A prognostic diagnostic marker claudin22 for ovarian cancer and its application
A diagnostic marker, ovarian cancer technology, applied in the field of clinical analysis, can solve the problems of no specific research on the correlation between Claudin22 and the prognosis of gynecological tumors, no other family members, etc.
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Embodiment 1
[0023] Embodiment 1 sample preparation
[0024] 1. Sample collection
[0025]This study collected 38 patients diagnosed with epithelial ovarian cancer in Zhejiang Cancer Hospital from October 2008 to July 2014. All patients received standard treatment: initial tumor cytoreductive surgery or initial staging Surgery plus 6-8 courses of first-line chemotherapy after surgery (platinum combined with paclitaxel), divided according to tumor tissue types: 1. Serous adenocarcinoma; 2. Mucinous adenocarcinoma; 3. Endometrioid adenocarcinoma; 4. Clear cell 5. Unclassified adenocarcinoma; 6. Transitional cell carcinoma; 7. Two or more mixed carcinomas. The clinicopathological data of each patient were carefully collected, and the patients were followed up by telephone after the treatment. The last follow-up time was April 2020, and the patients were followed up for 11-134 months.
[0026] 2. Definitions of relevant indicators such as recurrence, chemotherapy sensitivity, and chemothera...
Embodiment 2
[0037] Embodiment 2 experimental method
[0038] 1. Immunohistochemistry
[0039] 1) Two senior pathologists will repeat the paraffin sections before conducting follow-up experiments.
[0040] 2) Dewaxing and hydration: Soak the slices in xylene solution for 3 times, 10 minutes each time. After taking it out, soak it in 95% alcohol for 5 minutes, and then soak it in 75% alcohol for 5 minutes. Finally, soak in 50% alcohol for 5 minutes. Take out the slices and soak in distilled water.
[0041] 3) Blocking endogenous peroxidase: soak the dewaxed and hydrated sections in methanol solution containing 3% hydrogen peroxide for 15 minutes. Then rinse with PBS solution 3 times, 5 minutes each time.
[0042] 4) Microwave antigen retrieval: immerse the slice in a buffer solution containing EDTA and citrate, put it in a microwave oven, maintain 100% power for 8 minutes, 80% power for 6 minutes, and 60% power for 6 minutes; Then replenish the buffer in time. After cooling, the slic...
Embodiment 3
[0055] Example 3 Claudin22 expression is associated with poor prognosis
[0056] According to the above definition, immunohistochemical experiments were performed on the expression of Claudin22 in the cases, and the statistics were scored after scoring. The specific results are shown in Table 2
[0057] Table 2 Correlation between Claudin22 expression and clinicopathological parameters
[0058]
[0059] Claudin22 is mainly expressed in the cytoplasm of ovarian cancer cells, and the coloring is brown or brown ( figure 1 ). We found that 56.3% (18 / 32) of pathologically poorly differentiated patients in ovarian cancer with low expression of Claudin22 were higher than 43.7% (14 / 32) of highly differentiated patients, with a statistical difference (P=0.047). From the perspective of prognosis, the PFS and OS of ovarian cancer patients with low Claudin22 expression were significantly better than those with high Claudin22 expression (P=0.02, P=0.02, figure 2 ).
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