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甲状腺乳头癌中窖蛋白-1 的表达:与临床病理参数和 BRAF 突变状态的相关性。

Caveolin-1 expression in papillary thyroid carcinoma: correlation with clinicopathological parameters and BRAF mutation status.

机构信息

Institute for the Application of Nuclear Energy-INEP, Department for Endocrinology and Immunoradiology, Belgrade, Serbia.

出版信息

Otolaryngol Head Neck Surg. 2014 Feb;150(2):201-9. doi: 10.1177/0194599813512781. Epub 2013 Nov 19.

DOI:10.1177/0194599813512781
PMID:24255086
Abstract

OBJECTIVE

We aimed to investigate the role of caveolin-1 in papillary thyroid carcinoma pathogenesis.

STUDY DESIGN

Case series with chart review.

SETTING

Institute for the Application of Nuclear Energy.

SUBJECTS AND METHODS

We evaluated the expression of caveolin-1 in papillary thyroid carcinoma (PTC) by Western blot (WB) and compared the findings with immunohistochemical (IHC) expression of both epithelial and stromal caveolin-1 on the corresponding histological specimens. The results were related to clinicopathological features and BRAF mutation status.

RESULTS

Caveolin-1 expression was found in malignant thyroid epithelium and more abundantly in tumor stroma but varied in both compartments within and between PTC subtypes. Caveolin-1 expression in the epithelium was more intense in classical PTC than in the other histological types. On the contrary, stromal caveolin-1 expression was stronger in the follicular, solid, and trabecular PTC variants than in classical PTC. Trends for down-regulation of caveolin-1 expression in epithelium and up-regulation in stroma from the classical via follicular to the solid variant were observed. The relation of WB and IHC results with clinicopathological parameters showed lower caveolin-1 tissue content in BRAF mutated tumors (P < .05), a positive correlation of epithelial caveolin-1 expression with lymph node metastasis (P < .05), and a negative association of stromal caveolin-1 expression with the degree of neoplastic infiltration and BRAF status.

CONCLUSION

Altered expression of caveolin-1 in the thyroid epithelial and stromal compartments may be involved in the pathogenesis of PTC. The potential clinical significance of caveolin-1 expression, as well as its relation to BRAF mutation status, deserves further investigation.

摘要

目的

研究小窝蛋白-1 在甲状腺乳头状癌发病机制中的作用。

研究设计

病例系列及图表回顾。

设置

应用核能源研究所。

研究对象及方法

我们通过 Western blot(WB)评估了甲状腺乳头状癌(PTC)中 caveolin-1 的表达,并将结果与相应组织学标本上皮和基质 caveolin-1 的免疫组织化学(IHC)表达进行比较。结果与临床病理特征和 BRAF 突变状态相关。

结果

在恶性甲状腺上皮细胞和肿瘤基质中发现 caveolin-1 表达,但在 PTC 亚型内和之间的两个隔室中均存在差异。经典型 PTC 中上皮 caveolin-1 表达比其他组织学类型更强烈。相反,滤泡状、实体状和小梁状 PTC 变体中基质 caveolin-1 表达更强。观察到从经典型到滤泡状再到实体状变体,上皮 caveolin-1 表达下调和基质 caveolin-1 表达上调的趋势。WB 和 IHC 结果与临床病理参数的关系表明,BRAF 突变肿瘤中的 caveolin-1 组织含量较低(P <.05),上皮 caveolin-1 表达与淋巴结转移呈正相关(P <.05),基质 caveolin-1 表达与肿瘤浸润程度和 BRAF 状态呈负相关。

结论

甲状腺上皮和基质隔室中小窝蛋白-1 的表达改变可能与 PTC 的发病机制有关。caveolin-1 表达的潜在临床意义及其与 BRAF 突变状态的关系值得进一步研究。

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