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Tenascin-C expression is significantly associated with the progression and prognosis in gastric GISTs.

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机构: [1]Department of Gastrointestinal Surgery., West China Hospital, Sichuan University, Chengdu, Sichuan, China. [2]West China Clinical Research Center of Breast Disease., West China Hospital, Sichuan University, Chengdu, Sichuan, China. [3]Department of Pathology., West China Hospital, Sichuan University, Chengdu, Sichuan, China. [4]Institute of Digestive Surgery and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
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关键词: gastrointestinal stromal tumors prognosis progression Tenascin-C

摘要:
Tenascin-C (TNC), an extracellular matrix glycoprotein, has been implicated in progression of various types of cancer. However, few reports exist on TNC expression in gastrointestinal stromal tumors (GISTs). We here attempted to investigate the expression pattern and prognostic significance of TNC in gastric GISTs. We studied TNC expression in 122 gastric GISTs tissue samples by immunohistochemistry, and examined the correlations of TNC expression with clinicopathological parameters and survival of gastric GISTs. The TNC-high expression was observed in 30 (24.6%) of 122 of gastric GISTs. The high levels of TNC expression in gastric GISTs was significantly associated with tumor size (P < .001), multivisceral resection (P = .006), metastasis at initial diagnosis (P = .006), mitotic count (P = .002) and NIH risk classification (P = .015). The TNC mRNA and protein levels were found to significantly downregulated in tumors without progression compared to those tumors which occurred tumor progression during the follow-up period (P < .05). As for the prognostic analysis, it revealed that tumor size, mitotic count, surgical margins, multivisceral resection, and TNC expression were independent predictors of PFS for gastric GISTs (P < .05). The overexpression of TNC may be as a possible marker for the metastatic potential of gastric GISTs patients.

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出版当年[2019]版:
大类 | 4 区 医学
小类 | 3 区 医学:内科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
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第一作者机构: [1]Department of Gastrointestinal Surgery., West China Hospital, Sichuan University, Chengdu, Sichuan, China.
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通讯作者:
通讯机构: [1]Department of Gastrointestinal Surgery., West China Hospital, Sichuan University, Chengdu, Sichuan, China. [4]Institute of Digestive Surgery and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan, China. [*1]Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China [*2]Institute of Digestive Surgery and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu 610041 Sichuan, China
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