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[存活基因在非小细胞肺癌中的表达及其与P53、c-myc、k-ras蛋白表达的关系]

[Expression of surviving gene and its relationship with expression of P53, c-myc, k-ras proteins in non-small-cell lung cancer].

作者信息

Wang X, Chen S, Zhang Z

机构信息

Research Laboratory of Respiratory Disease, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 2001 Jun;24(6):371-4.

Abstract

OBJECTIVE

To study the expression of surviving and its relationship with expression of P53, c-myc, k-ras in non-small-cell lung cancer (NSCLC).

METHODS

Expression of the surviving mRNA was evaluated by reverse transcriptase polymerase chain reaction (RT-PCR) in 76 NSCLC tumor samples, 20 benign phymatoid lesion and 21 adjacent normal lung tissue samples. Immunohistochemical assay was to detect the expression of P53, c-myc, k-ras proteins.

RESULTS

Expression of surviving gene was detected in a significantly greater proportion of NSCLC (61%) than phymatoid lesion (30%) and adjacent normal lung tissue (19%) (P < 0.001). There was no relationship between surviving gene expression and histologic subtype, differentiation, TNM stages, or lymph node metastases. The expression of surviving gene correlated with P53 or c-myc expression, but not k-ras expression.

CONCLUSION

(1) The up-regulation expression of surviving gene in NSCLC suggested that surviving may play a role in the pathway of carcinogenesis and surviving may be identified as a potential therapeutic target in NSCLC. (2) surviving, de-activation of antioncogene P53 and up-regulation of oncogene c-myc might play synergetic roles in the process of carcinogenesis of NSCLC. But surviving and k-ras may be independently involved in the pathogenesis of lung cancer.

摘要

目的

研究生存素(Survivin)的表达及其与非小细胞肺癌(NSCLC)中P53、c-myc、k-ras表达的关系。

方法

采用逆转录聚合酶链反应(RT-PCR)检测76例NSCLC肿瘤组织样本、20例良性瘤样病变组织样本及21例癌旁正常肺组织样本中Survivin mRNA的表达。采用免疫组织化学法检测P53、c-myc、k-ras蛋白的表达。

结果

NSCLC中Survivin基因的表达阳性率(61%)显著高于瘤样病变组织(30%)和癌旁正常肺组织(19%)(P<0.001)。Survivin基因表达与组织学类型、分化程度、TNM分期及淋巴结转移无关。Survivin基因表达与P53或c-myc表达相关,但与k-ras表达无关。

结论

(1)NSCLC中Survivin基因的上调表达提示其可能在肿瘤发生途径中起作用,有望成为NSCLC潜在的治疗靶点。(2)Survivin、抑癌基因P53失活及癌基因c-myc上调在NSCLC发生过程中可能起协同作用。但Survivin与k-ras可能独立参与肺癌的发病机制。

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