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[少突胶质细胞瘤中Wnt的Sox17和β-连环蛋白的临床病理意义]

[Clinicopathological significance of Sox17 and β-catenin protein of Wnt in oligodendroglioma].

作者信息

Li Junzhi, Abulajiang Gulinaer, Miao Na, Li Xinxia, Sang Wei, Liu Xia, Chu Hui, Zhang Wei

机构信息

Department of Pathology, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China.

Department of Pathology, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China. E-mail:

出版信息

Zhonghua Bing Li Xue Za Zhi. 2014 Aug;43(8):546-50.

Abstract

OBJECTIVE

To investigate the expression of Sox17 and β-catenin proteins in oligodendroglioma, and its clinical significance.

METHODS

One hundred cases of oligodendroglioma of different grades and 10 cases of surrounding benign tissue from First Affiliated Hospital of Xinjiang Medical University from 2003 to 2013 were assessed by immunohistochemistry for Sox17 and β-catenin protein expression. The clinicopathologic characteristics and outcome of patients with oligodendroglioma were evaluated by Kaplan-Meien and Cox regression analyses.

RESULTS

Sox17 was expressed in 10/10, 82% (41/50) and 62% (31/50) of normal control, oligodendroglioma and anaplastic oligodendroglioma, respectively. β-catenin was expressed in 2/10, 22% (11/50), and 52% (26/50) of normal control, oligodendroglioma and anaplastic oligodendroglioma, respectively. The differences of Sox17 and β-catenin expression between normal control and different types of oligodendroglioma were statistically significant. Univariate analysis showed that the expression of Sox17 protein (P = 0.000), β-catenin protein (P = 0.033), tumor position (P = 0.001), radiotherapy (P = 0.077), and chemotherapy (P = 0.000) were significant prognostic factors.

CONCLUSIONS

Oligodendrogliomas with expression of Sox17 protein, but not β-catenin, have better prognosis. Evaluation of Sox17 and β-catenin protein expression is important for accurate pathological diagnosis, prognostication and guiding treatment.

摘要

目的

探讨Sox17和β-连环蛋白在少突胶质细胞瘤中的表达及其临床意义。

方法

采用免疫组织化学法检测2003年至2013年新疆医科大学第一附属医院100例不同分级的少突胶质细胞瘤及10例瘤周良性组织中Sox17和β-连环蛋白的表达。采用Kaplan-Meien法和Cox回归分析评估少突胶质细胞瘤患者的临床病理特征及预后。

结果

Sox17在正常对照、少突胶质细胞瘤和间变性少突胶质细胞瘤中的表达率分别为10/10、82%(41/50)和62%(31/50)。β-连环蛋白在正常对照、少突胶质细胞瘤和间变性少突胶质细胞瘤中的表达率分别为2/10、22%(11/50)和52%(26/50)。正常对照与不同类型少突胶质细胞瘤中Sox17和β-连环蛋白表达的差异具有统计学意义。单因素分析显示,Sox17蛋白表达(P = .000)、β-连环蛋白表达(P = .033)、肿瘤位置(P = .001)、放疗(P = .077)和化疗(P = .000)是显著的预后因素。

结论

表达Sox17蛋白而非β-连环蛋白的少突胶质细胞瘤预后较好。评估Sox17和β-连环蛋白的表达对准确的病理诊断、预后评估及治疗指导具有重要意义。

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