CN112034185A - Gpr110、vegfr、cd34在鉴别肺腺癌亚型中的用途 - Google Patents
Gpr110、vegfr、cd34在鉴别肺腺癌亚型中的用途 Download PDFInfo
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Abstract
本发明涉及GPR110、VEGFR、CD34在鉴别肺腺癌亚型中的用途。本发明研究证实腺泡型肺腺癌和实体型肺腺癌组织中GPR110的表达水平均明显高于癌旁正常组织,且实体型肺腺癌组织中GPR110表达水平明显高于腺泡型肺腺癌组织中的表达情况,GPR110可用于区分实体型和腺泡型肺腺癌,具有优异的准确度、特异度和灵敏度;还证实VEGFR和CD34在实体型肺腺癌里的相对表达量也明显高于腺泡型肺腺癌里的相对表达量。本发明提供了通过分子检测诊断肺腺癌亚型的方法,诊断速度快成本低,结果准确可靠,为肺腺癌患者进行准确的靶向治疗提供了重要依据。
Description
技术领域
本发明涉及疾病的鉴别和诊断领域,具体地说,涉及GPR110、VEGFR、CD34在鉴别肺腺癌亚型中的用途。
背景技术
肺癌主要分为非小细胞肺癌(NSCLC,约85%)和小细胞肺癌(SCLC,约15%)。NSCLC根据组织病理学类型又可分为肺腺癌(lung adenocarcinoma)、鳞状细胞癌、腺鳞癌、大细胞癌及肉瘤样癌等亚型。肺腺癌发病率逐年增长,已经成为NSCLC中最常见的亚型,几乎占全部肺癌的50%,且总体生存率较低。
2015年世界卫生组织(World Health Organization,WHO)发布的新版肺腺癌组织分型采纳了2011年国际肺癌研究协会(International Association for the Study ofLung Cancer,IASLC)、美国胸科学会(American Thoracic Society,ATS)及欧洲呼吸学会(European Respiratory Society,ERS)联合发表的肺腺癌国际多学科新分类,将肺腺癌按照生长方式分为腺泡状为主型腺癌(acinar predominant adenocarcinoma,ACI)、乳头状为主型腺癌(papillary predominant adenocarcinoma,PAP)、微乳头状为主型腺癌(micropapillarypredominant adenocarcinoma,MPA)、贴壁状为主型腺癌(lepidicpredominant adenocarcinoma,LPA)以及实体为主伴黏液分泌型腺癌(solid predominantadenocarcinoma with mucin production,SPA)5个亚型。现阶段针对这5种病理亚型的各项研究表明,每种亚型的独特组织学特征影响着患者的基因表达及预后情况,这在肺癌的辅助诊断和预后判断上均具有一定的临床价值。
G蛋白偶联受体(G protein-coupled receptor,GPCR)是细胞膜上具有7次跨膜结构的受体蛋白,是人体内最大的蛋白质家族。黏附G蛋白偶联受体(adhesion G protein-coupled receptor,aGPCR)是数目第二多的GPCR家族,因胞外含有大量黏附蛋白中的结构域而被广泛认为和细胞运动及识别等相关,是胞内外信号连接的桥梁。GPR110是一种孤儿G蛋白偶联受体,属于aGPCR子家族。本课题组前期发表的论文(张叶,余科科,邢杰,丁闻洁,戎伟芳.GPR110在IA期肺腺癌不同亚型中表达差异及意义.《安徽医科大学学报》2020年7期),公开了收集2012年1~12月肺腺癌石蜡标本90例,其中附壁生长型肺腺癌标本(包括原位腺癌、微浸润性腺癌和以附壁生长为主的浸润性腺癌)30例、以腺泡/乳头样为主的浸润性腺癌标本30例、以微乳头/实体为主的浸润性腺癌标本30例。所有标本均为IA期肺腺癌。检测GPR110在IA期肺腺癌不同病理亚型,即附壁生长组、腺泡/乳头组、微乳头/实体组中的表达水平,结果显示GPR110在3组中的表达差异有统计学意义(P<0.05)。炎症对照组中未见阳性表达。病理组织亚型是影响肺腺癌患者5年生存率的危险因素(P<0.05);GPR110表达量较高的微乳头/实体型患者与GPR110表达量较低的附壁生长型患者相比,其累积生存时间差异具有统计学意义(P<0.05)。
血管内皮生长因子(vascular endothelial growth factor,VEGF)是一种高度特异性的促血管内皮细胞生长因子,具有促进血管通透性增加、细胞外基质变性、血管内皮细胞迁移、增殖和血管形成等作用。文献(王瑞.肺腺癌中MMP-9和VEGF的表达及临床意义[J].中国医药指南2019年17卷28期,99页,2019.)公开了VEGF在肺腺癌组织中表达上调。
