1. 中山大学附属第一医院泌尿外科,广东,广州,510080
2. 北京大学第三医院麻醉科,北京,100191
网络首发:2018-03-10,
纸质出版:2018
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莫承强, 王思豪, 潘金成, 等. 尿液中ErbB3蛋白在肾透明细胞癌早期诊断中的意义[J]. 中山大学学报(医学科学版), 2018,39(2).
Role of Urine ErbB3 Protein in Early Diagnosis of Clear Cell Renal Cell Carcinoma[J]. Journal of Sun Yat-sen University (Medical Sciences), 2018, 39(2).
【目的】探讨尿液中 ErbB3 蛋白表达水平对肾透明细胞癌早期诊断的意义。【方法】选取 2016 年 4 月26日至2016年8月31日于中山大学附属第一医院泌尿外科住院并接受外科手术治疗,术后病理结果证实 为肾透明细胞癌的肾癌患者31例,以及50例经体检证明无泌尿系疾病及其他系统疾病的正常人尿液作为正 常对照。使用ELISA法对实验组及对照组尿液中ErbB3蛋白进行检测,比较肾透明细胞癌组和正常对照组之 间尿液ErbB3蛋白表达差异,建立使用尿液ErbB3蛋白诊断肾透明细胞癌的ROC曲线,同时分析尿液中ErbB3 蛋白含量与患者 BMI、肿瘤病理直径、术前肌酐、血压及血糖的相关性。【结果】①与正常组相比,肾透明细胞 癌组患者尿液ErbB3蛋白浓度明显降低,差异具有统计学意义(P<0.001)。② 建立使用尿液ErbB3蛋白对肾透 明细胞癌进行早期诊断的ROC曲线,曲线下面积为0.802(P<0.001),当取诊断分界值为13.98 时,约登指数最大 为0.525,对应的诊断试验灵敏度为0.645,特异度0.880。诊断试验的Kappa值为0.542(P<0.001)。③ 实验组患 者尿液ErbB3蛋白含量与患者BMI、肿瘤病理直径、术前肌酐、血压及血糖无明显相关性。【结论】肾透明细胞癌 患者尿液中ErbB3蛋白含量较正常人明显降低,使用尿液ErbB3蛋白对肾透明细胞癌进行早期诊断具有一定 的可行性。
【Objective】To explore the diagnostic value of urine ErbB3 protein in clear cell renal cell carcinoma. 【Methods】We collected 31 urine samples of clear cell renal cell carcinoma patients who received operations in the Urology Department of the First Affiliated Hospital of Sun Yat-Sen University from April 2,2016 to August 31,2016. Meanwhile we collected 50 urine samples of normal people as control. We tested the expression of urine ErbB3 protein in experimen? tal group and control group,and analyzed the differences between the two groups. Then we established the ROC curve of which diagnosing clear cell renal carcinoma by urine ErbB3 protein. Also,we analyzed the relation between ErbB3 pro? tein in urine and the patients’BMI,preoperative creatinine,tumor diameter and underlying diseases such as hyperten? sion and hyperglycemia.【Results】① The expression of urine ErbB3 protein in clear cell renal cell carcinoma group was significantly lower than normal group(P<0.001). ② When diagnosing clear cell renal carcinoma by ErbB3 protein,the AUC of ROC was 0.802(P<0.001). When setting the cutoff as 13.98 pg/mL,the max Youden index was 0.525,the sensitivity was 0.645 and the specificity was 0.880. The Kappa value of diagnostic test was 0.542(P<0.001). ③ Therewas no correlation between the ErbB3 content and patients’BMI,tumor diameter or preoperative creatinine by correlation analysis. Also,there was no correlation between the urine ErbB3 protein content and blood pressure or blood glucose. 【Conclusion】The urine ErbB3 protein of clear cell renal cell carcinoma was significantly lower than normal people,and it is meaningful for applying urine ErbB3 protein to early diagnosis of clear cell renal cell carcinoma.
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