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机构地区:[1]厦门市第二医院消化内科,福建省厦门市361021 [2]福建省立医院消化科,福建省福州市350000
出 处:《世界华人消化杂志》2013年第18期1701-1707,共7页World Chinese Journal of Digestology
摘 要:目的:研究抑癌基因WWOX与p53在胃癌(gastric cancer,GC)中的表达及相互关系,探讨其在GC发生、发展中可能的机制.方法:随机选择手术切除的GC石蜡标本70例及相应癌旁正常组织的石蜡标本20例,采用免疫组织化学的方法检测WWOX、p53蛋白表达.对所得数据进行统计学分析.结果:p53蛋白在G C中的表达率为51.42%(36/70),癌旁正常组织的表达率为0.00%(0/20);淋巴结转移组表达显著高于无转移组(2=4.79,P<0.05);晚期GC组表达高于早期GC(2=6.62,P<0.05).WWOX蛋白在GC中的表达率为41.43%(29/70),癌旁正常组织的表达率为90.00%(18/20);淋巴结转移组与无转移组相比,无统计学意义(2=0.29,P>0.05);晚期GC显著低于早期GC(2=9.36,P<0.05).WWOX与p53表达呈负相关(r=-0.61,P<0.05).结论:p53、WWOX蛋白在GC中表达,与浸润深度、淋巴结转移、临床分期相关,二者在GC发生、发展中相互作用.AIM: To examine the expression of WWOX and p53 proteins in gastric cancer, and to analyze the possible mechanisms behind the malignant growth of gastric cancer. METHODS: The expression of WWOX and p53 proteins was detected by immunohistochemistry in 70 paraffin-embedded samples of gastric cancer and 20 tumor-adjacent normal tissue samples. Statistical analyses were then performed to analyze the relationship between WWOX and p53 expression and clinicopathologic parameters of gastric cancer. RESULTS: The positive rate of expression of p53 protein in gastric cancer was significantly higher than that in normal gastric tissue (51.42% vs 0.00%, P 0.05). Expression of p53 protein in gastric cancer was related with depth of invasion, lymph node metastasis, and tumor clinical stage (all P 0.05). The positive rate of expression of WWOX protein was significantly lower in gastric cancer than in normal gastric tissue (41.43% vs 90.00%, P 0.05). Expression of WWOX protein in gastric cancer was related with depth of invasion and clinical stage, but not with lymph node metastasis. There is a negative correlation between WWOX and p53 expression in gastric cancer. CONCLUSION: Detection of expression of p53 protein and WWOX proteins might be useful for early diagnosis and evaluation of prognosis of gastric cancer.
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