尿激酶型纤溶酶原激活物的表达水平与原发性肝癌细胞迁移侵袭和系统炎症指标相关
The Expression Level of Urokinase-Type Plasminogen Activator (uPA) Was Correlated With Migration and Invasion of Hepatocellular Carcinoma Cells and Systemic Inflammation
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摘要: 目的 研究尿激酶型纤溶酶原激活物(urokinase-type plasminogen activator,uPA)在原发性肝癌中的表达水平及其与临床病理特征的相关性。 方法 收集48例原发性肝细胞癌的组织及其相邻的癌旁相对正常组织,用荧光定量聚合酶链式反应方法(quantitative real-time polymerase chain reaction,QRT-PCR)检测uPA在原发性肝癌组织及其相邻正常组织中的信使RNA(messenger RNA,mRNA)表达情况,分析uPA表达与原发性肝癌患者临床病理特征及系统炎症指标的相关性,包括系统性免疫炎症指数(systemic immune inflammation index,SII)、中性粒细胞-淋巴细胞比值(neutrophil-to-lymphocyte ratio,NLR)、血小板与淋巴细胞比值(platelet-to-lymphocyte ratio,PLR),进一步行体外功能实验,研究uPA对肝癌细胞迁移和侵袭能力的影响。 结果 在48例原发性肝癌组织中,uPA在27例原发性肝癌中表达上调(P<0.01),且uPA高表达与原发性肝癌的包膜不完整及复发转移相关(P<0.05),并与肿瘤大小成正相关(P=0.011)。我们还发现uPA表达水平与肝癌系统炎症指标(NLR,PLR,SII)相关,在体外迁移和侵袭实验中,我们发现uPA可促进肝癌细胞的迁移和侵袭。 结论 uPA可能作为评估原发性肝癌细胞迁移和侵袭潜能的指标。Abstract: Objective To investigate the expression of urokinase-type plasminogen activator (uPA) and characterize the association between uPA and tumor metastasis in hepatocellular carcinoma. Methods We collected 48 primary hepatocellular carcinoma (HCC) tissues and their adjacent normal tissues. Quantitative real-time polymerase chain reaction (QRT-PCR) was performed to detect the messenger RNA (mRNA) expression of uPA in primary HCC, and then analyzed the correlation between uPA expression and clinicopathological features and systemic inflammatory indicators of primary HCC, including systemic immune inflammation index (SII), neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR). Further in vitro experiments performed to study the effect of uPA on migration and invasion. Results uPA was up-regulated in 27 of 48 HCC tissues (P<0.01) and uPA expression was associated with incomplete envelope, recurrence and metastasis of HCC (P<0.05). uPA expression was positively correlated with tumor size (P=0.011). We also found that the expression level of uPA was correlated with HCC systemic inflammatory indicators (NLR, PLR, SII). Furthermore, we found that uPA can promote the migration and invasion of HCC cells in vitro. Conclusions uPA could be a clinical marker for the migration and invasion of HCC cells.