首页|SIRT1和HIF-1α在皮肤恶性黑色素瘤中的表达及临床意义

SIRT1和HIF-1α在皮肤恶性黑色素瘤中的表达及临床意义

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目的 探讨沉默信息调节因子1(SIRT1)和缺氧诱导因子(HIF)-1α在皮肤恶性黑色素瘤(CMM)中的表达及其与临床因素之间的关系.方法 收集经组织病理和免疫组化明确诊断为CMM和黑色素痣的手术切除标本各30例,采用RT-qPCR和免疫组化方法检测SIRT1和HIF-1α在CMM和黑色素痣组织样本中的表达量,分析CMM组织中SIRT1和HIF-1α的表达与患者的性别、年龄、病变部位、病理类型、Clark病理分级、淋巴结转移情况、肿瘤最大直径之间的相关性.结果 RT-qPCR检测结果显示,SIRT1mRNA在黑色素痣中相对表达量低于在CMM中的相对表达量(P<0.01);HIF-1α mRNA在黑色素痣中的相对表达量低于在CMM中的相对表达量(P<0.05);免疫组化检测结果显示:与黑色素痣相比,SIRT1在CMM中的表达明显增强(t=10.14,P<0.001),HIF-1α在CMM中的表达增强(t=21.99,P<0.001).SIRT1的表达与肿瘤的Clark分级及淋巴结转移有关(P均<0.05);HIF-1α的表达与肿瘤的Clark分级、发病部位及淋巴结转移有关(P均<0.05).结论 CMM患者肿瘤组织中SIRT1和HIF-1α阳性表达率升高,且与Clark分级、淋巴结转移有关,HIF-1α的表达还与肿瘤发病部位有关,SIRT1和HIF-1α可能成为预测肿瘤侵袭、转移及预后的生物标志物.
Expression and Clinical Significance of Silenct Information Regulator 1 and Hypoxia Inducible Factor-1α in Cutaneous Malignant Melanoma
Objective To investigate the expression of SIRT1 and HIF-1 α in cutaneous malignant melanoma(CMM)and analyze their relationship with clinical factors.Methods A total of 30 surgical specimens of CMM and melanocytic nevus confirmed by histopathology and immuno-histochemistry were collected from the Department of Dermatology of General Hospital of Ningxia Medical University from February 2022 to February 2024.The expressions of SIRT1 and HIF-1 α were detected by RT-qPCR and immunohistochemical method in CMM and melanocytic nevus tissue samples.Chi-square test was used to analyze and evaluate the correlation between the expression of SIRT1 and HIF-1 α and the gender,age,tumor site,tumor lesion diameter and pathological grade of patients.Results RT-qPCR results showed that the relative expression level of SIRT1 mRNA in melanocytic nevus was lower than that of CMM(P<0.01).The relative expression level of HIF-lα mRNA in melanocytic nevus was lower than that of CMM(P<0.05).Immunohistochemical experiment results showed that the expression of SIRT1 in CMM was significant high than that in melanocytic nevus(t=10.14,P<0.001),and the expression of HIF-1α increased in CMM,which was significant high than that in melanocytic nevus(t=21.99,P<0.001).The expression intensity of SIRT1 was correlated with tumor Clark grade and lymph node metastasis(P all<0.05).The expression intensity of HIF-1 α was correlated with tumor grade,site and lymph node metastasis(P all<0.05).Conclusion The expression of SIRT1 and HIF-1 α in CMM tissues were increased,and they were related to Clark grade,lymph node metastasis,and tumour site,which could be used as biomarks to predict tumor invasion,metastasis and prognosis.

cutaneous malignant melanomamelanocytic nevussilent information regulator 1hypoxia inducible factor-1α

焦亚宁、葛新红、喻楠、于英瑶、李可心、韩珈蓉、马迎东、周镁、紫薇、张弘扬

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宁夏医科大学总医院皮肤科,宁夏医科大学第一临床医学院,银川 750004

石嘴山市第一人民医院,石嘴山 753000

宁夏医科大学,银川 750004

皮肤恶性黑色素瘤 黑色素痣 沉默信息调节因子1 缺氧诱导因子-1α

2024

宁夏医科大学学报
宁夏医科大学

宁夏医科大学学报

CSTPCD
影响因子:0.84
ISSN:1674-6309
年,卷(期):2024.46(11)