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NSCLC细胞周期素D1和p27异常表达与化疗敏感性及预后的相关性研究

李蓓,张磊,王卉,郝静,扈东艳,李明,王秀问   

  1. 1 山东大学齐鲁医院化疗科, 山东 济南 250012; 2山东大学第二医院泌尿外科,山东 济南 250033;3 山东省肿瘤医院放疗科,山东 济南 250117
  • 收稿日期:2005-10-29 修回日期:1900-01-01 出版日期:2006-09-24 发布日期:2006-09-24
  • 通讯作者: 李蓓

Correlation between chemosensitivity and prognosis andabnormal expression of cyclin D1 and p27 in

LI Bei,ZHANG Lei,WANG Hui,HAO Jing,HU Dong-yan, LI Ming, WANG Xiu-wen   

  1. 1. Department of Chemotherapy, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China;2. Department of Urology, Second Hospital of Shandong University, Jinan 250033, Shandong, China;
  • Received:2005-10-29 Revised:1900-01-01 Online:2006-09-24 Published:2006-09-24
  • Contact: LI Bei

摘要: 目的:研究细胞周期素D1(cyclin D1)和p27在非小细胞肺癌(NSCLC)中的表达与化疗敏感性及预后的关系,评价其表达在NSCLC中的临床价值。方法:应用SP方法检测了37例原发性NSCLC石蜡切片中cyclin D1和p27的表达。结果:37例NSCLC患者中,cyclin D1阳性表达者21例(56.76%),其表达和NSCLC患者的化疗疗效和预后显著相关(P<0.05)。p27阳性表达率为32.43%(12/37),其表达与NSCLC患者的化疗疗效无相关性(P>0.05),与患者的生存期显著相关(P<0.05)。多因素分析表明,cyclin D1可作为NSCLC的独立预后因素。结论:NSCLC中cyclin D1的表达可作为预测化疗疗效和预后的指标;p27的表达可作为NSCLC的预后因素。

Abstract: To prognose the chemosensitivity and the survival in terms of the expression levels of cyclin D1 and p27 protein in nonsmall cell lung cancer(NSCLC). Method: Enhanced immunohistochemical staining(SP) technique was used to detect the expression of cyclin D1 and p27 protein in 37 cases of primary NSCLC specimens paraffinembedded. Results:Of the 37 NSCLC cases, positive cyclin D1 was found in 21(56.76%), and there were significant correlation between response to chemotherapy, survival and the expression of cyclin D1(P<0.05). The positive expression rate of p27 protein was 32.43%(12/37), and there were no significant relationship between the expression of p27 and response to chemotherapy(P>0.05). The expression of p27 was significantly associated with the survival of NSCLC. Multivariate analysis showed that cyclin D1 was a good prognostic factor in NSCLC. Conclusion: Expression of cyclin D1 may be a good prognostic factor for chemosensitivity and survival in NSCLC. Furthermore, the expression of p27 may play a prognostic role in NSCLC.

Key words: Lung carcinoma, Chemotherapy, Cyclins, Prognosis

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