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14-3-3ε在膀胱尿路上皮癌中的表达及其临床病理意义

Expression of 14-3-3ε in bladder urothelial carcinoma and its correlation with clinicopathologic features
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摘要 目的 探讨14-3-3 ε蛋白在膀胱尿路上皮癌(Buc)中的表达及其临床病理意义.方法 采用免疫组织化学EnVision法检测14-3-3 ε蛋白在10例癌旁组织、25例低度恶性Buc[包括5例乳头状瘤、10例具有低度恶性潜能的尿路上皮癌(PUNLMP)、10例低级别尿路上皮癌]、21例高度恶性Buc(包括11例高级别尿路上皮癌、10例浸润性癌)中的定位及表达,并分析其与各临床指标的关系.结果 14-3-3 ε蛋白阳性着色部位为细胞质,癌旁组织阳性表达率为90.0%(9/10),低度恶性Buc为72.0%(18/25),高度恶性Buc为14.3%(3/21),其表达量随病理分级增高而降低,而与其他临床病理参数无相关性.高度恶性Buc与低度恶性Buc间、高度恶性Buc与癌旁组织间阳性表达率差异均有统计学意义(均P<0.05).结论 14-3-3 ε蛋白的表达在膀胱癌的发生、发展中发挥着重要的作用,14-3-3 ε有可能是Buc早期诊断及“两类癌”分类的一个生物学标志物,具有潜在的临床应用价值. Objective To investigate the expression of 14-3-3ε protein in the bladder urothelial carcinoma (BUC) and to explore its association with the clinicopathologic features.Methods The bladder urothelial carcinoma samples were divided into three groups:normal control group of 10 cases,low-grade malignant BUC group of 25cases (includes 5 cases of papilloma,10 cases of PUNLMP and 10 cases of low grade non-invasive papillary urothelial carcinoma),high-grade malignant BUC group of 21 cases (includes 11 cases of high-grade non invasive papillary urothelial carcinoma and 10cases of infiltrating carcinoma).The expression and location of 14-3-3ε in three groups were detected by immunohistochemical EnVision and the relationship with clinicopathologic parameters was analyzed.Results 14-3-3ε expression was observed in the cytoplasm of the cell.The expression of 14-3-3ε in normal control group was 90 % (9/10),low-grade malignant BUC group was 72.0 % (18/25),high grade malignant BUC group was 14.3 % (3/21).It correlated with histological grading but had not showed correlation with other clinicopathologic parameters.There was significant difference in 14-3-3ε expression between the high grade malignant BUC group and the low-grade malignant BUC group,the high grade malignant BUC group and norml control group (all P 〈 0.05).Conclusions 14-3-3ε plays an important role in carcinogenesis of BUC.It may be a biomarker for early diagnosis and classification of BUC and shows promise for clinic application.
出处 《肿瘤研究与临床》 CAS 2014年第10期670-672,676,共4页 Cancer Research and Clinic
关键词 14-3-3 ε蛋白 膀胱尿路上皮癌 生物学标记 14-3-3ε protein Bladder urothelial carcinoma Biological markers
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