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nm230-H1、p16抑癌基因蛋白在甲状腺肿瘤中的表达及其临床意义

The Expression of nm23-H1 and p16 Suppressor Gene Protein in Thyroid Tumor and Clinical Significance

  • 摘要: 目的 探讨抑癌基因nm23-H1及p16与甲状腺癌的发病学及其生物学行为的关系. 方法 应用SP免疫组化 方法 检测了54例甲状腺癌、16例腺癌、10例甲状腺非瘤病变的nm23-H1、p16基因蛋白的表达。 结果 甲状腺腺瘤及分化型甲状腺癌中的nm23-H1及p16表达率及表达强度均显著增强(P<0.05),而甲状腺未分化癌中nm23-H1及p16表达率及表达强度则显著降低(P<0.01)。nm23-H1及p16蛋白表达与甲状腺癌的分化程度呈正相关(P<0.01),与预淋巴结转移无显著相关性,但nm23-H1与包膜侵犯呈负相关(P<0.05)。 结论 nm23-H1及p16基因失活与甲状腺未分化癌的发生密切相关,可为临床判断恶性程度及生物学行为提供参考。

     

    Abstract: Objective To study the relationship between the expression of nm23-H1、p16 protein and thyroid carcinomas Method Immunohistochemistry was used to detect the expression of nu23-H1、p16 protein in 54 thyroid carcinomas、16 thyroid adenomas、9 nonneoplastic thyroid tissues and 12 adjacent normal tissues Results The expression of nm23-H1 and p16 was much higher in thyroid adenomas and differentiated carcinomas (P<0.05),whereas it was much lower in undifferentiated carcinomas (P<0.01).Positive correlation was observed between the expression of nm23-H1、p16 protein and the degree of differentiation(P<0.01).There was no significant association betwen the expression of nm23-H1、p16 protein and the cervical lymph node metastasis,but the expression of nm23-H1 was negatively corrated with capsule invasion(P<0.05). Conclusion The loss of nm23-H1 and p16 function may play an important role in carcinogenesis and progress of thyroid undifferentiated carcinoma.Although the expression of nm23-H1 and p16 can't be used as a marker of low metastatic potential,it may serve as a good marker for the degree of differentiation and biological behavior.

     

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