Journal of Capital Medical University ›› 2021, Vol. 42 ›› Issue (1): 77-82.doi: 10.3969/j.issn.1006-7795.2021.01.013

• Basic Research • Previous Articles     Next Articles

Clinical significance of kininogen 1 expression in non-small cell lung cancer biofluids and tissues

Wang Weiwei1, Wang Shanshan1, Zhang Man2,3*   

  1. 1. Department of Pulmonary and Critical Care Medicine, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;
    2. Clinical Laboratory Medicine, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;
    3. Beijing Key Laboratory of Urinary Cellular Molecular Diagnostics, Beijing 100038, China
  • Received:2020-04-21 Online:2021-02-21 Published:2021-02-02
  • Contact: *E-mail:zhangman@bjsjth.cn
  • Supported by:
    Beijing Municipal Administration of Hospitals’ Ascent Plan(DFL20150701), Enhancement Funding of Beijing Key Laboratory of Urinary Cellular Molecular Diagnostics(2019-JS02).

Abstract: Objective To evaluate the clinical significance in the diagnosis and prognosis of non-small cell lung cancer (NSCLC) by detecting the expression of kininogen-1 (KNG1) in plasma, alveolar lavage fluid, urine and tissues of patients with NSCLC. Methods The plasma, alveolar lavage fluid and urine samples were collected from 40 patients with NSCLC and 20 patients with benign lung disease (as control group). Enzyme-linked immunosorbent assay was used to detect the content of KNG1 in plasma, bronchoalveolar lavage fluid (BALF) and urine. The expression of KNG1 in 40 NSCLC and its paracancerous control samples was detected by immunohistochemistry. Results The levels of KNG1 in plasma, BALF and urine of patients with NSCLC were significantly higher than those of the control group. Receiver operating characteristic (ROC) curve analysis showed that KNG1 had an area under curve (AUC) of 0.79, 0.89 and 0.87 in plasma, BALF, and urine respectively. All had statistical significance (P<0.05), indicating that KNG1 of each specimen had certain ability to diagnose NSCLC. The diagnostic cut-off values were 1 653.6 mg/L for plasma, 52.1 mg/L for BALF and 2.3 mg/L for urine. The results showed that the consistency of urine was the highest (Kappa=0.59), indicating that the diagnostic effect was better than plasma and BALF. Immunohistochemical staining of 40 NSCLC and adjacent normal tissues showed that KNG1 was higher in NSCLC tissues than in adjacent normal tissues. Conclusions KNG1 was highly expressed in plasma, alveolar lavage fluid, urine and tissues of NSCLC, and had a certain ability to diagnose NSCLC in body fluids, especially urine.

Key words: non-small cell lung cancer, kininogen 1, urine, bronchoalveolar lavage fluid(BALF), tissue

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