首页|Ⅱ型肌醇多磷酸4-磷酸酶在甲状腺乳头状癌组织中的表达及临床意义

Ⅱ型肌醇多磷酸4-磷酸酶在甲状腺乳头状癌组织中的表达及临床意义

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目的 观察Ⅱ型肌醇多磷酸4-磷酸酶(INPP4B)在甲状腺乳头状癌(PTC)组织中的表达并探讨其临床意义.方法 采用免疫组织化学染色法检测2014年至2016年间200例PTC患者癌组织及其相应的癌旁正常组织中INPP4B的表达,分析其与患者临床病理特征的关系.计量资料采用Person x2检验分析.结果 INPP4B在Ⅰ/Ⅱ期的癌组织和癌旁正常组织中均呈低水平表达,癌组织INPP4B低表达率高于癌旁组织[99.2%(128/129)比100%(129/129),P<0.050];在Ⅲ/Ⅳ期的癌组织中呈高水平表达,INPP4B高表达率显著高于癌旁正常组织[98.5%(70/71)比0%(0/71),P<0.05]及 Ⅰ/Ⅱ 期的癌组织[98.5%(70/71)比 0.8%(1/129),P<0.05].INPP4B高表达与PTC患者性别(P<0.05)、病灶数量(P<0.05)、局部侵犯(P<0.05)、淋巴结转移(P<0.05)和病理分期(P<0.05)显著相关.结论 INPP4B在早期PTC发生过程中起抑癌作用;随着肿瘤进展,INPP4B表达上调,在晚期PTC发挥促癌作用.
Expression of type Ⅱ inositol polyphosphate 4-phosphatase in papillary thyroid carcinoma tissues and its clinical significance
Objective To observe the expression of type Ⅱ inositol polyphosphate 4-phosphatase(INPP4B)in papillary thyroid carcinoma(PTC))tissues and investigate its clinical significance.Methods Immunohistochemistry(IHC)staining was employed to assess the expression of INPP4B in the cancerous tissues of 200 patients with PTC and their corresponding adjacent normal tissues from 2014 to 2016.The a-nalysis aimed to elucidate The correlation between the expression of INPP4B and the clinicopathological fea-tures was analyzed.Quantitative data were subjected to analysis using Pearson's chi-squared test.Results INPP4B exhibited a low expression in both stages Ⅰ/Ⅱ cancerous tissues and adjacent normal tissues,and the probability of low INPP4B expression in cancerous tissues surpasses that in adjacent tissues[99.2%(128/129)vs.100.0%(129/129),P<0.05];conversely,in stages Ⅲ/Ⅳ cancerous tissues,high ex-pression was found,with a probability of high expression in cancerous tissues significantly surpassing that in adjacent normal tissues[98.5%(70/71)vs.0%(0/71),P<0.05]and in stage Ⅰ/Ⅱ cancerous tis-sues[98.5%(70/71)vs.0.8%(1/129),P<0.05].High expression of INPP4B was significantly cor-related with gender(P<0.01),number of lesions(P<0.01),local invasion(P<0.01),lymph node metastasis(P<0.01),and pathological stage(P<0.01).Conclusion INPP4B plays a role of tumor suppressor in early stage PTC.With tumor progression,INPP4B is upregulated and plays a role promoting oncogene in advanced stage PTC.

Thyroid carcinomaInositol polyphosphate 4-phosphataseClinicopathological fea-turesMetastasisProgression

钱一获、凌志强、赏金标

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浙江中医药大学第二临床学院,杭州 310053

浙江省肿瘤医院头颈外科,杭州 310022

浙江省肿瘤医院浙江省肿瘤研究所,杭州 310022

甲状腺癌 肌醇多磷酸4-磷酸酶 免疫组织化学 表达 临床意义

浙江省自然科学基金面上项目

LY20H160007

2024

中华实验外科杂志
中华医学会

中华实验外科杂志

CSTPCD
影响因子:0.759
ISSN:1001-9030
年,卷(期):2024.41(5)
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