目的:探讨干扰素调节因子2(interferon regulatory factor 2,IRF2)在人食管鳞癌组织中的表达及其与病理特征和预后的关系。方法:采用免疫组化SP法检测69例食管鳞癌组织和45例癌旁组织的IRF2表达,分析其与临床病理特征及预后之间的关系。结果:IRF2在食管鳞癌组织中的表达明显高于癌旁组织,并与肿瘤分化程度、淋巴转移及TNM分期明显相关。单因素生存分析发现IRF2表达、分化程度、淋巴转移与患者的无进展生存显著相关,多因素分析则证实IRF2是预后的独立风险因子。结论:IRF2在食管鳞癌中高表达,并且是不良预后的独立风险因子,提示其可能发挥癌基因的功能。
Objective: To study the expression and clinical significance of interferon regulatory factor 2( IRF2) in esophageal squamous cell carcinoma( ESCC). Methods: Immunohistochemistry( SP assay) was used to detect the expression of IRF2 in 69 patients with ESCC compared with non- tumor adjacent tissues( NAT,n = 45). The relationship between its expression and clinical features were analyzed. Results: The expression level of IRF2 in ESCC was significantly higher than that of NAT. And over- expression of IRF2 was correlated with tumor differentiation,lymph node metastasis and TNM stage. Over- expression of IRF2,tumor differentiation and lymph node metastasis were significantly associated with shorter progression free survival in univariate analysis. Multivariate analyses indicated that high IRF2 expression might be a poor prognostic factor. Conclusion: IRF2 was over- expression and a poor prognostic factor in ESCC,implicating it might play as a oncogene in the ESCC development.