首页|MEK1在结直肠癌中表达及临床意义

MEK1在结直肠癌中表达及临床意义

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目的:探讨有丝分裂原激活的蛋白激酶(MAPK)信号转导途径中MEK1表达与结直肠癌发生及淋巴结和肝转移的关系.方法:采用免疫组化方法,检测86例结直肠癌原发灶、正常结肠黏膜、转移淋巴结和肝转移灶MEK1表达.采用寿命表法分析对比ME.1表达对患者生存的影响.结果:大肠癌原发灶、正常结肠黏膜、转移淋巴结和肝转移灶中MEK1表达阳性率分别为:52.3%,32.6%,71.4%,78.3%.癌原发灶、肝转移灶和转移淋巴结中MEK1表达阳性率高于正常肠黏膜组织(P<0.01).按TNM分期,Ⅲ,Ⅳ期结直肠癌原发灶MEK1表达阳性率高于Ⅰ,Ⅱ期(P<0.01).低分化腺癌和黏液腺癌MEK1表达阳性率高于高-中分化腺癌(P<0.01).MEK1阳性组和MEK1阴性组的3 a无病累积生存率分别为41.3%,73.1%.MEK1阳性组患者生存率低于MEK1阴性组,其差异有统计学意义(P<0.05).结论:MEK1增强表达与结直肠癌发生及淋巴结和肝转移有关,检测MEK1表达对判断结直肠癌患者预后有重要意义.
Clinical significance of MEK1 expression in colorectal cancer tissues
AIM:To investigate expression of MEKl in colorectal cancer and its association with lymphatic and hepatic metastasis.METHODS:Immunohistochemistry was used to assay MEK1 expression in primary foci,normal colorectal mucosa,metastatic lymph modes and hepatic metastasis in 86 cases of colorectal cancer.RESULTS:The rates of MEK1 expression in primary foci,normal colon mucosa,lymphatic and hepatic metastasis were 52.3%,32.6%,71.4%,and 78.3%respectively.The positive rates of MEK1 in primary foci,lymphatic and hepatic metastasis were higher than that in normal mucosa(P<0.01).According to TNM stage,the positive rate of MEK1 in stage Ⅲ and Ⅳ was higher than that in stage Ⅰ and Ⅱ(P<0.01).And a higher rate of MEK1 expression was detected in low differentiation adenoearcinoma and mucus adenocarcinoma than in middle-high differentiation adenocarcinoma(P<0.01).The accumulated three-year survival in group of MEK1 positive and negtive was 41.3%and 73.1%,respectively.And the difference between the groups was significant(P<0.05).CONCLUSION:Enhanced expression of MEK1 in colorectal cancer was associated significantly with lymphatic and hepatic metastasis.Assaying MEK1 expression has a prognosic value for colorectal cancer patients.

colorectal neoplasmMEK1metastasis

于波、苏宏、李世拥、安萍、杜俊峰、白雪、左富义

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北京军区总医院全军普通外科中心,北京,100700

结直肠肿瘤 MEK1 转移

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(21)
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