细胞角化蛋白19表达与术前血清CYFRA21-1水平联合分析在人肺鳞癌组织中的临床病理意义。

Osaka city medical journal Pub Date : 2013-06-01
Shoji Hanada, Noritoshi Nishiyama, Shinjiro Mizuguchi, Shotaro Yamano, Anna Kakehashi, Min Wei, Hidetoshi Inoue, Hiroaki Komatsu, Kyukwang Chung, Shigefumi Suehiro, Hideki Wanibuchi
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引用次数: 0

摘要

背景:研究细胞角化蛋白19 (cytokeratin19, CK19)在人肺鳞状细胞癌(SCC)组织中的表达,以确定一种有用的生物标志物。此外,我们通过免疫染色检测CK19表达水平和术前血清CYFRA21-1水平的意义,以及它们与人肺鳞状细胞癌临床病理特征的相关性。方法:采用QSTAR Elite LC-MS/MS鉴别癌组织和非癌组织中的蛋白,用于SCC的诊断和预后。CK19的免疫染色分为“强CK19”和“弱CK19”。分析107例肺鳞状细胞癌患者预后与肿瘤组织中CK19表达及血清CYFRA 21-1浓度的相关性。结果:LCMS/MS检测到CK19在人鳞状细胞癌组织中表达上调。通过免疫染色强度确定的CK19的弱表达是较差的疾病特异性生存的重要预测因子(p = 0.032)。肿瘤组织中CK19免疫染色较弱、血清CYFRA21-1浓度较高的患者预后明显差于其他组(p = 0.003)。结论:CK19弱表达和高血清CYFRA21-1水平的结合是人肺鳞状细胞癌患者预后较差的预测因子。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinicopathological significance of combined analysis of cytokeratin19 expression and preoperative serum CYFRA21-1 levels in human lung squamous cell carcinoma.

Background: To identify a useful biomarker for human lung squamous cell carcinoma (SCC), the expression of cytokeratin19 (CK19) in human SCC tissue was investigated. In addition, we examined the significance of CK19 expression levels by immunostaining and CYFRA21-1 levels in preoperative serum, and their correlation with the clinicopathologic features of human lung SCC.

Methods: To identify proteins in cancerous and non-cancerous tissues for the diagnosis and prognosis of SCC, QSTAR Elite LC-MS/MS was used. Immunostaining for CK19 was classified as either "CK19-strong" or "CK19-weak". Correlations between prognosis and both CK19 expression in tumor tissues and serum concentrations of CYFRA 21-1 were analyzed in 107 cases of lung SCC.

Results: The upregulation of CK19 in human squamous cell carcinoma tissues was observed by LCMS/MS. The weak expression of CK19, as determined by immunostaining intensity, was a significant predictor of poorer disease-specific survival (p = 0.032). The prognosis was significantly poorer for patients with weak CK19 immunostaining in tumor tissues and a high serum concentration of CYFRA21-1 compared with the other groups (p = 0.003).

Conclusions: The combination of weak CK19 expression and high serum CYFRA21-1 levels is a predictor of poorer prognosis for patients with human lung SCC.

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