Lim Yun Jeong, Kim Young-Ho, Ahn Geung Hwan, Chun Ho Kwung, Jang Woo Young, Lee Jun Haeng, Son Hee Jung, Rhee Poong-Lyul, Kim Jae J, Paik Seung Woon, Yoo Byung Chul, Rhee Jong Chul
Department of Internal Medicine, Sungkyunkwan University School of Medicine, Center for Health Promotion, Samsung Medical Center, Seoul 135-710, Korea.
Korean J Gastroenterol. 2004 Dec;44(6):314-20.
BACKGROUND/AIMS: Carcinogenesis is characterized by the abnormal regulation of cell cycle. The abnormal expression of the regulators of cell cycle may be related to the prognosis. Since the clinical significance of the expression of the three proteins in colorectal carcinomas is still controversial, we evaluated the prognostic value of the expression of cyclin E, p27 and mutant p53 in stage II colorectal cancer.
The expression levels of cyclin E, p27 and mutant p53 proteins in 41 patients with stage II colorectal carcinomas were analyzed by immunohistochemistry.
In the univariate analysis, the level of CEA at diagnosis was associated with disease relapse. In the multivariate analysis, the clinicopathological variables such as age, gender, site of primary tumor, tumor size, state of tumor differentiation and preoperative plasma CEA level were not associated with disease relapse. When Kaplan-Meier survival curves were constructed to determine the prognosis, cyclin E, p27 and mutant p53 expressions did not predict poor prognosis.
Our results suggested that the expression of cyclin E, p27 and mutant p53 proteins did not predict the clinical outcome in the stage II colorectal carcinomas.
背景/目的:癌症发生的特征是细胞周期调控异常。细胞周期调节因子的异常表达可能与预后相关。由于这三种蛋白在结直肠癌中的表达的临床意义仍存在争议,我们评估了细胞周期蛋白E、p27和突变型p53在II期结直肠癌中的表达的预后价值。
采用免疫组织化学法分析41例II期结直肠癌患者细胞周期蛋白E、p27和突变型p53蛋白的表达水平。
单因素分析中,诊断时癌胚抗原水平与疾病复发相关。多因素分析中,年龄、性别、原发肿瘤部位、肿瘤大小、肿瘤分化状态和术前血浆癌胚抗原水平等临床病理变量与疾病复发无关。构建Kaplan-Meier生存曲线以确定预后时,细胞周期蛋白E、p27和突变型p53的表达不能预测不良预后。
我们的结果表明,细胞周期蛋白E、p27和突变型p53蛋白的表达不能预测II期结直肠癌的临床结局。