首页|宫颈癌组织Ets-1表达与肿瘤血管生成、细胞增殖及侵袭转移的关系

宫颈癌组织Ets-1表达与肿瘤血管生成、细胞增殖及侵袭转移的关系

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目的:研究宫颈癌组织中原癌Ets-1基因的表达与肿瘤血管生成与癌细胞增殖的关系,探讨Ets-1基因在宫颈癌发生、发展、侵袭转移中的作用及临床意义.方法:采用免疫组化SP法检测67例宫颈癌组织中Ets-1表达及微血管密度(MVD)和细胞增殖核抗原Ki67的表达,并进行相关性分析.结果:宫颈癌组织中Eta-1表达阳性率为62.7%,高于正常宫颈组织(x2=14.94,P=0.001).使用CD34标记计数MVD,宫颈癌组织计数为37.57±6.77,明显高于正常宫颈上皮(t=10.920,P=0.000).随Ets-1表达的增强MVD显著增高(P=0.000).Ki67表达实验组宫颈癌组织为95.5%,对照组正常宫颈组织为18.2%,两组之间有显著性差异(x2=44.292,P=0.000).Ets-1表达强阳性者Ki67高表达(R=0.422,P=0.002);Ets-1表达随临床分期(R=0.355,P=0.002)、组织学分级(R=0.421,P=0.006)的进展呈现增高趋势;有盆腔淋巴结转移及深肌层浸润患者Ets-1的表达高于无盆腔淋巴结转移及浅肌层浸润患者,差异具有统计学意义(P<0.01).结论:Ets-1蛋白可通过促进肿瘤血管生成及肿瘤细胞分化增殖而加速肿瘤的生长浸润及转移.检测Ets-1可为了解宫颈癌生物学行为及判断预后提供重要的参考指标.
Relationship between expression of E26 transformation-specific-1(Ets-1)and tumor angiogenesis,cancer cell prolif eration,invasion and metastasis in cervical cancer
AIM: To investigate the expressions of E26 trans-formation-specific-1 (Ets-1) proto-oncogene protein, microvessel density (MVD) and cell proliferation nuclear antigen-Ki67 in cervical cancer tissue, and to explore the role of Ets-1 in the development, growth, invasion and metastasis of cervical cancer. METHODS: Immunohistochemical staining-SP method was used to detect the expressions of Ets-1, MVD (labeled by CD34) and cell proliferation nuclear antigen -Ki67 in 67 cases of cervical cancer. The relationships between Ets-1 and the clinicopathologi-cal variables, MVD and Ki67 were analyzed by Student's t-test and Chi-square analysis. RESULTS: Ets-1 was highly expressed in tumor tissues (42/67, 62. 7% ) and Ets-1 was not found in normal tissues, and the difference between the groups was significant (χ2 =14.94, P=0.001). MVD was 14.91 ±2.55 in normal tissues and 37. 57 ± 6. 77 in tumor tissues, with significant difference between the groups (t = 10. 920, P =0. 000). The MVD of Ets-1 -positive tumors was higher than that of Ets-1-negative tumors, with significant difference (P = 0.000). Positive rate of Ki67 in tumors was 95.5% (64/67) , significantly higher than that in normal tissue (χ2 =44.292, P=0.000). There was a significant correlation between the expressions of Ets-1 and Ki67 (R =0.422, P=0.002). There were significant correlations between the expressions of Ets-1 and increased clinical stage ( R = 0.355, P=0.002) and histopathological grading (R = 0.421, P =0.006). The expressions of Ets-1 was significantly higher in patients with lymph node metastasis and deep muscle invasion of the tumors compared with the patients with no lymph node metastasis and superficial muscle invasion( P <0.01). CONCLUSION: Ets-1 may accelerate the development and metastasis of cervical canc- er through promoting tumor angiogenesis and cell proliferating. Ets-1 may be a valuable marker to evaluate biological behavior of cervical cancer and to predict the outcome for patients with cervical cancer.

cervix neoplasmsEts-1Ki67microvessel densityimmunohistochemistry

张蕾、杨永秀

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兰州大学第一医院,甘肃,兰州,730000

宫颈肿瘤 Ets-1 Ki67 微血管密度 免疫组织化学

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(6)
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