Department of Pathology, Yanbian University Medical College, No, 977, Gongyuan-Rd, Yanji 133002, China.
Diagn Pathol. 2014 Mar 20;9:67. doi: 10.1186/1746-1596-9-67.
DEK, as an oncoprotein, plays an important role in cancer development and progression. This study aimed to investigate the clinicopathological significance of DEK overexpression in patients with gastric cancer.
The expression of DEK protein was evaluated by immunohistochemical (IHC) staining of 172 gastric cancer samples with complete clinicopathological features, and the correlation between DEK expression and clinicopathological features was examined. Survival rates were also calculated using the Kaplan-Meier method in gastric cancer patients with complete survival data.
DEK protein showed a strictly nuclear staining pattern in gastric cancers with IHC and immunofluorescence. The strongly positive rate of DEK protein was 60.5% (104/172) in gastric cancers, which was significantly higher than that in either gastric dysplasia (19.4%, 7/36) or adjacent normal mucosa (0%, 0/27). DEK expression in gastric cancer correlated to tumor size, differentiation, clinical stage, disease-free survival, and overall survival rates. Further analysis showed that patients with early-stage gastric cancer and high DEK expression had shorter disease-free survival and overall survival duration than those with low DEK expression.
High level of DEK protein expression predicts the poor prognosis of patients with gastric cancer. DEK expression might be potentially used as an independent effective biomarker for prognostic evaluation of gastric cancers.
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DEK 作为一种癌蛋白,在癌症的发生和发展中起着重要作用。本研究旨在探讨 DEK 过表达在胃癌患者中的临床病理意义。
采用免疫组化(IHC)染色法检测 172 例具有完整临床病理特征的胃癌样本中 DEK 蛋白的表达情况,并分析 DEK 表达与临床病理特征的相关性。对具有完整生存数据的胃癌患者,采用 Kaplan-Meier 法计算生存率。
DEK 蛋白在胃癌中的 IHC 和免疫荧光染色呈严格的核染色模式。胃癌中 DEK 蛋白强阳性率为 60.5%(104/172),明显高于胃黏膜异型增生(19.4%,7/36)和癌旁正常黏膜(0%,0/27)。DEK 表达与肿瘤大小、分化程度、临床分期、无病生存率和总生存率有关。进一步分析显示,早期胃癌和高 DEK 表达的患者无病生存率和总生存率均短于低 DEK 表达的患者。
DEK 蛋白高水平表达预示着胃癌患者预后不良。DEK 表达可能作为预测胃癌患者预后的一个独立有效标志物。
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