机构:[1]Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangdong Provincial Engineering Technology Research Center of Minimally Invasive Surgery, Guangzhou, China[2]Department of Gastrointestinal Surgery, Guangdong Provincial Hospital of Chinese Medicine, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China大德路总院肛肠科大德路总院肛肠科广东省中医院
Background: PSMD1 has been considered to be involved in many human cancers, but its prognostic significance in gastric cancer (GC) has not been elucidated. The aim of this study was to evaluate the prognostic value of PSMD1 expression in tumor tissues of GC patients. Methods: We retrospectively analyzed the expression of PSMD1 in 241 paraffin-embedded GC specimens of the training cohort by immunohistochemistry. The prognostic value of PSMD1 expression was assessed using Kaplan-Meier survival curves and multivariate COX regression models. PSMD1 expression and other GC-associated risk factors were used to generate two nomograms to evaluate prognosis, and the performance of the two nomograms was assessed with respect to its calibration, discrimination, and clinical usefulness. Further validation was performed using an independent cohort of 170 cases. Results: High PSMD1 expression was significantly associated with decreased disease-free survival (DFS) and overall survival (OS) in GC patients. Furthermore, multivariate Cox proportional hazard analysis demonstrated that PSMD1 was an independent prognostic factor for DFS and OS. The two nomograms that were developed by integrating PSMD1 expression and the TNM staging system showed better prediction of DFS and OS than TNM staging system alone(C-index for training cohort: 0.708 (95% CI:0.670-0.746) and 0.712 (0.671-0.752), respectively; C-index for validation cohort: 0.704 (0.651-0.757) and 0.711 (0.656-0.767), respectively). Decision curve analysis demonstrated that the nomograms showed potential for clinical use. Conclusion: Intratumoral PSMD1 expression is a novel independent predictor of DFS and OS in GC patients. In the future, large-scale prospective studies will be necessary to confirm our findings regarding its potential prognostic and therapeutic value for GC patients.
基金:
State's Key Project of Research and Development Plan [2017YFC0108300, 2017YFC0108301]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81672446, 81270565]; Natural Science Foundation of Guangdong ProvinceNational Natural Science Foundation of Guangdong Province [2016A030313843]; Research Fund of Public Welfare in the Health Industry; National Health and Family Planning Commission of China [201402015]; Southern Medical University Clinical Research Start-Up Project [LC2016ZD003]; State's Key Clinical Specialty Discipline Construction Program [[2011]170]
第一作者机构:[1]Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangdong Provincial Engineering Technology Research Center of Minimally Invasive Surgery, Guangzhou, China[2]Department of Gastrointestinal Surgery, Guangdong Provincial Hospital of Chinese Medicine, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangdong Provincial Engineering Technology Research Center of Minimally Invasive Surgery, Guangzhou, China[2]Department of Gastrointestinal Surgery, Guangdong Provincial Hospital of Chinese Medicine, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China[*1]Department of General Surgery, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou 510515, China.[*2]Department of Gastrointestinal Surgery, Guangdong Provincial Hospital of Chinese Medicine, Dade Road No.111, 510120, Guangzhou, China
推荐引用方式(GB/T 7714):
Xiong Wenjun,Wang Wei,Huang Haipeng,et al.Prognostic Significance of PSMD1 Expression in Patients with Gastric Cancer[J].JOURNAL OF CANCER.2019,10(18):4357-4367.doi:10.7150/jca.31543.
APA:
Xiong, Wenjun,Wang, Wei,Huang, Haipeng,Jiang, Yuming,Guo, Weihong...&Li, Guoxin.(2019).Prognostic Significance of PSMD1 Expression in Patients with Gastric Cancer.JOURNAL OF CANCER,10,(18)
MLA:
Xiong, Wenjun,et al."Prognostic Significance of PSMD1 Expression in Patients with Gastric Cancer".JOURNAL OF CANCER 10..18(2019):4357-4367