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作 者:程继荣[1] 王淑琴[1] 祖木热提[1] 邹静[1]
机构地区:[1]新疆医科大学第五附属医院肿瘤中心,乌鲁木齐830011
出 处:《肿瘤》2010年第4期334-337,共4页Tumor
摘 要:目的:研究肿瘤干细胞标志物CD133和肿瘤血管内皮细胞标志物CD105在肺癌组织中的表达及其临床意义。方法:用免疫组织化学链霉亲和素-生物素-过氧化物酶复合物(streptavidin-biotin-peroxidase complex,SABC)法检测65例肺癌组织和30例癌旁组织中CD133与CD105的表达情况,分析二者与肿瘤大小、组织学类型、组织分化程度、TNM分期、淋巴结转移和预后的关系。结果:肺癌组织CD133和CD105的阳性表达率高于癌旁组织,分别为69.2%vs26.7%和67.7%vs10.0%,差异有统计学意义(均P<0.05)。有淋巴结转移组的CD133和CD105阳性表达率高于无淋巴结转移组,分别为82.5%vs48.0%和80.0%vs48.0%,差异有统计学意义(均P<0.05)。CD133和CD105的表达与淋巴结转移正相关,Pearson列联系数r分别为0.35和0.32(均P<0.05)。CD133和CD105的表达与肿瘤大小、组织学类型、组织分化程度以及TNM分期无相关性(均P>0.05)。CD133与CD105的表达之间呈正相关,Pearson列联系数r=0.37(P<0.05)。CD133和CD105表达阳性组的术后中位生存期低于阴性组,分别是37个月vs66个月和35个月vs70个月,差异有统计学意义(均P<0.05)。结论:CD133和CD105的表达与肺癌患者的淋巴结转移和预后密切相关,其高表达提示预后不良。Objective:To investigate the expressions of tumor stem cell marker CD133 and tumor vascular endothelial cell marker CD105 in lung cancer tissue and their clinical significance.Methods:Streptavidin-biotin-peroxidase complex(SABC)-immunohistochemical staining was used to detect the expression of CD133 and CD105 in 65 cases of lung cancer tissue and 30 specimens of adjacent non-cancerous tissue.The relationship between the expression of CD133/CD105 and tumor size,histological types,differentiation,TNM stage,lymphoid metastasis,and prognosis were analyzed.Results:The positive expression rates of CD133 and CD105 in lung cancer tissues were significantly higher than those in adjacent non cancerous tissues,respectively(69.2% vs 26.7% and 67.7% vs 10.0%,both P0.05).The positive expression rates of CD133 and CD105 in the group with lymphoid metastasis were higher than those with non lymphoid metastasis,respectively(82.5% vs 48.0% and 80.0% vs 48.0%,both P0.05).The expressions of CD133 and CD105 were positively correlated with lymphoid metastasis with Pearson coefficient r of 0.35 and 0.32,respectively(P0.05).No significant correlation was found between the expression of CD133/CD105 and tumor size,histological types,differentiation degree as well as TNM stage(P0.05).The expression of CD133 was positively correlated with the expression of CD105 in lung cancer tissue with Pearson coefficient r of 0.37(P0.05).Postoperative median survival periods of CD133 and CD105-positive group were significantly shorter than the CD133 and CD105-negative groups(37 months vs 66 months,35 months vs 70 months,respectively,both P0.05).Conclusion:The expression of CD133 and CD105 was associated with lymphoid metastasis and prognosis in patients with lung cancer.Their overexpression implies poor prognosis of lung cancer patients.
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