CD34分子是高度糖基化的I型跨膜糖蛋白,选择性地表达于人类及其他哺乳动物造血干/祖细胞表面,并随细胞的成熟逐渐减弱至消失。研究表明CD34分子在介导细胞间黏附作用中发挥着重要作用,可以参与造血干细胞的运输、定植,参与炎症反应以及淋巴细胞的归巢。另外文献(苏睿.CD31与CD34在肺腺癌中的表达及临床意义[D].中国医科大学,2013.)公开了CD34在肺腺癌中的表达随着分化程度的降低而升高。
然而,目前未见GPR110、VEGF、CD34用于鉴别诊断肺腺癌亚型的报道。
发明内容
本发明的目的是针对现有技术中的不足,提供GPR110、VEGFR、CD34在鉴别肺腺癌亚型中的用途。
本发明首先提供了GPR110作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是腺泡型肺腺癌的试剂或试剂盒中的应用。
本发明还提供了GPR110作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是乳头、微乳头、腺泡型肺腺癌的试剂或试剂盒中的应用。
本发明还提供了GPR110作为诊断标志物在制备鉴别肺腺癌个体或样本是腺泡型肺腺癌还是乳头、微乳头、实体型肺腺癌的试剂或试剂盒中的应用。
本发明还提供了VEGFR作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是腺泡型肺腺癌的试剂或试剂盒中的应用。
本发明还提供了VEGFR作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是乳头、微乳头、腺泡型肺腺癌的试剂或试剂盒中的应用。
本发明还提供了VEGFR作为诊断标志物在制备鉴别肺腺癌个体或样本是腺泡型肺腺癌还是乳头、微乳头、实体型肺腺癌的试剂或试剂盒中的应用。
本发明还提供了CD34作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是腺泡型肺腺癌的试剂或试剂盒中的应用。
本发明还提供了CD34作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是乳头、微乳头、腺泡型肺腺癌的试剂或试剂盒中的应用。
本发明还提供了CD34作为诊断标志物在制备鉴别肺腺癌个体或样本是腺泡型肺腺癌还是乳头、微乳头、实体型肺腺癌的试剂或试剂盒中的应用。
其中,以上所述试剂/试剂盒均是用于检测GPR110、VEGFR或CD34的含量。
本发明优点在于:
1、本发明研究证实腺泡型肺腺癌和实体型肺腺癌组织中GPR110的表达水平均明显高于癌旁正常组织,且实体型肺腺癌组织中GPR110表达水平明显高于腺泡型肺腺癌组织中的表达情况;ROC曲线表明GPR110可用于区分实体型与腺泡型肺腺癌,或腺泡型与乳头、微乳头、实体型肺腺癌,或实体型与乳头、微乳头、腺泡型肺腺癌,具有优异的准确度、特异度和灵敏度。
2、本发明研究证实实体型肺腺癌中VEGFR相对表达量明显高于腺泡型肺腺癌,提示VEGFR可作为区分肺腺癌亚型的生物标志物。
3、本发明研究证实实体型肺腺癌中CD34相对表达量明显高于腺泡型肺腺癌,提示CD34可作为区分肺腺癌亚型的生物标志物。
总的来说,本发明提供了通过分子检测诊断肺腺癌亚型的方法,有助于诊断速度快成本低,结果准确可靠,为肺腺癌患者进行准确的靶向治疗提供了重要依据。
附图说明
图1:RNA-seq结果显示不同类型肺腺癌组织中差异基因mRNA的表达情况。
图2:腺泡型和实体型肺腺癌组织中GPR110的蛋白表达情况。
图3:实体型肺腺癌组织中GPR110表达高于腺泡型肺腺癌组织。
图4:ROC曲线表明GPR110可用于区分实体型与腺泡型肺腺癌;腺泡型与乳头、微乳头、实体型肺腺癌;实体型与乳头、微乳头、腺泡型肺腺癌。
具体实施方式
下面结合附图对本发明提供的具体实施方式作详细说明。
实施例1
1病例收集
收集2018年1~12月肺腺癌组织标本213例,其中以腺泡型为主的肺腺癌标本100例、以乳头样为主的肺腺癌标本30例、以微乳头为主的肺腺癌标本30例,以实体为主的肺腺癌标本53例,均取材于上海交通大学附属胸科医院手术切除标本,术前、术后诊断明确,所有标本均经两名资深病理医生重新判读、确认其病理组织学亚型。所有标本均为IA期肺腺癌,无远处器官及淋巴结转移;临床资料完整,术前均未接受放疗、化疗,且无其他基础性疾病或急慢性病。同时选取炎症石蜡标本10例作为对照。其中男126例,女87例;年龄34~85(59.23±6.789)岁。
2不同亚型肺腺癌组织中差异基因mRNA的表达情况
通过RT-qPCR方法检测不同亚型的肺腺癌组织中GPR110、VEGFR、CD34等的mRNA表达情况。引物如下:
GAPDH F:GGAGCGAGATCCCTCCAAAAT SEQ ID NO:1
R:GGCTGTTGTCATACTTCTCATGG SEQ ID NO:2
GPR110 F:GCCCAGTCGAAGAATATCAGC SEQ ID NO:3
R:GCCCATGTGACCATAATAATGGA SEQ ID NO:4
