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超声引导下肝细胞癌穿刺组织中Ezrin表达的临床意义
  • ISSN号:1007-631X
  • 期刊名称:《中华普通外科杂志》
  • 时间:0
  • 分类:R734.2[医药卫生—肿瘤;医药卫生—临床医学]
  • 作者机构:[1]辽东学院医学院,辽宁丹东118001, [2]辽宁省丹东市中心医院,辽宁丹东118002, [3]延边大学医学院,吉林延吉133000
  • 相关基金:国家自然科学基金(No:30960120)
中文摘要:

目的探讨Ezrin蛋白在肺腺癌组织中的表达及意义。方法应用免疫组织化学染色检测92例肺腺癌及癌旁正常组织中的Ezrin蛋白表达,结合临床病理学指标及生存时间进行统计学分析。结果肺腺癌组织中的Ezrin阳性表达率明显低于癌旁正常组织(P〈0.01),Ezrin蛋白在组织分化程度较低、有转移以及高分期的肺腺癌组织中的阳性表达率明显降低(P值分别为0.023、0.003和0.001);癌组织中的Ezrin蛋白表达与患者的生存时间明显相关(Logrank=35.106,P〈0.01);Ezrin阴性表达是影响患者生存时间的独立风险因子(HR:0.408,95%CI:0.232-0.717,P=0.002)。结论Ezrin基因可以影响肿瘤的发生和发展,检测肺腺癌组织中Ezrin蛋白的表达对其预后评估有一定的价值,有望成为肺腺癌靶向治疗的分子靶点。

英文摘要:

[Objective] To explore the role of Ezrin in tumor progression and prognostic evaluation oflung adenocarcinoma. [Methods] Immunohistochemistry for Ezrin protein was done to investigated the signifi-cance of Ezrin protein expression in 92 cases of lung adenocarcinoma. Additionally, the correlation betweenEzrin non-expression and the clinicopathological features of lung adenocarcinoma was evaluated by χ2 test andFisher's exact test, the overall survival rates were calculated by the Kaplan-Meier method, and the relation-ship between prognostic factors and patient over survival was also analyzed by the Cox analysis. [Results]Ezrin protein non-expression rate in lung adenocarcinoma was significant lower than the index in the adjacentlung tissues (P〈0.01). Ezrin non-expression rate was correlated with the differentiation, metastasis, and patho-logic stage (P =0.023, 0.003, and 0.001, respectively). Importantly, there was significant difference betweenEzrin non-expression rate and the overall survival rate (Log-rank= 35.106, P〈0.01). Further analysis by Coxproportional hazard regression model, Ezrin non-expression emerged as a significantly independent hazard factor for over survival of lung adenocarcinoma (HR: 0.408, 95%CI: 0.232 - 0.717, P=0.002). [Conclusion]Ezrin may affect the occurrence and development of lung adenocarcinoma. It might be a new attractivebiomarker for prognostic evaluation and molecular target therapy in patients with lung adenocarcinoma.

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期刊信息
  • 《中华普通外科杂志》
  • 中国科技核心期刊
  • 主管单位:中国科学技术协会
  • 主办单位:中华医学会
  • 主编:
  • 地址:北京市阜内大街133号
  • 邮编:100034
  • 邮箱:zhpw@cjgs.com.cn
  • 电话:010-66124704 66162070
  • 国际标准刊号:ISSN:1007-631X
  • 国内统一刊号:ISSN:11-3855/R
  • 邮发代号:82-222
  • 获奖情况:
  • 国内外数据库收录:
  • 日本日本科学技术振兴机构数据库,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版),中国北大核心期刊(2000版)
  • 被引量:33517