首页|胃癌组织Rac1表达及其与临床病理特征和生存的关系

胃癌组织Rac1表达及其与临床病理特征和生存的关系

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目的:检测胃癌组织Rac1蛋白表达及其与临床病理特征和生存的关系.方法:运用免疫组化(SP法)结合组织芯片技术联合检测189例胃癌、54例癌旁、30例正常组织及59例淋巴结中Rac1蛋白表达情况.结果:Rac1蛋白在胃癌组织、癌旁组织及正常胃粘膜的表达阳性率分别为72.0%,55.6%,13.3%(P<0.01).Rac1蛋白表达与淋巴结转移、分化程度、浸润深度及lauren分型密切相关(P<0.05).胃癌原发灶Rac1蛋白表达阳性率(82.5%)高于相对应的淋巴结转移灶(60.0%)(P<0.05),差异显著.COX多因素回归分析表明Rac1蛋白表达阳性具有显著的生存危险(P<0.05),是生存期预测因子.结论:Rac1蛋白在胃癌、癌旁组织存在广泛表达,可能是胃癌的早期分子事件;Rac1蛋白表达与临床病理特征密切相关,在胃癌的发生发展及恶性转化过程中起促进作用;Rac1蛋白表达方式与患者的生存期密切相关,其表达可作为独立的生存期预测因子.
Relationship between expression of Rac1 in gastric carcinoma and its biological behavior and patient survival
AIM: To evaluate the expression pattern of Rac1 in gastric carcinoma and to analyze its relationship with tumor clinicopathological features and patient survival. METHODS: Issue microarray and immunohistochemical staining of Rac1 were performed from paraffin specimens(SP) of 189 gastric carcinomas, 54 paracancer, 59 lymph nodes and 30 healthy controls. RESULTS: Expression of Rac1 was observed in 72.0% of the gastric carcinoma, 55.6% of the paracancer and 13.3% of the healthy controls (P < 0.01). Expression of Racl was significantly correlated with lymph node metastasis, tumor differentiation status, Lauren classification and invasive depth (respectively P < 0.05). The rate of Racl expression was higher in the primary gastric carcinomas (82.5%) compared with that in the lymph node metastasis(60.0%) (P < 0.05). Positive expression of Rac1 implicated a survival danger (P < 0.05). CONCLUSION: Expression of Rac1 may be an early molecular event in the tumor genesis and is closely related to the tumor clinicopathological features and the patient survival. Expression of Rac1 is involved in the genesis and development of gastric carcinoma and it can be used as a prognostic marker.

stomach neoplasmsRac1immunohistochemistrypathology, clinicalsurvival time

王娟霞、周永宁、邹绍静、任涛文、张志镒、郝天军、陈兆峰、黄珊珊、张俐花、赵越

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兰州大学第一医院消化内科,甘肃,兰州,730000

武威肿瘤医院,甘肃,武威,733000

胃肿瘤 Rac1 免疫组织化学 病理学,临床 生存期

国家自然科学基金

30872478

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(16)
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