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组蛋白甲基转移酶zeste同源物2在宫颈鳞状细胞癌患者中的预后意义

Prognostic significance of histone methyltransferase enhancer of zeste homolog 2 in patients with cervical squamous cell carcinoma.

作者信息

Jin Minfei, Yang Zujing, Ye Weiping, Yu Xiaowei, Hua Xiaolin

机构信息

Department of Obstetrics and Gynecology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, P.R. China.

Department of Orthopedics, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai 220023, P.R. China.

出版信息

Oncol Lett. 2015 Aug;10(2):857-862. doi: 10.3892/ol.2015.3319. Epub 2015 Jun 4.

Abstract

Histone methyltransferase enhancer of zeste homolog 2 (EZH2) has been reported to be associated with certain malignant phenotypes in cervical cancer. However, clinicopathological parameters and clinical outcomes of EZH2 in cervical cancer, particularly in cervical squamous cell carcinoma (CSCC) remain largely unknown. The retrospective cohort comprising of 117 consecutive patients with CSCC was incorporated into a tissue microarray which also included 23 paired normal tissues. Immunohistochemical analysis was performed to evaluate the correlation between EZH2 expression and clinicopathological implications. Aberrant overexpression of EZH2 was frequently observed in CSCCs as compared with adjacent normal tissues (P=0.0005). Expression of EZH2 is associated with poor tumor differentiation grade (P=0.020) and lymphovascular invasion (P=0.012). Univariate analysis revealed that the patients with CSCC whose tumors exhibited higher EZH2 levels had inferior overall survival (OS) compared to those whose tumors expressed lower EZH2 (log rank P=0.004). In the multivariate analysis, EZH2 expression was an independent predictor of OS (hazard ratio = 1.836, 95% confidence interval: 1.090-2.993, P=0.022). EZH2 overexpression is common in the development of CSCC and is a promising prognostic predictor for patients with CSCC.

摘要

据报道,组蛋白甲基转移酶zeste同源物2增强子(EZH2)与宫颈癌的某些恶性表型相关。然而,EZH2在宫颈癌,特别是宫颈鳞状细胞癌(CSCC)中的临床病理参数和临床结局仍 largely未知。由117例连续的CSCC患者组成的回顾性队列被纳入一个组织芯片,该芯片还包括23对配对的正常组织。进行免疫组织化学分析以评估EZH2表达与临床病理意义之间的相关性。与相邻正常组织相比,CSCC中经常观察到EZH2的异常过表达(P=0.0005)。EZH2的表达与肿瘤分化差(P=0.020)和淋巴管浸润(P=0.012)相关。单因素分析显示,与肿瘤表达较低EZH2的CSCC患者相比,肿瘤EZH2水平较高的患者总生存期(OS)较差(对数秩P=0.004)。在多因素分析中,EZH2表达是OS的独立预测因子(风险比=1.836,95%置信区间:1.090-2.993,P=0.022)。EZH2过表达在CSCC的发生中很常见,是CSCC患者有前景的预后预测指标。

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