华西口腔医学杂志

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趋化因子受体CXCR4在口腔鳞癌中的表达和临床意义

尹东 高志   

  1. 重庆医科大学附属第二医院口腔科, 重庆400010
  • 收稿日期:2007-08-25 修回日期:2007-08-25 出版日期:2007-08-20 发布日期:2007-08-20
  • 通讯作者: 高志,Tel:023- 66529353
  • 作者简介:尹东(1969-),男,宁夏人,主治医师,硕士
  • 基金资助:

    重庆市教委科研基金资助项目(渝教科2006年8号)

Expr ession and clinical significance of chemokine r eceptor 4 in or al squamous cell car cinoma

YIN Dong, GAO Zh   

  1. Dept. of Oral and Maxillofacial Surgery, The Second Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing 400010, China
  • Received:2007-08-25 Revised:2007-08-25 Online:2007-08-20 Published:2007-08-20
  • Contact: GAO Zhi,Tel:023- 66529353

摘要:

目的研究口腔鳞癌中趋化因子受体CXCR4蛋白及mRNA的表达情况,探讨其与口腔鳞癌临床病理特点及颈淋巴结转移的关系。方法采用免疫组化SABC法和原位杂交法检测64例口腔鳞癌中CXCR4蛋白的表达及在CXCR4阳性表达的口腔鳞癌中CXCR4 mRNA的表达情况,并分析其与临床病理参数的关系。结果CXCR4 mRNA和CXCR4蛋白在口腔鳞癌中呈阳性表达,CXCR4蛋白的阳性表达率为62.5%。同时,CXCR4在伴有淋巴结转移病例中的表达显著高于无淋巴结转移者(P=0.014 4)。此外,CXCR4的表达与肿瘤的分化程度(P=0.004 2)、TNM分期(P=0.001 2)、侵袭程度(P=0.002 3)密切相关,而与年龄、性别和肿瘤大小无关。结论CXCR4在口腔鳞癌中有阳性表达,其表达水平与口腔鳞癌侵袭发展和淋巴结转移有关。CXCR4有可能成为口腔鳞癌治疗的新靶点。

关键词: 口腔鳞癌, CXCR4, 免疫组化, 原位杂交

Abstract:

Objective To study the expression of chemokine receptor 4(CXCR4) protein and mRNA in oral squamous cell carcinoma(OSCC) and to evaluate the relationship between the expression of CXCR4 protein and the clinicopathology factors, and lymph node metastasis of OSCC. Methods The expression of CXCR4 protein in 64 cases of OSCC was examined by immunohistochemical technique(SABC), and the expression CXCR4 mRNA in 40 cases of OSCC studied by in situ hybridization, and its relation to cliniopathological parameter was also analyzed. Results CXCR4 mRNA and CXCR4 were positively expressed in OSCC, and the positive expression rate of CXCR4 protein was 62.5%(40/64). CXCR4 expression was significantly higher in the patients with lymph node metastasis than those without lymph node metastasis(P=0.014 4), and was also correlated with tumor histological type(P=0.004 2), depth of invasion(P =0.002 3)and TNM stage(P =0.001 2), but not with age at surgery, gender and tumor size. Conclusion CXCR4 is highly expressed in OSCC, and its expression is associated with the diverse progression of OSCC, including invasion and lymph node metastasis.

Key words: oral squamous cell carcinoma, chemokine receptor 4, immunohistochemistry, in situ hybridization