首页|PHOX2B在外周神经母细胞性肿瘤4种分型组织中的表达差异

PHOX2B在外周神经母细胞性肿瘤4种分型组织中的表达差异

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[目的]探讨同源异型盒蛋白 2B(PHOX2B)在外周神经母细胞性肿瘤(pNTs)4 种分型组织中的表达差异.[方法]回顾性分析 2019 年 1 月至 2022 年 12 月本院收治的 65 例pNTs患儿的临床资料,根据免疫组化综合评分方法对 pNTs 4 种分型中 PHOX2B的表达情况进行分析,采用受试者工作特征(ROC)曲线评估PHOX2B免疫组化综合评分预测神经母细胞瘤(NB)、节细胞性神经母细胞瘤(GNB)混杂型(GNBi)、节细胞性神经母细胞瘤结节型(GNBn)和节细胞性神经瘤(GN)的价值.[结果]男、女患儿病例数分别为 33 例、32 例,无明显的性别差异;年龄分布主要为 6 岁以下患儿,其所占比例为 75.38%(49/65);腹膜后为常见原发部位,其次为纵隔和肾上腺.PHOX2B在 NB中免疫组化综合评分最高,其次为 GNBn,GNBi 和 GN 表达最弱,NB免疫组化综合评分显著高于 GNBn、GNBi、GN,GNBn免疫组化综合评分显著高于 GNBi、GN,差异均有统计学意义(P<0.05).ROC曲线结果显示,PHOX2B免疫组化综合评分为 5 分时可作为诊断 NB 的参考阈值,PHOX2B 免疫组化综合评分为 3 分可作为诊断 GNBn的参考阈值(P<0.05).[结论]PHOX2B在 pNTs 不同类型的表达有显著差异,其表达强度可作为 pNTs病理分型的依据.
Differential Expression of PHOX2B in Four Subtypes of Peripheral Neuroblastoma Tissues
[Objective]To investigate the differential expression of homologous heterojunction box protein 2B(PHOX2B)in four subtypes of peripheral neuroblastoma(pNTs)tissues.[Methods]A retrospective analysis was conducted on 65 children with pNTs admitted to our hospital from January 2019 to December 2022.The expression of PHOX2B in four subtypes of pNTs was analyzed using the immunohistochemical comprehensive scoring meth-od,The receiver operating characteristic(ROC)curve was used to evaluate the value of PHOX2B immunohisto-chemistry comprehensive score in predicting neuroblastoma(NB),ganglionic neuroblastoma(GNB)mixed type(GNBi),ganglionic neuroblastoma nodular type(GNBn),and ganglionic neuroma(GN).[Results]The number of cases of male and female patients was 33 and 32 respectively,with no significant gender difference;The age dis-tribution was mainly among children under 6 years old,accounting for 75.38%(49/65);The retroperitoneum was a common primary site,followed by the mediastinum and adrenal gland.PHOX2B had the highest comprehensive immunohistochemical score in NB,followed by GNBn,with the weakest expression of GNBi and GN.The com-prehensive immunohistochemical score in NB was significantly higher than that of GNBn,GNBi,and GN.The comprehensive immunohistochemical score of GNBn was significantly higher than that of GNBi and GN,and the differences were statistically significant(P<0.05).The ROC curve results showed that a PHOX2B immunohis-tochemical comprehensive score of 5 could be used as a reference threshold for diagnosing NB,and a PHOX2B im-munohistochemical comprehensive score of 3 could be used as a reference threshold for diagnosing GNBn(P<0.05).[Conclusion]There are significant differences in the expression of PHOX2B among different types of pNTs,and its expression intensity can serve as a basis for pathological classification of pNTs.

Genes,HomeoboxNeuroblastoma/PAImmunohistochemistry

谭智文、陈卫坚、秦蕾、郑台青

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湖南省儿童医院,湖南 长沙 410007

基因,同源盒 神经母细胞瘤/病理学 免疫组织化学

湖南省儿童医院课题基金项目

HNSET2021C05

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(2)
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