武鸿文, 梅 艳, 王 乔, et al. The clinical value of serum MIP-1α and S-TK1 in the evaluation of postoperative radioactive131I treatment for thyroid carcinoma[J]. China Oncology, 2021, 31(11): 1088-1095.
武鸿文, 梅 艳, 王 乔, et al. The clinical value of serum MIP-1α and S-TK1 in the evaluation of postoperative radioactive131I treatment for thyroid carcinoma[J]. China Oncology, 2021, 31(11): 1088-1095. DOI: 10.19401/j.cnki.1007-3639.2021.11.007.
The clinical value of serum MIP-1α and S-TK1 in the evaluation of postoperative radioactive131I treatment for thyroid carcinoma
Background and purpose: Serum-thymidine kinase 1 (S-TK1) and macrophage inflammatory protein-1α (MIP-1α) are serum tumor markers
and their expression levels in serum are closely associated with disease severity and prognosis of thyroid cancer patient. Therefore
this article aimed to explore clinical value of the expression levels of S-TK1 and MIP-1α in the evaluation of postoperative radioactive
131
I treatment for thyroid carcinoma. Methods: A total of 158 preoperative patients with thyroid cancer and 128 healthy subjects were selected as study group and control group. Serum MIP-1α and S-TK1 levels were compared between the two groups. All patients with malignancy were divided into groups: the successful group (58 cases) and the unsuccessful group (40 cases)
the metastasis positive group (20 cases) and the metastasis negative group (78 cases). The levels of serum MIP-1α and S-TK1 were compared
and immunohistochemical staining technique was used to detect the expressions of MIP-1α and S-TK1 in the thyroid tissues of different groups of patients. The factors affecting postoperative outcome were analyzed by single factor and logistic regression analysis. Results: The expression levels of MIP-1α and S-TK1 were significantly higher in the thyroid malignant group than in the benign group and the healthy control group (P < 0.05). Compared with those who were unsuccessful
the serum expression levels of MIP-1α and S-TK1 in the successful group before the
131
I treatment were significantly reduced (P < 0.05). The serum levels of MIP-1α and S-TK1 were significantly higher in the metastasis positive group than in the metastatic negative group (P < 0.05). Immunohistochemical staining results showed that the positive expression rate of MIP-1α protein in the thyroid tissues of the malignant group (70.41%) was significantly higher than in the benign group (18.33%)
and the positive expression rate of S-TK1 protein was significantly higher in the malignant
group (68.37%) than in the benign group (15.00%) (P < 0.05). Univariate analysis showed that maximum diameter
body mass index (BMI)
thyroid-stimulating hormone (TSH)
the expression levels of MIP- 1α and S-TK1 had significant effects on the first postoperative
131
I clearing effect in patients with thyroid cancer (P < 0.05). Logistic regression analysis showed the largest diameter of the lesion and the expression levels of TSH
MIP-1α and S-TK1 were independent factors influencing the efficacy of the first postoperative clearing effect (P < 0.05). Conclusion: The expression levels of MIP-1α and S-TK1 are significantly higher in thyroid cancer patients than in healthy people. The expression levels of MIP-1α and S-TK1 are significantly increased after metastasis in thyroid cancer patients
and the maximum diameter of lesion
TSH and the expression levels of MIP-1α and S-TK1 are independent factors affecting the efficacy of the first postoperative clearing effect (P < 0.05).
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Related Institution
Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University
Shanghai Engineering Research Center of Artificial Intelligence Technology for Tumor Diseases
School of Public Health, Fudan University
Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University
Department of Cancer Prevention, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University