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1、pl4ARF>mdm2、p53在鼻咽癌中的表达及其临床意作者:杨治花,折虹,丁胡作者单位:宁夏医科大学附属医院,宁夏银川【摘要】目的研究pl4ARF、mdm2、p53在鼻咽癌组织屮的表达与临床分期、淋巴结转移、预后等因素的关系。方法应用免疫化法检测58例鼻咽癌组织和20例慢性鼻咽炎症组织中pl4ARF、mdm2>p53表达情况。结果(l)pl4ARF、mdm2、p53在鼻咽癌组织和慢性鼻咽炎症组织中的阳性表达率分别为31.0%、41.4%、65.5%和100%、0、0,差异有统计学意义(P<0.05);⑵Speannan和关分析表明,鼻咽癌组织中pl
2、4ARF、mdm2>p53三者表达之间均无相关性;(3)pl4ARF、mdm2>p53表达与鼻咽癌淋巴结转移、分期、性别、年龄无关;(4)Kaplan-Meier分析方法显示鼻咽癌组织中mdm2表达与生存时间相关(Pv0.05);pl4ARF、p53表达与生存时间无关。结论pl4ARF、mdm2>p53可能参与了鼻咽癌的发生;mdm2表达可作为预测鼻咽癌放疗预后的一项参考指标。【关键词】鼻咽肿瘤;pl4ARF;mdm2;p53;免疫组织化学Theexpressionandclinicalsignificanceofpl4ARF,mdm2,p53pro
3、teininnasopharyngealcarcinomaYANGZhi-hua,ZHEHong,DINGZhe(TheAffiliatedHospitalofNingxiaMedicalUniversity,Yinchuan750004,Chian)[Abstract]ObjectiveToinvestigatetheroleofpl4ARF,mdm2andp53proteinintheprocessofcarcinogenesisofnasopharyngealcarcinoma;analyzetherelationshipamongtheexp
4、ressionandclinicalstage,lymphnodemetastasis,prognosis,etal.MethodsTheexpressionofp14ARF,mdm2andp53proteinweredetectedbyimmunohistochemicalmethodin78paraffin-embeddedtissues,includingnasopharyngealcarcinoma(NPC)(n=58),chronicinflammationofnasopharyngealepithelium(CINE)(n=20).Res
5、ults(1)pl4ARF,mdm2,p53positiveratesinNPC,CINEwerefoundtobe31.0%,41.4%,65.5%and100%,0,0,respectively.Theexpressionofpl4ARFproteinweresignificantlydegradedandmdm2,p53proteinweresignificantlyelevatedinNPCwhencomparedwithCINE(P<0.05).(2)Spearmancorrelationanalysisshowedthattheexpre
6、ssionofpl4ARF,mdm2,p53hadnocorrelationinNPC(P>0.05).(3)Theexpressionofpl4ARF,mdm2andp53hadnorelationshipwithpatients*lymphnodemetastasis,stage,gender,age(P>0.05).(4)KaplaMeieranalysisshowedthattheexpressionofmdm2wassignificantlycorrelatedwithsurvivaltimeinNPC(P<0.05).pl4ARF,p53
7、expressionwereirrelevantwiththesurvivaltime(P>0.05).Conclusionpl4ARF,mdm2andp53maybeinvolvedintheoccurrenceofNPC,andpromotetheprocessofnormalnasopharyngealcellstocancer.Theexpressionofmdm2wascorrelatedwithsurvivaltime,andcanbeusedforpredictingtheprognosisofpatientsafterradiothe
8、rapy.[Keywords]Nasopharyngealneoplasm;pl4ARF;mdm2;p53;