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原癌基因 PIM-1 蛋白过表达对胃癌的预后影响。

Prognostic impact of protein overexpression of the proto-oncogene PIM-1 in gastric cancer.

机构信息

Department of General, Visceral and Cancer Surgery, University Hospital of Cologne, Kerpener Str. 62, 50937 Cologne, Germany.

出版信息

Anticancer Res. 2009 Nov;29(11):4451-5.

PMID:20032391
Abstract

BACKGROUND

PIM kinases are mediators of cytokine signalling pathways in hematopoietic cells and contribute to the progression of certain types of leukemia and solid tumor. Here the prognostic impact of proto-oncogene PIM-1 was analyzed in gastric carcinoma.

PATIENTS AND METHODS

Cancer tissues of 117 patients with potentially curative (R0) resections for gastric cancer were immunohistochemically stained for PIM-1.

RESULTS

Cytoplasmic immunoreactivity for PIM-1 in tumor (46%) was higher (p=0.003) compared to that in gastric glands (16%) and foveolae (1%). PIM-1 immunoreactivity in gastric carcinoma correlated with tumor grading (p<0.05) and Laurén category (p<0.02). Overexpression of PIM-1 in gastric glands (p<0.001) was associated with formation of lymph node metastases (p=0.035) and survival (p=0.04). Multivariate analysis of PIM-1 expression in gastric glands confirmed its association with prognosis.

CONCLUSION

Up-regulation of PIM-1 oncogene might be a tumor marker for gastric cancer. The correlation of PIM-1 overexpression in gastric glands with formation of lymph node metastases and survival proposes a prognostic role in gastric cancer.

摘要

背景

PIM 激酶是造血细胞中细胞因子信号通路的介质,有助于某些类型的白血病和实体瘤的进展。在此,分析了原癌基因 PIM-1 在胃癌中的预后影响。

患者和方法

对 117 例接受潜在根治性(R0)胃切除术的胃癌患者的癌组织进行了 PIM-1 的免疫组织化学染色。

结果

肿瘤中 PIM-1 的细胞质免疫反应性(46%)高于胃腺(16%)和小凹(1%)(p=0.003)。胃癌中 PIM-1 的免疫反应性与肿瘤分级(p<0.05)和 Laurén 分类(p<0.02)相关。胃腺中 PIM-1 的过表达(p<0.001)与淋巴结转移的形成(p=0.035)和生存(p=0.04)相关。胃腺中 PIM-1 表达的多变量分析证实了其与预后的相关性。

结论

PIM-1 癌基因的上调可能是胃癌的肿瘤标志物。胃腺中 PIM-1 过表达与淋巴结转移和生存的相关性提示其在胃癌中的预后作用。

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