CLEC5A在胃癌组织中表达的临床意义及与肿瘤浸润免疫细胞的相关性研究
作者:
作者单位:

1南京医科大学附属克州人民医院转化医学中心,新疆克孜勒苏 845350 ; 2.清华大学生命科学院,北京 100084 ; 3.南通大学附属医院生物样本库,4肿瘤研究所,江苏 南通 226001 3 ; 5.南京医科大学附属克州人民医院普通外科,新疆克孜勒苏 845350

作者简介:

通讯作者:

中图分类号:

R735.2

基金项目:

新疆维吾尔自治区自然科学基金(2021D01B12);新疆维吾尔自治区天山创新团队计划项目(2024D14012)


Clinical significance of CLEC5A expression in gastric cancer and its correlation with tumor infiltrating immune cells
Author:
Affiliation:

1Centre for Translational Medicine,Nanjing Medical University Affiliated Kizilsu People’s Hospital,Kizilsu Kirgiz 845350 ; 2.Tsinghua University School of Life Sciences,Beijing 100084 ; 3.Department of Clinical Biobank,4Institute ofOncology,Affiliated Hospitalof Nantong University,Nantong 226000 ; 5.Department of General Surgery,NanjingMedical University Affiliated Kizilsu People’s Hospital,Kizilsu Kirgiz 845350 ,China

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
  • |
  • 文章评论
    摘要:

    目的:观察胃癌组织中C型凝集素5A(C-type lectin 5A,CLEC5A)的表达状况,探究其与肿瘤浸润免疫细胞(tumor- infiltrating immune cell,TIL)的关系和对胃癌患者预后的影响。方法:基于癌症基因组图谱(The Cancer Genome Atlas,TCGA)数据库,依据RNA序列数据中的CLEC5A表达水平,将胃癌样本分为CLEC5A mRNA高表达组和低表达组,分析CLEC5A mRNA 在胃癌组织表达和预后的关系。收集南通大学附属医院生物样本库2004年3月—2009年12月接受手术的145例胃癌患者组织芯片样本,其中男 101例,女 44例,年龄(60.6±11.2)岁,36例无癌胃黏膜组织作为对照。经免疫组织化学(immunohistochemistry, IHC)染色方法分析CLEC5A蛋白表达与患者临床特征和预后的关系;应用TIMER 2.0和CIBERSORT数据库对CLEC5A mRNA 表达与TIL免疫浸润水平的相关性进行评估;采用多重免疫组织化学(multiplex immunohistochemistry mIHC)方法检测免疫细胞在微环境中的分布,对生物信息学分析得到的结果进行验证。结果:胃癌组织中的CLEC5A mRNA表达水平显著高于正常胃黏膜组织。IHC结果显示,CLEC5A 在肿瘤细胞和间质淋巴细胞中均有表达,胃癌组织中CLEC5A的表达(27/36,75.0%)显著高于正常胃黏膜组织(13/36,36.1%,P < 0.05),而且其高表达与患者预后较好相关。多因素分析结果表明,CLEC5A低表达和较高的TNM分期是胃癌患者预后的独立危险因素。生物信息学分析及mIHC验证均表明,CLEC5A表达水平与TIL的浸润程度呈正相关,且CLEC5A高表达组中 CD4+ T、CD8+ T、CD45RO+ 、FOXP3+ T、PD1+ 和PDL1+ 细胞的浸润水平显著高于低表达组 (P均 < 0.05)。结论:CLEC5A可能通过调节TIL浸润参与胃癌进展,其高表达提示更好的预后,有望成为胃癌免疫治疗的新靶点。

    Abstract:

    Objective:To investigate the expression of C - type lectin 5A(CLEC5A)in gastric cancer tissues and explore its relationship with tumor-infiltrating immune cells(TILs)as well as its prognostic impact on gastric cancer patients. Methods:Based on The Cancer Genome Atlas(TCGA)database,gastric tumor samples were divided into CLEC5A mRNA high - expression and low - expression groups according to RNA sequencing data,and the association between CLEC5A mRNA expression and prognosis in gastric cancer was analyzed. Tissue microarrays from 145 gastric cancer patients(101 males and 44 females,mean age 60.6±11.2 years) who underwent surgery between March 2004 and December 2009 in the Affiliated Hospital of Nantong University Biobank were collected,with 36 non-cancerous gastric mucosal tissues as controls. Immunohistochemistry(IHC)was performed to evaluate CLEC5A protein expression and its association with clinical characteristics and prognosis. TIMER 2.0 and CIBERSORT databases were applied to evaluate the correlation between CLEC5A mRNA expression and immune infiltration levels of TILs. Multiplex immunohistochemistry(mIHC)was employed to detect immune cell distribution in the tumor microenvironment and validate the bioinformatics analysis results. Results:CLEC5A mRNA expression levels were significantly higher in gastric cancer tissues compared to normal gastric mucosa. IHC results showed that CLEC5A was expressed in both tumor cells and stromal lymphocytes,with significantly higher expression in gastric cancer tissues(27/36,75%)than in normal gastric mucosa(13/36,36.1%,P < 0.05). High CLEC5A expression was associated with better patient prognosis. Multivariate analysis indicated that low CLEC5A expression and advanced TNM stage were independent risk factors for poor prognosis in gastric cancer patients. Both bioinformatics analysis and mIHC validation demonstrated that CLEC5A expression levels were positively correlated with TIL infiltration,and the high CLEC5A expression group exhibited significantly increased infiltration of CD4 + T cells,CD8 + T cells,CD45RO+ cells,FOXP3 + T cells,PD1 + cells and PDL1 + cells compared to the low -expression group(all P < 0.05). Conclusion:CLEC5A may participate in gastric cancer progression by regulating TIL infiltration,and its high expression suggests better prognosis,potentially serving as a novel therapeutic target for gastric cancer immunotherapy.

    参考文献
    相似文献
    引证文献
引用本文

古丽努尔·阿不力米提,凯迪尔耶·阿卜杜萨拉木,陆冰,杨惟明,张明磊. CLEC5A在胃癌组织中表达的临床意义及与肿瘤浸润免疫细胞的相关性研究[J].南京医科大学学报(自然科学版),2026,46(3):333-342

复制
分享
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:2025-03-27
  • 最后修改日期:2025-06-19
  • 录用日期:2025-07-28
  • 在线发布日期: 2026-03-12
  • 出版日期:
关闭