ARID1A蛋白表达缺失与胃腺癌组织学分化及淋巴结转移的临床病理学分析
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R735.2

基金项目:

江苏省卫生健康委科研项目(H2023098);


Clinicopathological analysis of ARID1A protein loss in relation to histological differentiation and lymph node metastasis in gastric adenocarcinoma
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
    摘要:

    目的:探讨ARID1A蛋白表达缺失与胃腺癌组织学分化及淋巴结转移的关系,并分析其潜在的临床病理学意义。方法:回顾性分析行根治性切除的96例胃腺癌患者的临床资料。所有病例均保存有完整的石蜡包埋组织标本及临床病理学资料。肿瘤组织采用苏木精-伊红(HE)染色评估组织学分化程度、Lauren分型、淋巴结转移、脉管侵犯(LVI)、神经侵犯(PNI)、浸润深度(pT分期)等病理特征。免疫组织化学(IHC)检测ARID1A蛋白的表达状态,判定标准为细胞核完全缺失染色定义为“缺失表达”。同时收集患者的性别、年龄、肿瘤部位、EB病毒(EBV)状态、微卫星不稳定性(MSI)状态等临床病理参数。分析ARID1A缺失与各临床病理学特征的关系,并进一步应用多因素Logistic回归模型评估胃腺癌淋巴结转移的独立危险因素。结果:96例患者中,ARID1A蛋白缺失表达率为35.4%(34/96)。单因素分析显示,ARID1A缺失与组织学分化程度、Lauren分型、淋巴结转移、pT分期及EBV状态均相关(P<0.05),而与性别、年龄、LVI、PNI及MSI状态均无相关性(P>0.05)。多因素Logistic回归分析表明,pT分期(HR=2.631,95%CI:1.122~6.169,P=0.026)是胃腺癌淋巴结转移的独立危险因素,而ARID1A缺失不是独立危险因素。结论:ARID1A蛋白缺失与胃腺癌的不良病理学特征(低分化、弥漫型Lauren分型及淋巴结转移)存在相关性,但未被证实为淋巴结转移的独立危险因素。提示ARID1A可能通过影响肿瘤的分化状态和浸润深度间接参与转移过程。ARID1A缺失有望作为胃腺癌分子分层和预后评估的潜在生物标志物。

    Abstract:

    Objective: To investigate the association between ARID1A protein loss and histological differentiation as well as lymph node metastasis in gastric adenocarcinoma, and to further analyze its potential clinicopathological significance.Methods: A retrospective analysis was conducted on 96 patients with gastric adenocarcinoma who underwent radical gastrectomy. All cases had preserved formalin-fixed paraffin-embedded (FFPE) tissue specimens and complete clinicopathological data. Hematoxylin-eosin (HE) staining was performed to evaluate histological differentiation, Lauren classification, lymph node metastasis, lymphovascular invasion (LVI), perineural invasion (PNI), and depth of invasion (pT stage). Immunohistochemistry (IHC) was used to assess ARID1A protein expression, with complete nuclear absence of staining defined as “loss of expression.” Clinicopathological parameters including age, sex, tumor location, Epstein-Barr virus (EBV) status, and microsatellite instability (MSI) status were also collected. The relationships between ARID1A loss and clinicopathological characteristics were analyzed, and multivariate logistic regression was applied to determine independent risk factors for lymph node metastasis.Results: Among the 96 patients, the rate of ARID1A protein loss was 35.4% (34/96). Univariate analysis showed that ARID1A deficiency was correlated with histological differentiation, Lauren classification, lymph node metastasis, pT stage, and EBV status (P < 0.05), but not with sex, age, LVI, PNI, or MSI status (P > 0.05). Multivariate logistic regression analysis demonstrated that pT stage (HR = 2.631, 95% CI: 1.122–6.169, P = 0.026) was an independent risk factor for lymph node metastasis, whereas ARID1A loss did not emerge as an independent factor.Conclusion: Loss of ARID1A expression is correlated with adverse pathological features of gastric adenocarcinoma, including poor differentiation, diffuse Lauren type, and lymph node metastasis, but is not confirmed as an independent risk factor for nodal metastasis. These findings suggest that ARID1A may indirectly contribute to tumor dissemination through its impact on differentiation and invasion depth. ARID1A loss may serve as a potential biomarker for molecular stratification and prognostic evaluation in gastric adenocarcinoma.

    参考文献
    相似文献
    引证文献
引用本文

王晨曦;王龙飞;王耀辉;. ARID1A蛋白表达缺失与胃腺癌组织学分化及淋巴结转移的临床病理学分析[J].川北医学院学报,2025,40(12):1511-1515.

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2026-01-07
  • 出版日期:
文章二维码