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肺腺癌组织中黑色素瘤相关抗原-As的表达及其临床意义

Expressions of Melanoma Antigen-As in Lung Adenocarcinoma Tissues and Related Clinical Significance

  • 摘要:
    目的 探讨黑色素瘤相关抗原(melanoma antigen, MAGE)-As在肺腺癌组织中的表达,并分析其与肺腺癌患者临床病理学特征及预后的关系。
    方法 选取住院手术切除的肺腺癌组织及相应癌旁组织标本各80例,应用免疫组织化学法检测各组织中MAGE-As蛋白的表达,同时选取5例前列腺癌患者术后的睾丸组织作为阳性对照。
    结果 肺腺癌组织中MAGE-As蛋白的阳性表达率为46.25%(37/80),而相应的癌旁组织未发现MAGE-As蛋白的表达。MAGE-As蛋白的表达与肺癌患者的性别、年龄、临床分期、组织学分级、肿瘤大小、淋巴转移均无相关性(P > 0.05)。Log rank检验显示,MAGE-As蛋白表达阳性的肺腺癌患者的生存期均显著低于其表达阴性的患者(P=0.007)。多因素分析结果显示,MAGE-As表达、年龄和临床分期是肺腺癌患者较差预后的独立危险因素。
    结论 MAGE-As蛋白是肺腺癌的相关抗原。MAGE-As蛋白可能作为肺腺癌预后不良的指标。

     

    Abstract:
    Objective To investigate the expression of melanoma antigen (MAGE) -As in lung adenocarcinoma(LAC) tissues, and to explore their correlation with clinical biological indicators and prognostic factors.
    Methods We collected cancerous and adjacent lung cancer tissue specimens from 80 patients with lung cancer who were surgically treated in the Fourth Hospital of Hebei Medical University. Testicular tissues (n=5) were collected from the patients with prostate cancer as positive control in the same time. Immunohistochemical staining was performed to assess the expression of MAGE-As in carcinoma and adjacent tissues.
    Results MAGE-As protein were not expressed in adjacent tissues, the positive expression rate of MAGE-As protein in LAC tissues was 46.25%(37/80). No correlation was found between MAGE-As protein expression and age, gender, histological grade, clinical stage, tumor size, lymph node metastasis in LAC patients (P > 0.05). Log rank test showed that the survival time of LAC patients with positive MAGE-As expression was lower than that of negative ones (P=0.007). Multivariate analysis results showed that MAGE-As expression, age and clinical stage were independent risk factors of LAC.
    Conclusion MAGE-As proteins are LAC-associated antigens, thus, they have potentially diagnostic and prognostic significance in clinical settings.

     

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