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组蛋白甲基转移酶SMYD3在子宫内膜癌中的表达及意义
叶伟标, 李广柳, 朱莹, 禤文婷, 李仲均
中国实用妇科与产科杂志 ›› 2025, Vol. 41 ›› Issue (10) : 1031-1033.
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PDF(3573 KB)
组蛋白甲基转移酶SMYD3在子宫内膜癌中的表达及意义
Expression of histone methyltransferase SMYD3 in endometrial carcinoma and its significance
目的 探讨组蛋白甲基转移酶SMYD3在子宫内膜癌组织中的表达及意义。方法 选取2014年1月至2020年12月于南方医科大学第十附属医院行手术诊疗的子宫内膜癌患者85例,采用免疫组织化学染色技术分别检测子宫内膜癌组织、不典型增生子宫内膜组织、正常子宫内膜组织中SMYD3的表达情况,分析其与患者临床病理特征和预后的关系。结果 SMYD3在子宫内膜癌组织中阳性表达率为83.53%(71/85),高于不典型增生子宫内膜组织阳性表达率43.33%(13/30)和正常子宫内膜组织阳性表达率26.67%(8/30),差异具有统计学意义(P<0.05)。在子宫内膜癌患者中,SMYD3表达水平与国际妇产科联盟(FIGO)分期、淋巴脉管间隙浸润、淋巴结转移相关(P<0.05)。SMYD3高表达的患者总生存时间低于SMYD3低表达患者(P<0.05)。结论 SMYD3在子宫内膜癌中呈高表达状态,且与肿瘤进展和预后不良密切相关,提示其可能作为子宫内膜癌潜在预后指标和治疗靶点。
Objective To investigate the expression and significance of histone methyltransferase SMYD3 in endometrial carcinoma. Methods Totally 85 patients with endometrial cancer who underwent surgical treatment at The Tenth Affiliated Hospital,Southern Medical University from January 2014 to December 2020 were selected.The expression of SMYD3 in endometrial carcinoma tissue,atypical endometrial hyperplasia tissue,and normal endometrium tissue was assessed by immunohistochemical staining. The correlation between SMYD3 expression and clinicopathological characteristics and prognosis of patients was analyzed. Results The positive rate of SMYD3 expression in the endometrial carcinoma tissue was 83.53%,which was higher than that in atypical endometrial hyperplasia tissue(43.33%) and normal endometrium tissue (26.67%),and the difference was statistically significant (P<0.05). The expression level of SMYD3 was associated with FIGO stage,lymphovascular space involvement,and lymph node metastasis in patients with endometrial carcinoma (P<0.05). The patients with higher SMYD3 expression had shorter overall survival time than those with lower SMYD3 expression(P<0.05). Conclusion The expression of SMYD3 is high in endometrial carcinoma,which is closely correlated with tumour progression and poor prognosis,suggesting that it can be used as a potential prognostic indicator and therapeutic target.
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