Duan Yu, Yu Li-juan, Lu Pei-ou, Wang Wen-zhi
Department of PET-CT, Tumor Hospital, Harbin Medical University, Harbin 150081, China.
Zhonghua Zhong Liu Za Zhi. 2008 Oct;30(10):764-7.
To investigate the correlation between 18F-FDG standard uptake value (SUV) and expression of GLUT1, MVD and Ki67 in non-small cell lung cancer (NSCLC).
Thirty-three patients with non-small cell lung cancer received preoperative 18F-FDG PET-CT examination and underwent surgery. The expression of GLUT1, MVD and Ki67 were detected by immunohistochemstry. The correlation between the SUV of 18F-FDG PET-CT and the immunohistochemical results of the three above mentioned parameters was analyzed.
Of the 33 NSCLC patients, 21 were in stage I, 4 in stage II and 8 in stage IIIa. Positive expression of GLUT1 was found in 22 cases (66.7%, 12 adenocarcinomas and 10 squamous cell carcinomas), and negative expression in 11 cases (10 adenocarcinomas and 1 squamous cell carcinoma). Twenty-four patients (72.7%) showed positive expression of Ki67 (13 adenocarcinomas and 11 squamous cell carcinomas), and other 9 (adenocarcinomas) had negative expression. The positive expression rate of CD34 in this series was 100.0% with a mean MVD of 12.6 +/- 2.9.
SUV of 18F-FDG PET-CT is linearly correlated with the expression of GLUT1, but not with the expression of Ki67 or MVD. The expression of GLUT1, Ki67 and CD34 is not correlated with tumor size and lymph node metastasis.
探讨18F-FDG标准摄取值(SUV)与非小细胞肺癌(NSCLC)中葡萄糖转运蛋白1(GLUT1)表达、微血管密度(MVD)及Ki67之间的相关性。
33例非小细胞肺癌患者术前行18F-FDG PET-CT检查并接受手术。采用免疫组织化学法检测GLUT1、MVD及Ki67的表达。分析18F-FDG PET-CT的SUV与上述三个参数免疫组化结果之间的相关性。
33例NSCLC患者中,21例为Ⅰ期,4例为Ⅱ期,8例为Ⅲa期。22例(66.7%,腺癌12例,鳞癌10例)GLUT1呈阳性表达,11例(腺癌10例,鳞癌1例)呈阴性表达。24例(72.7%)Ki67呈阳性表达(腺癌13例,鳞癌11例),另外9例(腺癌)呈阴性表达。本研究系列中CD34阳性表达率为100.0%,平均MVD为12.6±2.9。
18F-FDG PET-CT的SUV与GLUT1的表达呈线性相关,但与Ki67或MVD的表达无关。GLUT1、Ki67及CD34的表达与肿瘤大小和淋巴结转移无关。