Li A, Zhang L, Zhang X, Jin W, Ren Y
Department of Obstetrics and Gynecology, Liaocheng People's Hospital, Liaocheng, 252000, China.
Department for Pathology, Liaocheng People's Hospital, Liaocheng, 252000, China.
Clin Transl Oncol. 2016 Feb;18(2):220-7. doi: 10.1007/s12094-015-1360-5. Epub 2015 Aug 5.
To examine the expression of cortactin in epithelial ovarian cancer, and discuss the relationship between the expression of cortactin and the clinical pathology characteristics in epithelial ovarian cancer, as well as clinical significance.
The expression of cortactin was detected using real-time fluorescence quantitative PCR and immunohistochemical SP method in epithelial ovarian cancer.
(1) The relative content of cortactin mRNA in epithelial ovarian cancer tissue was higher than that in benign control tissue, and expression was related to histological classification and FIGO stage. (2) Cortactin protein was localized in the cytoplasm and membrane of tumor cells. The positive rate of cortactin was 73.3 % in epithelial ovarian cancer, and the rate of cortactin expression was related to histological classification. (3) The average survival period of epithelial ovarian cancer patients with positive expression of cortactin was 19.5 ± 1.2 months (95 % CI 14.6-21.4 months), compared with 34.5 ± 4.3 months in the negative expression group (95 % CI 22.1-25.9 months). Univariate survival analysis showed that: negative expression of cortactin had a significant survival advantage (χ (2) = 5.739, P = 0.017). A cox regression model for multivariate analysis revealed that cortactin was an independent prognostic factor for epithelial ovarian cancer (P = 0.001; RR = 6.452, 95 % CI 2.289-7.112).
Negative expression of cortactin was an independent prognostic factor and had a survival advantage. This suggested that cells with poor differentiation showed increasing motility. Cortactin is closely related to poor prognosis.
检测埃兹蛋白(cortactin)在上皮性卵巢癌中的表达情况,探讨其表达与上皮性卵巢癌临床病理特征的关系及临床意义。
采用实时荧光定量PCR和免疫组织化学SP法检测上皮性卵巢癌中埃兹蛋白的表达。
(1)上皮性卵巢癌组织中埃兹蛋白mRNA的相对含量高于良性对照组织,其表达与组织学分类及国际妇产科联盟(FIGO)分期有关。(2)埃兹蛋白定位于肿瘤细胞的细胞质和细胞膜。上皮性卵巢癌中埃兹蛋白的阳性率为73.3%,其表达率与组织学分类有关。(3)埃兹蛋白表达阳性的上皮性卵巢癌患者平均生存期为19.5±1.2个月(95%可信区间14.6 - 21.4个月),而阴性表达组为34.5±4.3个月(95%可信区间22.1 - 25.9个月)。单因素生存分析显示:埃兹蛋白阴性表达具有显著的生存优势(χ² = 5.739,P = 0.017)。多因素分析的Cox回归模型显示埃兹蛋白是上皮性卵巢癌的独立预后因素(P = 0.001;相对危险度RR = 6.452,95%可信区间2.289 - 7.112)。
埃兹蛋白阴性表达是独立的预后因素且具有生存优势。这提示分化差的细胞运动性增强。埃兹蛋白与预后不良密切相关。