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肺癌组织中PKC-α蛋白的表达与肺癌临床病理特征的关系

The Correlation of PKC-α Expression and the Clinicopathologic Covariates in Pulmonary Non-small Cell Carcinoma

  • 摘要: 目的 检测肺癌组织中PKC-α(protein kinase C-alpha)蛋白的表达,探讨PKC-α蛋白与肺癌的组织类型、分化程度肺癌临床病期和淋巴结转移的关系。方法 应用免疫组化链霉茵抗生物素蛋白-过氧化物酶法(SP法)和荧光染色、激光扫描共聚焦技术,检测60例肺癌组织(肺癌组)、17例肺良性病变的正常肺组织(对照组)中PKC-α蛋白表达。结果 肺癌组和对照组PKC-α蛋白表达的阳性率分别为76.7%(46/60)和17.6%(3/17),两组间差异具有高度显著性(P〈0.01)。PKC-α蛋白表达在肺癌不同病理类型即鳞癌和腺癌中,差异无显著性(P〉0.05)。在高分化、中分化和低分化肺癌之间比较,PKC-α蛋白表达阳性率差异亦无显著性(P〉0.05)。PKC-α蛋白在ⅠA+ⅠB、ⅡA+ⅡB和ⅢA+ⅢB期阳性率分别为50.0%、82.6%和90.5%,阳性率随TNM分期而上升,差异有显著性(P〈0.05)。PKC-α阳性率在N0和N1~3肺癌分别为42.1%、92.7%,两者差异有高度显著性(P〈0.01)。41例伴有淋巴结转移的病例中,PKC-α蛋白表达在肺原发灶和淋巴结转移灶之间比较,差异无显著性(P〉0.05)。结论 肺癌组织中存在PKC-α蛋白的高表达;PKC-α蛋白的高表达与肺癌组织类型和分化程度无关,而与肺癌病期、淋巴结转移有密切关系。

     

    Abstract: Objective  To investigate the PKC-α expression and to discuss the correlation to the clinicopathologic covariates. Methods  Immunohistochemistry and confocal laser scanning microscopy were used to detect PKC-αexpression in 60 human lung cancer tissues and 17 benign pulmonary lession tissues. Results PKC-αimmunoreactivity increased significantly from 17. 6 %(3/ 17) in benign pulmonary lession tissues to 76. 7 % (46/ 60) in lung cancer tissues ( P < 0. 01) . In addition, the expression level of PKC-α protein increased significantly from 50. 0 % in stage I cancer and 82. 6 % in stage II cancer to 90. 5 % in stage Ⅲcancer ( P < 0. 05) . The PKC-α immunoreactivity increased significantly with lymph node metastasis of lung cancer ( P < 0. 01) . Conclusion  An increased PKC-αexpression is seen in lung carcinogenesis and metastasis. The expression of PKC-α is significantly correlated with advanced pathologic stage and metastasis in pulmonary non-small cell carcinoma.

     

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