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CD44v6表达与大肠癌预后的相关性研究

Relationship between expression of CD44v6 gene and prognosis in colorectal carcinoma.

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【作者】 李升平王吉甫张昌卿潭卫民刘锦怀潘邦敏

【Author】 Li Shengping, Wang Jifu , Zhang Changqing , et al. Department of Gastrointestinal Surgery, The First Affiliated Hospi-tal of Sun Yat-sen University of Medical Sciences, Guangzhou 510080

【机构】 中山医科大学附属第一医院胃肠外科中山医科大学附属第一医院胃肠外科中山医科大学附属肿瘤医院中心实验室广州市第一人民医院外科广州市第一人民医院病理科

【摘要】 目的探讨CD44v6表达与大肠癌预后的关系。方法对156例大肠癌存档石蜡组织标本进行重新切片,采用CD44v6鼠单克隆抗体进行免疫组化染色(LSAB法)。结果 CD44v6表达与年龄、性别、肿瘤大小、部位、组织类型无关;CD44v6阳性表达率在Dukes C/D期较Dukes A、B期高,有肿瘤转移及术后复发者较无肿瘤转移和未复发者高;CD44v6表达阳性者术后生存率较表达阴性者低,Cox模型生存分析,CD44v6未能进入最终的回归方程。结论 CD44v6在大肠癌转移和复发中可能具有一定的作用,但尚不能作为预测大肠癌预后的独立的生物学指标。

【Abstract】 Objective To investigate the relationship between expression of CD44v6 gene and prognosis in col-orectal carcinoma (CC). Methods The paraffin-embedded sections from 156 patients with CC were test-ed by labeled streptavidin-biotin (LSAB) immunohistochemieal technique with anti-CD44v6 murine mono-clonal antibody (2F10). Results There was no significant correlation between the expression of CD44v6 gene and sex, age, size of tumor, tumor location or histological type. The positive staining of CD44v6 was stronger in Dukes C/D stages than in Dukes A and B stages. There were also stronger positive staining in those who had tumor metastasis and recurrence than those without tumor metastasis and recurrence. The patients with positive staining of CD44v6 had a lower postoperative survival rate than those with negative staining, but Cox regression analysis showed there was no significant correlation between expression of CD44v6 and prognosis in CC. Conclusion CD44v6 may play a role in metastasis and recurrence, but it may not be an independent biological prognostic indicator in CC.

【关键词】 抗原,CD44结肠直肠肿瘤转移预后
【Key words】 Antigen, CD44Colorectal neoplasmMetastasisPrognosis
【基金】 广东省青年科学基金(No.950355);广州市卫生局科研基金(No.96002)资助项目
  • 【文献出处】 中华实验外科杂志 ,Chinese Journal of Experimental Surgery , 编辑部邮箱 ,1998年04期
  • 【分类号】R735.34
  • 【被引频次】7
  • 【下载频次】21
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