p-JNK JNK和PPARγ在食管癌变过程中的表达及其意义

Significance of JNK, p-JNK and PPARγ Expression in the Carcinogenesis of Esophageal Squamous Cell Carcinoma

  • 摘要: 目的 :探讨p-JNK/JNK和PPARγ蛋白在食管癌变过程中的表达及其意义。 方法 :采用免疫组织化学方法,研究食管正常鳞状上皮(15例)、食管鳞状上皮内瘤变(85例)和食管鳞状细胞癌(60例)组织中p-JNK/JNK和PPARγ蛋白的表达情况。 结果 :JNK在食管正常鳞状上皮、食管鳞状上皮内瘤变和食管鳞状细胞癌中的阳性表达率分别为20.0%、37.6%和55.0%,而p-JNK的阳性表达率分别为33.3%、55.3%和73.3%,JNK和p-JNK在食管鳞状细胞癌中的阳性表达率均明显高于食管正常鳞状上皮和食管鳞状上皮内瘤变(P<0.05)。高级别食管鳞状上皮内瘤变中JNK、p-JNK的阳性表达率显著高于食管正常鳞状上皮和低级别食管鳞状上皮内瘤变(P<0.05)。PPARγ在食管正常鳞状上皮、食管鳞状上皮内瘤变和食管鳞状细胞癌中的阳性表达率分别为73.3%、45.9%和45.0%,食管鳞状上皮内瘤变和食管鳞状细胞癌中PPARγ的阳性表达率明显低于食管正常鳞状上皮(P<0.05)。食管鳞状细胞癌中JNK、p-JNK和PPARγ的表达与肿瘤分化程度相关,JNK、p-JNK和PPARγ的表达均随肿瘤病理分级的增高而降低(P<0.05)。JNK、p-JNK和PPARγ的表达与临床病理特征不相关(P>0.05)。 结论 :在食管癌变过程中,JNK、p-JNK的表达呈增高趋势而PPARγ的表达呈下降的趋势。但食管鳞状细胞癌中JNK/p-JNK和PPARγ的表达均随肿瘤分化程度降低而降低。提示JNK、p-JNK和PPARγ在食管鳞状上皮癌变和进展过程中发挥不同作用,其机制比较复杂。

     

    Abstract: Objective : To explore the putative roles of JNK, p-JNK and PPARγ expression in the carcinogenesis ofesophageal squamous cell carcinoma. Methods : We used immunohistochemistry to detect the expression ofJNK, p-JNK and PPAR γ in 15 normal esophageal epithelium tissue samples, 85 tissue samples ofesophageal intraepithelial neoplasia (EIN) and 60 tissue samples of esophageal squamous cell carcinoma(ESCC). Results : The positive expression rate of JNK was 20.0% in normal esophageal tissue, 37.6% in EIN tissue, and 55.0% in ESCC tissue. The positive expression rate of p-JNK was 33.3% in normal esophageal tis-sue, 55.3% in EIN tissue and 73.3% in ESCC tissue. The positive expression rates of JNK and p-JNK weresignificantly higher in ESCC than in normal esophageal epithelial tissue and EIN lesions (P<0.05). The posi-tive expression rates of JNK and p-JNK were significantly higher in high grade EIN than in normal esophagealtissue and low-grade EIN tissue (P<0.05). The positive expression rate of PPAR γ was 73.3% in normalesophageal tissue, 45.9% in EIN and 45.0% in ESCC, significantly lower than that in normal esophageal tis-sue (P<0.05). Among the ESCC cases, the rate of positive expression of JNK, p-JNK and PPARγ was closelyrelated to the degree of differentiation. The positive expression rates of JNK, p-JNK and PPARγ decreased asthe pathological grade increased (P<0.05). There was no significant correlation between the positive expres-sion rate of JNK, p-JNK or PPARγ and other clinicopathologic features including age, gender, tumor location,tumor size, depth of cancer invasion or lymph node metastasis (P>0.05). Conclusion : As the pathologicalgrade of esophageal epithelial malignancy increases, the positive expression rate of JNK and p-JNK increas-es while PPARγ expression decreases. JNK, p-JNK and PPARγ are involved in the carcinogenesis and pro-gression of ESCC.

     

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