Domoslawski Pawel, Podhorska-Okolow Marzena, Pula Bartosz, Lukienczuk Tadeusz, Dziegiel Piotr
Department of Histology and Embryology Medical University of Wroclaw.
Folia Histochem Cytobiol. 2013;51(2):135-40. doi: 10.5603/FHC.2013.0021.
Graves' Disease (GD) is an autoimmune disease with higher prevalence in women than in men. The aim of the study was to correlate the expression of estrogen (ER) and progesterone receptors (PR) as well as Ki- 67 cell proliferation index in thyroid sections of GD and nodular goiter (ND) patients. The study was performed on archival paraffin blocks of 77 GD and 25 ND patients using immunohistochemistry. Higher expression of progesterone receptors (p = 0.0276) and Ki-67 index (p < 0.0001) was observed in thyroids of GD as compared to NG patients. No correlations were found between the particular markers and patients' clinicopathological parameters, sex or age. A higher incidence of GD in women was not associated with different thyroid expression of ER and PR in comparison to men. No correlation was found between the expression of ER and PR and proliferation marker of thyrocytes of GD and ND patients. Significantly higher expression of the Ki-67 antigen in GD lesions was observed as compared to the NG.
格雷夫斯病(GD)是一种自身免疫性疾病,女性患病率高于男性。本研究的目的是关联雌激素(ER)和孕激素受体(PR)的表达以及GD和结节性甲状腺肿(ND)患者甲状腺切片中的Ki-67细胞增殖指数。本研究使用免疫组织化学方法对77例GD患者和25例ND患者的存档石蜡块进行了研究。与ND患者相比,GD患者甲状腺中孕激素受体的表达更高(p = 0.0276),Ki-67指数更高(p < 0.0001)。未发现特定标志物与患者的临床病理参数、性别或年龄之间存在相关性。与男性相比,女性GD发病率较高与ER和PR在甲状腺中的不同表达无关。未发现GD和ND患者的ER和PR表达与甲状腺细胞增殖标志物之间存在相关性。与ND相比,GD病变中Ki-67抗原的表达明显更高。