结果如表1、图1所示。可见差异基因列表中,GPR110、VEGFR、CD34在实体型肺腺癌里的相对表达量均明显高于腺泡型肺腺癌里的相对表达量。
表1.不同亚型肺腺癌组织中差异基因mRNA的表达情况
注:a,表示病人编号;b,表示相对表达量,数值=2-△△Ct值,2-△△Ct=2-[(癌症CT-内参CT)-(癌旁CT-内参CT)]。
3 6对腺泡型和实体型肺腺癌组织中GPR110的蛋白表达情况
分别取6对腺泡型和实体型肺腺癌病人组织,组织经研磨后,加入蛋白裂解液提取组织中的蛋白,BCA法检测蛋白浓度,免疫印迹(WB)检测组织中GPR110的表达情况,结果发现癌组织中GPR110的表达水平明显高于癌旁正常组织,且实体型肺腺癌组织中GPR110表达水平明显高于腺泡型肺腺癌组织中的表达情况。见图2。
4实体型肺腺癌组织中GPR110表达高于腺泡型肺腺癌组织
为了进一步验证实体型和腺泡型肺腺癌中GPR110的表达情况,扩大样本量,采用RT-qPCR和酶联免疫吸附(ELISA)方法分别检测了100对腺泡型肺腺癌和53对实体型肺腺癌配对组织中GPR110 mRNA和蛋白的表达水平。结果发现实体型和腺泡型肺腺癌组织中GPR110的表达水平均明显高于癌旁正常组织(图3中A和B),且实体型肺腺癌组织中GPR110相对表达水平(癌组织中表达量/癌旁组织中表达量)明显高于腺泡型肺腺癌组织中的相对表达量(癌组织中表达量/癌旁组织中表达量)(图3中C)。
5GPR110可用于区分实体型和腺泡型肺腺癌
前面的结果表明实体型和腺泡型肺腺癌中GPR110表达上调,且在实体型肺腺癌中表达丰度明显高于腺泡型肺腺癌。基于腺泡型肺腺癌癌旁组织和癌组织中GPR110 mRNA表达水平的受试者工作曲线(ROC)曲线结果显示癌组织中GPR110 mRNA相对表达值大于6.332,可用于诊断腺泡型肺腺癌;基于实体型肺腺癌癌旁组织和癌组织中GPR110 mRNA表达水平的受试者工作曲线(ROC)曲线结果表明GPR110 mRNA相对表达值大于8.025,用于诊断实体型肺腺癌;基于腺泡型肺腺癌组织和实体型肺腺癌癌组织中GPR110 mRNA表达水平的受试者工作曲线(ROC)曲线结果表明GPR110 mRNA大于13.049,可用于区分腺泡型和实体型的分型,实体可能性大。基于腺泡型肺腺癌癌旁组织和癌组织中GPR110蛋白表达水平的受试者工作曲线(ROC)曲线结果显示癌组织中GPR110蛋白浓度大于359pg/ml,可用于诊断腺泡型肺腺癌;基于实体型肺腺癌癌旁组织和癌组织中GPR110蛋白表达水平的受试者工作曲线(ROC)曲线结果表明GPR110蛋白浓度大于517pg/ml,可用于诊断实体型肺腺癌;基于腺泡型肺腺癌癌组织和实体型肺腺癌癌组织中GPR110蛋白表达水平的受试者工作曲线(ROC)曲线结果表明GPR110蛋白大于582pg/ml,可用于区分腺泡型和实体型的分型,实体可能性大。
以上所述仅是本发明的优选实施方式,应当指出,对于本技术领域的普通技术人员,在不脱离本发明方法的前提下,还可以做出若干改进和补充,这些改进和补充也应视为本发明的保护范围。
SEQUENCE LISTING
<110> 上海市胸科医院
<120> GPR110、VEGFR、CD34在鉴别肺腺癌亚型中的用途
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Claims (9)
1.GPR110作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是腺泡型肺腺癌的试剂或试剂盒中的应用。
2.GPR110作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是乳头、微乳头、腺泡型肺腺癌的试剂或试剂盒中的应用。
3.GPR110作为诊断标志物在制备鉴别肺腺癌个体或样本是腺泡型肺腺癌还是乳头、微乳头、实体型肺腺癌的试剂或试剂盒中的应用。
4.VEGFR作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是腺泡型肺腺癌的试剂或试剂盒中的应用。
5.VEGFR作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是乳头、微乳头、腺泡型肺腺癌的试剂或试剂盒中的应用。
6.VEGFR作为诊断标志物在制备鉴别肺腺癌个体或样本是腺泡型肺腺癌还是乳头、微乳头、实体型肺腺癌的试剂或试剂盒中的应用。
7.CD34作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是腺泡型肺腺癌的试剂或试剂盒中的应用。
8.CD34作为诊断标志物在制备鉴别肺腺癌个体或样本是实体型肺腺癌还是乳头、微乳头、腺泡型肺腺癌的试剂或试剂盒中的应用。
9.CD34作为诊断标志物在制备鉴别肺腺癌个体或样本是腺泡型肺腺癌还是乳头、微乳头、实体型肺腺癌的试剂或试剂盒中的应用。
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