Soh Y, Goto S, Kitajima M, Moriyama S, Kotera K, Nakayama T, Nakajima H, Kondo T, Ishimaru T
Department of Obstetrics and Gynecology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan.
Clin Oncol (R Coll Radiol). 2005 Jun;17(4):264-70. doi: 10.1016/j.clon.2004.11.008.
Nuclear glutathione S-transferase pi (GST7pi) has been reported to protect cancer cells against anticancer drugs. The aim of the present study was to evaluate the clinical significance of nuclear GSTpi in gynaecological cancer.
We carried out an immunohistochemical analysis of GSTpi, and examined the correlation between nuclear GSTpi: expression and prognosis in 43 epithelial ovarian cancers. We compared expression levels before and after chemotherapy in uterine cervical cancers and endometrial cancers.
The 5-year progression-free survival rate of the nuclear GSTpi-positive group was lower than that of the cytoplasmic GSTpi-positive group, and was significantly lower than that of the negative group (14.3% vs 34.8% vs 66.7%; P = 0.041). The expression of nuclear GSTpi was compared before and after chemotherapy in uterine cervical and endometrial cancers. In eight out of 12 cases (66.7%), the expression turned positive after the chemotherapy.
We suggest that nuclear localisation of GSTpi is associated with drug resistance. The nuclear localisation of GSTpi in tumour cells is a useful prognosticator, and may contribute to the selection of anticancer drugs for gynaecological cancers.
据报道,细胞核谷胱甘肽S-转移酶pi(GSTπ)可保护癌细胞免受抗癌药物的影响。本研究的目的是评估细胞核GSTπ在妇科癌症中的临床意义。
我们对GSTπ进行了免疫组织化学分析,并检测了43例上皮性卵巢癌中细胞核GSTπ表达与预后之间的相关性。我们比较了子宫颈癌和子宫内膜癌化疗前后的表达水平。
细胞核GSTπ阳性组的5年无进展生存率低于细胞质GSTπ阳性组,且显著低于阴性组(14.3%对34.8%对66.7%;P = 0.041)。比较了子宫颈癌和子宫内膜癌化疗前后细胞核GSTπ的表达情况。12例中有8例(66.7%)在化疗后表达转为阳性。
我们认为GSTπ的细胞核定位与耐药性有关。肿瘤细胞中GSTπ的细胞核定位是一个有用的预后指标,可能有助于妇科癌症抗癌药物的选择。