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凋亡相关基因survivin 蛋白在前列腺癌组织中的表达及临床意义

Expression and the Clinical Significandce of survivin Proteins in Tissues of Prostatic Carcinoma

  • 摘要: 目的 探讨新的凋亡相关基因survivin蛋白在前列腺癌中的表达及临床意义。方法 采用免疫组织化学S-P法分别测定42例前列腺癌(Pca)癌组织及10例正常前列腺组织(NP)中survivin蛋白的表迭,并分析其与前列腺癌临床、病理因素的关系。结果 survivin蛋白在Pca中的总阳性表达率为80.59%(34/42),高、中、低分化腺癌的阳性表达率分别为100%(12/12)、88.24%(15/17)、53.85%(7/13);有淋巴结转移与无淋巴结转移survivin蛋白的阳性表达率分别为100%(16/16)、69.23%(18/26);而在NP中无阳性表达。结论 前列腺癌的分期愈晚、分化程度愈低,survivin蛋白的阳性表达率愈高,检测Pca中survivin蛋白的表达有助于了解前列腺癌的生物学特性,为指导临床治疗及估计预后提供信息。

     

    Abstract: Objective  To investigate the expression and the clinical significance of survivin proteins in tissues of prostatic carcinoma. Methods  Expression of survivin proteins were detected by immunohistochemiocal technique in tissues of 42 cases of prostatic cares of prostatic carcinima ( Pca) and 10 cases of normal prostate (NP) . Results  The overall expression rate of survivin in prostatic carcinoma was 80. 5 % (34/ 42), while the the positive rate of survivin expression was 100 % (12/ 12) 、88. 24 % (15/ 17) and 3. 85 %( 7/ 13 ) in the high, middle and low differentiation prostatic carcinoma respectively, it was 65. 22 %(15/ 27) 、100 %(19/ 19) in stage A-B and C-D respectively, and it was 100 %(16/ 16) 、69. 23 % (18/ 26) in prostatic carcer with lymph node metastasis and without lymph node metastasis. In cont rast, ormal prostate did not express surviving proteins. Conclusion  survivin is positively correlated with the stage of prostate cancer as well as with the differentiation. It plays an important role in prostatic cancinogenesis. Detection of survivin protein expression can help to reveal the biological behavior of prostatic carcinoma and provide prognostic information for the patients.

     

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