KLHL14和E-Cadherin核共同表达作为非功能性PitNET侵入性的预测因素:初步研究
Jacopo Berardinelli1, Valentina Russo2, Angelo Canciello2
1Department of Neurosciences, Reproductive and Odontostomatological Sciences, Division of Neurosurgery, University of Naples "Federico II", 80138 Naples, Italy.
Journal of clinical medicine
|August 10, 2024
概括
核表达E-cadherin和KLHL14蛋白与非功能性垂体神经内分泌瘤的侵入性相关. 较低的KLHL14水平可能表明更好的无进展生存率,表明预后潜力.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 分子生物学分子生物学
背景情况:
- 非功能性垂体神经内分泌瘤 (NF-PitNETs) 需要改进诊断和治疗策略.
- 表皮-介质细胞过渡 (EMT) 涉及到NF-PitNET的致病性.
- E-cadherin (E-Cad) 和KLHL14是EMT中的关键蛋白质,并作为预后标记物进行了研究.
研究的目的:
- 分析E-cadherin和KLHL14作为NF-PitNET中的预后标记物的表达.
- 调查E-Cad和KLHL14在瘤侵入性方面的亚细胞局部.
- 探索蛋白质表达,局部化和临床结果之间的相关性.
主要方法:
- 免疫组织化学被用来描述KLHL14和E-Cad亚细胞表达在12个NF-PitNET手术标本.
- 患者被分为低 (Ki67 < 3%) 和高 (Ki67 ≥ 3%) 的侵入性组.
- 在健康的,低侵入性和高侵入性NF-PitNET组织中分析了蛋白质表达和局部化.
主要成果:
- 与健康组织相比,NF-PitNET组织中KLHL14表达和核转位增加.
- 无论是E-Cad还是KLHL14,都表现出从细胞质转向核定位的转变,瘤的侵入性增加.
- 在E-Cad/KLHL14同定位 (细胞质和核) 和NF-PitNET侵入性等级 (p=0.01) 之间观察到显著的相关性.
结论:
- 在高级侵入性NF-PitNET中,E-Cad和KLHL14的核积累表明,驱动局部瘤入侵的新奇机制.
- 在KLHL14表达较低的患者中,观察到延长无进展生存的趋势.
- 需要对更大的队列进行进一步的研究,以确认KLHL14在NF-PitNETs中的预后意义.
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