Clinical study on expressions of transcription factor Snail and its related proteins in non-small cell lung cancer / 肿瘤研究与临床

ABSTRACT

Objective To detect the expressions of transcription factor Snail,E-cadherin(E-cad)and N-cadherin(N-cad)in non-small cell lung cancer(NSCLC),and explore their correlations.Methods The expression patterns of Snail,E-cad and N-cad in human lung tissues were detected by immunohistochemistry,from 59 untreated NSCLC patients in Affiliated Cancer Hospital of Xinjiang Medical University from January 2014 to December 2015 for whom clinical data were available,with adjacent tissues and 31 benign lesions as control.The expression patterns of Snail,E-cad,N-cad and clinicopathological factors were analyzed.Results The positive rate of Snail and N-cad in NSCLC was significantly higher than those in the control tissues [81.4％(48/59)vs.37.3％(22/59)vs.12.9％(4/31),χ2=9.782,P <0.05; 76.3％(45/59)vs.33.9％(20/59)vs.12.9％(4/31),χ2= 7.445,P< 0.05].The positive rate of E-cad in NSCLC was significantly lower than those in the control tissues [20.3％(12/59)vs.55.9％(33/59)vs.93.5％(29/31),χ2= 45.107,P< 0.01].The expressions of Snail and E-cad were related to lymph node metastasis and TNM stage [snail: 97.5％(39/40)vs.47.4％(9/19),χ2=7.734,P <0.05; 12.5％(1/8)vs.81.0％(17/21)vs.100.0％(30/30),χ2=7.723,P<0.05; E-cad: 95.0％(38/40)vs.36.8％(7/19),χ 2=7.190,P<0.05; 100.0％(8/8)vs.19.0％(4/21)vs.0(0/30),χ 2= 12.311,P < 0.01].The expression of N-cad was related to lymph node metastasis,histological grade and TNM stage [97.5％(39/40)vs.47.4％(9/19),χ2=11.231,P <0.01; 28.6％(2/7)vs.63.6％(14/22)vs.96.7％(29/30),χ2=9.564,P <0.05; 12.5％(1/8)vs.85.7％(18/21)vs.86.7％(26/30),χ 2= 11.664,P<0.01].The positive correlation was found between Snail and N-cad(r=0.373,P<0.01),the negative correlation was found between the expression of Snail and E-cad,N-cad and E-cad(r =-0.667,P= 0.00;r=-0.297,P=0.01).Conclusion Snail,E-cad and N-cad are involved in the development,progression and metastasis of NSCLC,and combined detection can predict tumor invasion,metastasis and prognosis.