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Had a score of 2, and 15 (15/122, 12.3) a score of 3, though 64 (64/122, 52.5) had a low CTGF expression, 37 (37/122, 30.3) had a score of 0 and 27 (27/122, 22.1) a score of 1 (Figure 1). CTGF MDM2 Accession expression in relation to clinicopathologic options of gastric carcinoma CTGF was highly expressed far more often in welldifferentiated GC than in moderately- or poorlydifferentiated GC (P = 0.014) and in intestinal-type carcinoma than in diffuse-type or mixed-type carcinoma (P = 0.045). Sufferers having a higher CTGF expression hadwww.wjgnet.comISSN 1007-CN 14-1219/RWorld J GastroenterolApril 7,VolumeNumberTable 1 Association amongst CTGF expression and clinicopathologic factorsFactors Age (yr) 60 60 Sex Male Female Tumor size (cm) five five Differentiation Well Moderate Poor Lauren form Intestinal kind Diffuse variety Mixed sort TNM stage Lymph nodes metastasis Absent Present Metastasis Absent PresentA1.0 0.Cathepsin B Formulation Survival functionsCasesCTGF expression Low expression High expressionP value0.628 Survival price 0.six 0.4 0.two 0.555 0.68 54 88 34 56 66 19 32 71 40 64 18 18 24 46 34 32 90 10437 27 49 15 31 33 six 13 45 15 40 9 11 15 20 18 22 42 5531 27 0.251 39 19 25 33 0.014 13 19 26 0.045 25 24 9 0.391 7 9 26 16 0.032 10 48 0.821 4940 60 80 Months after operation Survival functions TNM ++B1.0.9 Survival rate0.0.0.40 60 80 Months immediately after operationPearson 2 test.Figure two Kaplan-Meier survival curves for individuals with a low (�� or perhaps a high (—–) expression of CTGF (A) and for those at stage ++ having a low (�� or a high (—–) expression of CTGF (B). The survival of sufferers with a low CTGF expression was drastically longer than those using a high CTGF expression, P = 0.0178 (A) and P = 0.0027 (B), respectively.test, P = 0.0178; Figure 2A). The prognostic significance of CTGF expression in sufferers at TNM stage + + was analyzed. Individuals at stage + + had a high CTGF expression along with a considerably reduce 5-year survival price (35.7) than these with a low CTGF expression (65.2 , two-sided log-rank test, P = 0.0027; Figure 2B). Multivariate analysis of prognostic influence of CTGF expression on gastric carcinoma Multivariate evaluation revealed that CTGF expression, TNM stage, differentiation have been independent prognostic indicators for the general sur vival in the patients following adjustment for sex, age, tumor size, grade of differentiation, Lauren varieties, TNM stages, lymph node metastasis and distant metastasis (P 0.05, Table two).Figure 1 Immunohistochemical staining for connective tissue development factor (CTGF) in gastric carcinoma (400).a higher incidence of lymph node metastasis than those with a low CTGF expression (P = 0.032). No significant connection was located between the degree of CTGF expression plus the age and sex, tumor size, TNM stage and distance metastasis of GC sufferers (Table 1). Univariate analysis of prognostic impact of CTGF expression on gastric carcinoma Patients using a high CTGF expression had a drastically reduced cumulative 5-year survival price (27.6) than these having a low CTGF expression (46.9 , two-sided log-rankwww.wjgnet.comDISCUSSIONIn the present study, we detected CTGF expression in GC patients. Higher CTGF expression was closely related with lymph node metastasis, grade of differentiation, and Lauren sort. Univariate and multivariate analyses revealed that high CTGF expression was a powerful independent predictor for the poor survival of GC sufferers, in particular for those at stage + + . The general 5-year survival price of GC individuals using a higher CTGF ex.

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