河北医科大学学报 ›› 2021, Vol. 42 ›› Issue (3): 286-289,303.doi: 10.3969/j.issn.1007-3205.2021.03.008

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食管鳞状细胞癌患者外周血中Tfh细胞相关因子的表达及临床意义

  

  1. 河北医科大学第四医院肿瘤免疫科,河北 石家庄 050011
  • 出版日期:2021-03-25 发布日期:2021-04-01
  • 作者简介:郝贺(1989-),男,河北深泽人,河北医科大学第四医院医师,医学硕士,从事肿瘤免疫治疗研究。

Expression and clinical significance of Tfh cell-related factors in peripheral blood of patients with esophageal squamous cell carcinoma

  1. Department of Immuno-Oncology, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China
  • Online:2021-03-25 Published:2021-04-01

摘要: 目的  检测食管鳞癌患者外周血中Tfh细胞相关因子CXCR5、CXCL13及IL-21表达情况,并分析其与临床病理特征的相关性。
方法  选取65例食管鳞状细胞癌患者(食管鳞癌组)和30例健康对照者(正常对照组)为研究对象,收集其外周血样本,采用酶联免疫吸附(enzyme-linked immunosorbent assay,ELISA)方法检测血清中可溶性CXCR5(sCXCR5)、可溶性CXCL13(sCXCL13)及IL-21的表达水平。
结果  食管鳞状细胞癌组血清中sCXCR5、sCXCL13、IL-21水平较正常对照组增高(P<0.05);食管鳞状细胞癌组手术前后血清sCXCR5、sCXCL13及IL-21水平差异无统计学意义(P>0.05)。sCXCL13及IL-21的表达水平在不同临床病理特征组之间差异无统计学意义(P>0.05),但是sCXCR5的表达水平在不同肿瘤体积组之间差异有统计学意义(P<0.05);血清中sCXCR5、sCXCL13及IL-21两两间无明显相关性(P>0.05)。
结论  食管鳞状细胞癌患者血清中Tfh细胞相关因子sCXCR5、 sCXCL13及IL-21较正常人表达升高,且血清中sCXCR5的表达水平与肿瘤体积大小相关,说明Tfh细胞可能参与食管鳞状细胞癌的发生发展过程。

关键词: 食管肿瘤;癌, 鳞状细胞;受体,CXCR5;趋化因子CXCL13

Abstract: Objective  To analyze the expression levels of CXC receptor 5(CXCR5),chemokine C-X-C motif ligand-13(CXCL-13)and IL-21 in the peripheral blood of patients with esophageal squamous cell carcinoma(ESCC) and to evaluate their correlation with clinicopathological characteristics.
Methods  A total of 65 patients with ESCC and 30 healthy people were enrolled in this research. The peripheral blood samples were collected and the expression levels of soluble CXCR5(sCXCR5), soluble CXCL13(sCXCL13)and IL-21 were detected by enzyme-linked immunosorbent assay(ELISA).
Results  The levels of sCXCR5, sCXCL13 and IL-21 were increased in the ESCC group, as compared with normal control group(P<0.05); the expression levels of sCXCR5, sCXCL13 and IL-12 had no remarkable difference in the ESCC group before and after surgery(P>0.05). The expression levels of sCXCL13 and IL-21 were not statistically different between groups with different clinicopathological characteristics(P>0.05), but the expression levels of sCXCR5 were statistically different between groups with different tumor volumes(P<0.05). There were no significant correlation between the levels of sCXCR5, sCXCL13 and IL-21.
Conclusion  The expression levels of Tfh cell-related factors sCXCR5, sCXCL13 and IL-21 were higher in ESCC patients than in healthy people. Moreover, sCXCR5 expression was associated with tumor volume, suggesting that Tfh cells might be involved in the occurrence and development of ESCC.

Key words: esophageal neoplasms;carcinoma, squamous cell, receptors, CXCR5, chemokine CXCL13