳性表达率高,对于基因检测提示 KRAS 突变的病例应进一步检测 SLC7A11 的表达;SLC7A11 阳性表达与更差的疾病预后相关,SLC7A11抑制剂极可能是胰腺癌的潜在靶向治疗药物。


关键词:

胰腺癌, SLC7A11, KRAS, SLC7A11抑制剂

Abstract:

Objective To investigate the positive expression of SLC7A11 in KRAS mutant pancreas and the relationship with differentiation,metastasis,staging and prognosis of pancreatic cancer. Methods 54 patients admitted to Sun Yat ⁃ sen Memorial Hospital of Sun Yat ⁃ sen University,from January 1,2019 to December 31 2021,who were confirmed as pancreatic cancer by surgery and pathology,completed KRAS based detection,and had complete clinical data and follow⁃up conditions were selected. 27 patients showed KRAS mutation in the base detection were set as the experimental group:27 patients without KRAS mutation were set as the control group. The expression of SLC7A11 in surgical and pathological tissues was detected in all cases,and clinical data such as general condition,differentiation degree,lymph node metastasis,tumor size,disease stage,survival period were collected. The positive expression of SLC7A11 was compared between the two groups,andChi square test was used to analyze the relationship between the expression of SLC7A11 and the above factors. Results The positive expres⁃ sion rate of SLC7A11 in KRAS mutant pancreatic cancer was significantly higher than that in the control group (P = 0.002),and the positive expression of SLC7A11 was correlated with the later disease stage(P = 0.000),the worse histological grade(P = 0.003),the more lymph node metastasis(P = 0.038)and the shorter survival period (P = 0.000). The difference was statistically significant. Conclusions The positive expression rate of SLC7A11 in pancreatic cancer tissues with KRAS mutation is high,and further detection of SLC7A11 expression should be carried out in cases with KRAS mutation. The positive expression of SLC7A11 is associated with worse disease prog⁃ nosis. SLC7A11 inhibitors are likely to be potential targeted drugs for pancreatic cancer.

Key words:

pancreatic cancer, SLC7A11, KRAS, SLC7A11 inhibitors

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