华西口腔医学杂志

• 专栏论著 • 上一篇    下一篇

人舌癌组织中转录因子p65的表达及意义

吴军楼1,梁新华2,毛祖彝2,肖贵州3   

  1. 1.山东大学山东省立医院 口腔颌面外科,山东 济南250021; 2.四川大学华西口腔医学院 口腔颌面外科学教研室,四川 成都610041; 3.浙江大学邵逸夫医院 口腔科,浙江 杭州310016
  • 收稿日期:2005-10-25 修回日期:2005-10-25 出版日期:2005-10-20 发布日期:2005-10-20
  • 通讯作者: 梁新华, Tel: 028-85502334
  • 作者简介:吴军楼(1972-),男,山东人,主治医师,博士

High Expression of p65 Transcription Factor and Its Significance in Tongue Carcinoma

WUJun-lou1,LIANGXin-hua2,MAO Zu-yi2,XIAO Gui-zhou3   

  1. 1.Dept.ofOral andMaxillofacialSurgery,ShandongProvincialHospital ofShandong Univer- sity,Jinan250021,China; 2.Dept.ofOral andMaxillofacial Surgery,West China College ofStomatology,Sichuan Universi- ty,Chengdu610041,China; 3.Dept.ofStomatology,Shao Yi-fuHospital ofZhejiang University,Hangzhou310016,China
  • Received:2005-10-25 Revised:2005-10-25 Online:2005-10-20 Published:2005-10-20

摘要: 目的 研究p65在舌癌组织中的表达及其与舌癌转移、预后的关系。方法 应用免疫组化方法检测50例 舌癌患者的癌组织中p65的表达,并对其与患者临床病理特征的关系进行分析。结果 p65阳性表达率为64%;其 阳性表达率在不同TNM分期之间有统计学差异(P<0·05),分期越高p65表达率越高;p65的阳性表达率与淋巴结 转移有关,有淋巴结转移者p65阳性率高(P<0·05);但不同病理分级间p65的表达无统计学差异(P>0·05)。Kap- lan-Meier生存曲线显示p65阳性表达组、阴性表达组的5年生存率分别为59·3%和88·9%,两组之间有统计学差异 (P<0·05)。结论 p65异常表达在判断舌癌转移和患者预后方面有重要意义。

关键词:  舌癌, p65, 转移, 预后

Abstract: Objective To examine the correlation between p65 expression and the metastasis and prognosis in tongue carcino- ma.Methods The immunohistochemical expression of p65 was examined in 50 cases of tongue carcinoma, and the clinical and histopathologic records were retrospectively analyzed.Results Overexpression of p65 in cytoplasma and nucleus was found in 64% cases of tongue carcinoma. There was significant difference of p65 expression among different TNM stages, and the higher expression rate of p65 was found in higher stages. Overexpression of p65 was also related to lymph node metastasis. Significantly greater increase in expression levels of p65 was found in the metastatic cases (n=22) compared to the nonmetastatic cases (n= 10). However, there was no significant difference of p65 expression among different histopathologic grading. The 5-year survival rate of p65 positive and negative groupwas 59·3% and 88·9% respectively, and there was significant difference in Kaplan-Meier survival curve (χ2=5·6,P<0·05).Conclusion The results suggest that the expression of p65 was important to predict the metastasis and prognosis in tongue carcinoma.

Key words: tongue carcinoma, p65, metastasis, prognosis