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[AKT2、磷酸化AKT2在非小细胞肺癌中的表达及临床意义]

[The expression and clinical significance of AKT2, phosphorylated AKT2 in non-small cell lung cancer].

作者信息

Pu Rong, Li Wei-Min, Liu Dan, Mo Xian-Ming, Tang Yin, Liu Lun-Xu, Chen Bo-Jiang

机构信息

Department of Respiratory Medicine, West China Hospital, Sichuang University, Chengdu 610041, China.

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2010 Jul;41(4):586-9.

Abstract

OBJECTIVE

To study the expression and clinical significance of AKT2, phosphorylated AKT2 (p-AKT2) in non-small cell lung cancer (NSCLC).

METHODS

The tumor tissues were obtained from 137 cases of NSCLC, the expressions of AKT2 and p-AKT2 in the tissues were measured by immunohistochemistry. The statistic analysis was carried on to study the correlation of AKT2, p-AKT2 expression to the type of lung cancer, TNM stage, pathological grading. Survival analysis was also studied.

RESULTS

The positive rates of AKT2 in lung adenocarcinoma and squamous carcinoma were 60.5% and 54.1% respectively (P > 0.05). While the positive rates of p-AKT2 in lung adenocarcinoma and squamous carcinoma were 68.4% and 47.5% (P < 0.05). The expressions of AKT2 and p-AKT2 were not correlated with age, gender, TNM stage and cell differentiation degree. Further more, survival analysis revealed that 5-year survival rate and median survival time for the patients with positive expression of p-AKT2 were significantly poorer than those with negative expression (20% vs 56%, (28.464 +/- 2.235) months vs (39.214 +/- 3.075) months, P < 0.053, while there were no significant differences with regard to AKT2 expression.

CONCLUSION

The positive expression of p-AKT2 in lung adenocarcinoma was higher than that in lung squamous carcinomas. p-AKT2 may be a prognostic factor for non-small cell lung cancer.

摘要

目的

研究非小细胞肺癌(NSCLC)中AKT2、磷酸化AKT2(p-AKT2)的表达及临床意义。

方法

收集137例NSCLC患者的肿瘤组织,采用免疫组织化学法检测组织中AKT2和p-AKT2的表达。进行统计学分析,研究AKT2、p-AKT2表达与肺癌类型、TNM分期、病理分级的相关性,并进行生存分析。

结果

肺腺癌和肺鳞癌中AKT2的阳性率分别为60.5%和54.1%(P>0.05)。而肺腺癌和肺鳞癌中p-AKT2的阳性率分别为68.4%和47.5%(P<0.05)。AKT2和p-AKT2的表达与年龄、性别、TNM分期及细胞分化程度无关。此外,生存分析显示,p-AKT2阳性表达患者的5年生存率和中位生存时间明显低于阴性表达患者(20%对56%,(28.464±2.235)个月对(39.214±3.075)个月,P<0.053),而AKT2表达方面无显著差异。

结论

肺腺癌中p-AKT2的阳性表达高于肺鳞癌。p-AKT2可能是非小细胞肺癌的一个预后因素。

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