李军果, 胡义德, 叶明福, 谢启超, 高丽莉, 孙玉兰, 杨永峰, 钱海洪. 非小细胞肺癌p14ARF p16INK4a蛋白共表达及其临床意义[J]. 中国肿瘤临床, 2005, 32(18): 1021-1024.
引用本文: 李军果, 胡义德, 叶明福, 谢启超, 高丽莉, 孙玉兰, 杨永峰, 钱海洪. 非小细胞肺癌p14ARF p16INK4a蛋白共表达及其临床意义[J]. 中国肿瘤临床, 2005, 32(18): 1021-1024.
Li Junguo, Hu Yide, Ye Mingfu, . The Co-expression and Clinical Significance of p14ARF and p16INK4a in Non-small Cell Lung Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(18): 1021-1024.
Citation: Li Junguo, Hu Yide, Ye Mingfu, . The Co-expression and Clinical Significance of p14ARF and p16INK4a in Non-small Cell Lung Cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(18): 1021-1024.

非小细胞肺癌p14ARF p16INK4a蛋白共表达及其临床意义

The Co-expression and Clinical Significance of p14ARF and p16INK4a in Non-small Cell Lung Cancer

  • 摘要: 目的:探讨p14ARF、p16INK4a蛋白在非小细胞肺癌(NSCLC)组织中的表达、意义及相关关系。方法:采用免疫组织化学SP方法对103例NSCLC组织中p14ARF和p16INK4a蛋白的表达进行检测。结果:103例NSCLC组织中p14ARF、p16INK4a蛋白表达阴性率分别为70.87%和43.69%,差异有显著性(P<0.01)。其中35例p14ARF、p16INK4a蛋白表达共阴性,共阴性率达33.98%(35/103),鳞癌中共阴性率明显高于其它组织类型(P<0.01)。p14ARF、p16INK4a蛋白表达阴性相互间无显著相关性(P<0.05)。临床Ⅲ+Ⅳ期病例两种蛋白表达阴性率明显高于临床Ⅰ+Ⅱ期(P<0.05)。结论:NSCLC组织p14ARF、p16INK4aa蛋白表达共阴性具有明显的组织学类型特异性,两种蛋白阴性表达是各自独立的事件。

     

    Abstract: Objective: To study the expression and clinical significance of p14ARF and p16INK4a proteins and to explore the correlationship between negative expressions of p14ARF and p16INK4a proteins in non-small cell lung cancer (NSCLC). Methods: The expressions of p14ARF and p16INK4a proteins were detected in 103 NSCLC samples by immunohistochemistry (S-P method). Results: The negative expression of p14ARF was detected in 73 (70.87%) of the 103 NSCLC cases. The other 30 cases showed positive immunohistochemical result. While the negative expression of p16INK4a was detected in 45 (43.69%) of 103 NSCLC cases. The other 58 cases showed positive immunohistochemical result. There was a significant difference between the negative rate of p14ARF expression and of p16INK4a expressions (P<0.01). In 103 NSCLC, 35 cases (33.98%) showed simultaneous loss in both proteins. The negative rates of p14ARF and p16INK4a co-expressions in squamous cell carcinoma, adenocarcinoma and bronchioloalveolar carcinoma were 55.88% (19/34), 27.27% (9/33) and 19.44% (7/36), respectively, and the squamous cell carcinoma group was significantly higher compared to the others (P<0.01). Rank correlation analysis revealed that there was no correlation between negative expression of p14ARF and of p16INK4a proteins in NSCLC(P>0.05). Of the 65 samples analyzed from NSCLC patients, the negative rate of p14ARF and p16INK4a expressions were 54.05%(20/37) and 35.14%(13/37) in the groups of clinical stageⅠ+Ⅱ respectively, the negative rate of p14ARF and p16INK4a expressions were 78.57%(22/28) and 60.71%(17/28) in the groups of clinical stage Ⅲ+Ⅳ respectively. Either p14ARF or p16INK4a negative expression was closely related to clinical stage (P<0.05). Conclusion: Expression alteration of INK4a-ARF gene has the tendency of histopathological specificity. Moreover, there is no correlation between negative expression of p14ARF and p16INK4a proteins in NSCLC.

     

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