CXCL9 as a Prognostic Inflammatory Marker in Early-Stage Lung Adenocarcinoma Patients

CXCL9 as a Prognostic Inflammatory Marker in Early-Stage Lung Adenocarcinoma Patients
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CXCL9 作为早期肺腺癌患者的预后炎症标志物

DOI:
10.3389/fonc.2020.01049
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发表时间:
2020-06
影响因子:
4.7
通讯作者:
Han Baohui
Han Baohui
中科院分区:
医学3区
文献类型:
--
作者:
Zhang Yanwei;Sun Beibei;Hu Minjuan;Lou Yuqing;Lu Jun;Zhang Xueyan;Wang Huimin;Qian Jialin;Chu Tianqing;Han Baohui

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背景资料:本研究旨在评价炎症生物标志物在预测早期(IA-IIB期)肺腺癌预后中的价值。方法:在接受切除术的早期肺腺癌患者中,使用基于Luminex珠的测定法检测10种炎症生物标志物。结果:共分析了152例早期肺腺癌患者。患者平均年龄(SD)为59.9(9.4)岁。总体而言,58.6%的患者为女性,从不吸烟者占84.0%。相对于低CXCL 9水平的患者,高CXCL 9水平的肺腺癌患者的复发风险降低了71%(HR = 0.29,95%CI:0.13-0.64,p = 0.0021)。在Bonferroni校正后,CXCL 9仍然与早期肺腺癌复发的风险显著相关。相对于CXCL 9水平低的患者,CXCL 9水平高的肺腺癌患者的死亡风险降低了80(HR = 0.20,95% CI:0.05-0.78,p = 0.021),TCGA验证队列中的患者死亡风险降低29%(HR = 0.71,95% CI:0.45-0.99,p = 0.044)。结论:我们的研究结果首次证明,CXCL 9水平是早期肺腺癌患者无病生存期(DFS)和总生存期(OS)的保护因素。
Background: This study was performed to evaluate the value of inflammatory biomarkers in predicting the prognosis of early-stage (stage IA-IIB) lung adenocarcinoma. Methods: Ten inflammatory biomarkers were tested with a Luminex bead-based assay in early-stage lung adenocarcinoma patients who underwent resection. Results: A total of 152 early-stage lung adenocarcinoma patients were analyzed in this study. The mean patient age (SD) was 59.9 (9.4) years. In total, 58.6% of patients were females, and never smokers accounted for 84.0%. Lung adenocarcinoma patients with high CXCL9 levels had a 71% reduced risk of recurrence relative to patients with low CXCL9 levels (HR = 0.29, 95% CI: 0.13–0.64, p = 0.0021). After Bonferroni correction, CXCL9 remained significantly related to the risk of early-stage lung adenocarcinoma recurrence. Lung adenocarcinoma patients with high CXCL9 levels had an 80% reduced risk of death relative to patients with low CXCL9 levels (HR = 0.20, 95% CI: 0.05–0.78, p = 0.021), and those in the TCGA validation cohort were at a 29% reduced risk of death (HR = 0.71, 95% CI: 0.45–0.99, p = 0.044). Conclusion: Our results demonstrate for the first time that the CXCL9 level is a protective factor for both disease-free survival (DFS) and overall survival (OS) in early-stage lung adenocarcinoma patients.
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