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食管鳞状细胞癌组织中Ezrin基因的表达和临床意义

Expression and Clinical Significance of Ezrin in Esophageal Squamous Cell Carcinoma Tissues

  • 摘要: 目的探讨食管鳞状细胞癌组织及正常食管黏膜组织中埃兹蛋白(Ezrin)的表达情况,并分析其与食管鳞状细胞癌临床病理及患者5年生存率的关系。方法203例食管癌患者均来自河南林州市。利用组织微阵列技术制作组织芯片,采用免疫组织化学ABC法分析203例食管鳞癌组织(观察组)和相应正常食管黏膜组织(对照组)中Ezrin蛋白的表达情况。结果观察组中Ezrin蛋白表达率(67.0%)明显高于对照组(38.5%)(P<0.05);Ezrin蛋白高表达与淋巴结转移、TNM分期有关,而与年龄、性别、肿瘤细胞分化程度和大体分型无关;Ezrin蛋白高表达的食管鳞癌患者的5年生存率明显低于未高表达者。结论Ezrin蛋白的异常表达可能与食管鳞状细胞癌的发生、发展相关,检测Ezrin可能为食管癌预后判断提供依据。

     

    Abstract: ObjectiveTo investigate the roles of Ezrin in esophageal squamous cell carcinoma (ESCC) development and progression. MethodsUsing tissue array and immunohistochemistry, the expression of Ezrin was determined in 203 ESCC tissues(observed group) and their corresponding normal esophageal tissues(control group). We analyzed the correlation Ezrin expression and the clinicopathologic characteristics, as well as fire-year survival rate. Results The over-expression rate of Ezrin was significantly higher in ESCC than that in their corresponding normal esophageal tissues (67.0% vs. 38.5%, P<0.05 ); furthermore,the over-expression of Ezrin was correlated to lymph nodes metastasis and TNM stage, but not the age, gender, tumor cell differentiation and general classification. Survival analysis showed that the abnormal expression of Ezrin was associated with the poor 5-year survival rate of patients with ESCC. ConclusionOur findings suggested that Ezrin over-expression might play an important role in the progression of ESCC, and be a prognostic biomarker related to poor survival.

     

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