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通过p53免疫组化染色模式鉴别胃癌中p53免疫组化阳性肿瘤。

Discrimination of p53 immunohistochemistry-positive tumors by its staining pattern in gastric cancer.

作者信息

Ando Koji, Oki Eiji, Saeki Hiroshi, Yan Zhao, Tsuda Yasuo, Hidaka Gen, Kasagi Yuta, Otsu Hajime, Kawano Hiroyuki, Kitao Hiroyuki, Morita Masaru, Maehara Yoshihiko

机构信息

Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka City, Fukuoka, 812-8582, Japan.

出版信息

Cancer Med. 2015 Jan;4(1):75-83. doi: 10.1002/cam4.346. Epub 2014 Oct 30.

Abstract

Immunohistochemistry staining of p53 is a cheap and simple method to detect aberrant function of p53. However, there are some discrepancies between the result of immunohistochemistry staining and mutation analysis. This study attempted to find a new definition of p53 staining by its staining pattern. Immunohistochemistry staining of p53 and TP53 gene mutation analysis were performed in 148 gastric cancer patients. Also SNP-CGH array analysis was conducted to four cases. Positive staining of p53 was observed in 88 (59.5%) tumors. Tumors with positive p53 staining showed malignant features compared to negative tumors. Mutation of TP53 gene was observed in 29 (19.6%) tumors with higher age and differentiated type. In positive p53 tumors, two types could be distinguished; aberrant type and scattered type. With comparison to TP53 gene mutation analysis, all the scattered type had wild-type TP53 gene (P = 0.0003). SNP-CGH array showed that scattered-type tumors had no change in the structure of chromosome 17. P53-scattered-type staining tumors may reflect a functionally active nonmutated TP53 gene. In interpretation of p53 immunohistochemistry staining, distinguishing p53-positive tumors by their staining pattern may be important in gastric cancer.

摘要

p53免疫组化染色是检测p53异常功能的一种廉价且简便的方法。然而,免疫组化染色结果与突变分析之间存在一些差异。本研究试图通过其染色模式找到p53染色的新定义。对148例胃癌患者进行了p53免疫组化染色和TP53基因突变分析。另外对4例患者进行了SNP-CGH阵列分析。88例(59.5%)肿瘤中观察到p53阳性染色。与阴性肿瘤相比,p53染色阳性的肿瘤表现出恶性特征。在年龄较大和分化型的29例(19.6%)肿瘤中观察到TP53基因突变。在p53阳性肿瘤中,可以区分出两种类型;异常型和散在型。与TP53基因突变分析相比,所有散在型均具有野生型TP53基因(P = 0.0003)。SNP-CGH阵列显示散在型肿瘤17号染色体结构无变化。p53散在型染色肿瘤可能反映了功能活跃的非突变TP53基因。在解释p53免疫组化染色时,通过染色模式区分p53阳性肿瘤在胃癌中可能很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c790/4312120/9165ba53c578/cam40004-0075-f1.jpg

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