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细胞周期素D1和p27^(kip1)在肾癌中的表达及其意义     被引量:5

Expression of cyclin D1 and p27^(kip1) in renal cell carcinoma and its significance

文献类型:期刊文献

中文题名:细胞周期素D1和p27^(kip1)在肾癌中的表达及其意义

英文题名:Expression of cyclin D1 and p27^(kip1) in renal cell carcinoma and its significance

作者:葛建荣[1];任国平[2];姚航平[2]

机构:[1]绍兴文理学院医学院病理学教研室;[2]浙江大学医学院附属第一医院

年份:2007

卷号:36

期号:5

起止页码:483

中文期刊名:浙江大学学报:医学版

收录:MEDLINE(收录号:17924468)、CSTPCD、、Scopus(收录号:2-s2.0-39049149185)、CSCD_E2011_2012、CSCD、PubMed

基金:浙江省卫生厅基金资助项目(2000B091)

语种:中文

中文关键词:癌;肾细胞/病理学;肾肿瘤/病理学;细胞周期蛋白质类/生物合成;细胞周期蛋白D1/生物合成;肿瘤分期;基因;肿瘤抑制;免疫组织化学;存活率

外文关键词:Carcinoma, renal cell/pathol; Kidney neoplasms/pathol; Cell cycle proteins/ biosyn; Cyclin D1/biosyn; Neoplasm staging; Genes, tumor suppressor; Immunohistochemistry; Survival rate

中文摘要:目的:探讨cyclin D1、p27kip1在普通型肾细胞癌(conventional renal cell carcinoma,CRCC)发生、发展中的作用。方法:用定量RT-PCR和Western-blot方法检测25例CRCC组织和10例肿瘤远端的正常肾皮质中cyclin D1和p27kip1的mRNA和蛋白的含量;用免疫组化方法检测76例CRCC中cyclin D1、p27kip1的表达;分析cyclin D1、p27kip1的表达与肿瘤分期、分级及术后生存率的相关性。结果:CRCC中cyclin D1的mRNA和蛋白含量分别为0.488±0.399和1.069±0.371,高于正常对照组0.089±0.066和0.281±0.253(P均<0.01);cyclin D1的表达与肿瘤体积大小有关,体积大者cyclin D1高表达(P<0.05);CRCC中p27kip1mRNA和蛋白含量分别为0.191±0.111和0.146±0.051,低于正常对照组0.374±0.216和1.004±0.318(P均<0.01),随着p27kip1表达的降低,肿瘤的细胞核Fuhrman分级、TNM分期增高;p27kip1阳性组患者的5年生存率为84.26%,高于p27kip1阴性组25.25%(P<0.01)。结论:cyclin D1高表达和p27kip1的低表达与CRCC的发生有关;p27kip1的低表达可能促进肿瘤的演进,检测p27kip1可作为评价CRCC预后的参考指标。

外文摘要:Objective: To investigate the role of cyclin D1 and p27^kip1 in the occurrence and development of conventional renal cell carcinoma(CRCC). Methods: RT-PCR and Western-blot were used to detect mRNA and protein contents of cyclin D1 and p27^kip1 in 25 CRCCs and 10 normal renal tissue distant to tumor. Immunohistochemistry was used to investigate the expression of cyclin D1 and p27^kip1 in pathological tissue sections of 76 CRCCs. The relationship between those index and clinicopathological parameters was analyzed statistically. Results: In CRCC,the expression of cyclin D1 was higher than that of the control group. The higher cyclin D1 content was related to big tumor size (P〈0.05) ; The expression of p27^kip1 was lower than that of the control group,and the lower p27^kip1 was related to higher nuclear grade and TNM stage(P〈0.01). The 5-year cumulative survival rate of the p27^kip1 high expression group is longer than that of the low group(P〈0. 01). Conclusions. The excessive expression of cyclin D1 and lower expression of p27^kip1 play an important role in the carcinogenesis of CRCC. The lower expression Of p27^kip1 may affect the progression of the tumors. The detection of p27^kip1 may be as a reference marker in the prognosis of CRCC.

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