重庆医学2024,Vol.53Issue(9) :1317-1322.DOI:10.3969/j.issn.1671-8348.2024.09.007

MMR蛋白、HER2、Ki-67在结直肠癌中的表达及意义

Expression and significance of MMR protein,HER2 and Ki-67 in colorectal cancer

杨飞 张亚铭 周潮平 汪大田 高斌 马军 汤代彬 袁建伟 王宇翔
重庆医学2024,Vol.53Issue(9) :1317-1322.DOI:10.3969/j.issn.1671-8348.2024.09.007

MMR蛋白、HER2、Ki-67在结直肠癌中的表达及意义

Expression and significance of MMR protein,HER2 and Ki-67 in colorectal cancer

杨飞 1张亚铭 1周潮平 1汪大田 1高斌 1马军 1汤代彬 1袁建伟 1王宇翔1
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作者信息

  • 1. 安庆市立医院普外科,安徽安庆 246000
  • 折叠

摘要

目的 探讨错配修复(MMR)蛋白及人表皮生长因子受体(HER)2、Ki-67在结直肠癌中的表达及其临床意义.方法 回顾性分析2017年10月至2022年5月于该院普外科行手术治疗的559例结直肠癌患者临床资料,采用免疫组织化学检测MMR蛋白(MLH1、MSH2、PMS2、MSH6)及HER2、Ki-67在结直肠癌中的表达情况,分析其与结直肠癌临床病理特征之间的关系.结果 559例结直肠癌患者中43例(7.7%)为错配修复功能缺陷(dMMR),8例(1.4%)为HER2+++,251例(44.9%)为Ki-67+++.不同年龄、肿瘤位置、肿瘤最大径、肿瘤大体类型、组织学分级、淋巴结转移、TNM分期的结直肠癌患者dMMR表达率比较,差异有统计学意义(P<0.05).不同肿瘤大体类型的结直肠癌患者HER2++/+++表达率比较,差异有统计学意义(P<0.05).不同组织学分型、组织学分级、淋巴结转移、远处转移、TNM分期的结直肠癌患者Ki-67+++表达率比较,差异有统计学意义(P<0.05).MMR蛋白与HER2、Ki-67表达无相关性(P>0.05).结论 结直肠癌中MMR蛋白表达与其临床病理特征关系密切.

Abstract

Objective To investigate the expression and clinical significance of mismatch repair (MMR) protein,human epidermal growth factor receptor (HER)2 and Ki-67 in colorectal cancer.Methods The clini-cal data of 559 patients with colorectal cancer who underwent surgical treatment in the hospital from October 2017 to May 2022 were retrospectively analyzed.The expressions of MMR protein (MLH1,MSH2,PMS2, MSH6),HER2 and Ki-67 in colorectal cancer were detected by immunohistochemistry,and the relationship between them and the clinicopathological features of colorectal cancer was analyzed.Results Among the 559 patients with colorectal cancer,43 cases (7.7%) were deficient mismatch repair (dMMR),8 cases(1.4%) were HER2 +++,and 251 cases (44.9%) were Ki-67 +++.The expression rate of dMMR in the colorec-tal cancer patients with different age,tumor location,tumor maximum diameter,gross type,histological grade,lymph node metastasis and TNM stage was significantly different (P<0.05).The expression rate of HER2 ++/+++ in the patients with different gross types of colorectal cancer was statistically significant (P<0.05).The expression rate of Ki-67 +++ in the colorectal cancer patients with different histological types,histological grades,lymph node metastasis,distant metastasis and TNM staging was statistically signifi-cant (P<0.05).There was no correlation between MMR protein and the expression of HER2 and Ki-67 (P>0.05).Conclusion The expression of MMR proteins in colorectal cancer is closely related to its clinicopatho-logical features.

关键词

结直肠肿瘤/错配修复蛋白/人表皮生长因子受体2/Ki-67/免疫组织化学

Key words

colorectal neoplasms/mismatch repair protein/human epidermal growth factor receptor 2/Ki-67/immunohistochemistry

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基金项目

安徽省卫生健康科研项目(AHWJ2022b107)

安徽省安庆市科技局项目(2021Z2010)

出版年

2024
重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
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