Research Article

Lymph Node Metastasis-Related Gene ITGA4 Promotes the Proliferation, Migration, and Invasion of Gastric Cancer Cells by Regulating Tumor Immune Microenvironment

Table 3

Univariate and multivariate Cox analysis of ITGA4 expression and the clinicopathological variables.

CharacteristicsTotal ()Univariate analysisMultivariate analysis
Hazard ratio (95% CI) valueHazard ratio (95% CI) value

Group100
High expression43Reference
Low expression570.374 (0.174-0.801)0.0110.450 (0.206-0.984)0.045
Sex100
 Female28Reference
 Male721.175 (0.499-2.765)0.712
Age1000.992 (0.957-1.028)0.646
BMI1000.944 (0.845-1.054)0.303
Tumor infiltration pattern100
 INFc48Reference
 INFb160.843 (0.280-2.541)0.761
 INFa200.568 (0.188-1.712)0.315
 N/A161.035 (0.376-2.848)0.947
Lymphatic infiltration100
 Positive45Reference
 Negative551.064 (0.503-2.249)0.872
Venous infiltration100
 Positive30Reference
 Negative701.689 (0.685-4.166)0.255
Nerve infiltration100
 Positive75Reference
 Negative250.446 (0.155-1.286)0.135
T classification100
 T438Reference
 T3450.591 (0.268-1.302)0.192
 T2130.348 (0.079-1.533)0.163
 T140.585 (0.077-4.452)0.605
Metastatic lymph node ratio10014.056 (3.348-59.004)<0.0017.032 (1.262-39.187)0.026
Borrmann type1001.445 (0.769-2.715)0.253
Tumor location100
 Lower third54Reference
 Middle and upper third421.866 (0.847-4.113)0.1221.369 (0.590-3.177)0.464
 Entire stomach47.426 (2.017-27.337)0.0031.838 (0.376-8.988)0.452
HER2100
 Positive18Reference
 Negative820.602 (0.256-1.418)0.246
CEA100
 ≤ 5 ng/ml86Reference
 > 5 ng/ml140.679 (0.205-2.250)0.526
CA-199100
 ≤ 37 U/ml88Reference
 > 37 U/ml121.745 (0.663-4.593)0.260
CA724100
 ≤ 6 U/ml74Reference
 > 6 U/ml261.096 (0.483-2.490)0.826

Histological type and T classification were according to the AJCC 8th edition of the Cancer Staging Manual of the American Joint Committee on Cancer. Vascular infiltration, nerve infiltration, and lymphatic infiltration were determined according to the postoperative pathology report.