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[雷帕霉素靶蛋白(mTOR)和真核细胞起始因子4E结合蛋白1(4E-BP1)在结外鼻型自然杀伤/ T细胞淋巴瘤中的表达及其对预后的意义]

[Expression of mTOR and 4E-BP1 in extranodal Nasal-type NK/T-cell Lymphoma and implication for prognosis].

作者信息

Zhang Q, Liu G, Hang W

机构信息

Department of Otorhinolaryngology, Huanhu Hospital, Tianjin, 300350, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 Feb 5;33(2):123-127. doi: 10.13201/j.issn.1001-1781.2019.02.008.

Abstract

To study the expression of mTOR and 4E-BP1 in extranodal Nasal-type NK/T-cell Lymphoma(ENKTCL) and the correlation with the clinicopathological factors and prognosis of ENKTCL. Immunohistochemistry was used to detect the expresstion of mTOR and 4E-BP1 in the tissues of ENKTCL and nasal pharyngeal lymphoid hyperplasia. The relationship between the expression of mTOR and 4E-BP1 and clinicopathological features was analyzed using the Chi-square test, which including sorting clinical stage, general condition score and international prognostic index(IPI). The expression rates of mTOR and 4E-BP1 in ENKTCL were 63.9% and 58.3% respectively, and significantly higher than those(15.0% and 10.0%)in patients with nasal pharyngeal lymphoid hyperplasia(χ ²=12.355, =0.0001; χ ²=12.410, =0.0001). The positive expression rate of mTOR was linked to clinical staging, and the positive protein expressions in Stage Ⅲ and Ⅳwere higher than those in stageⅠand Ⅱ(χ ²=17.902, =0.0001). mTOR expression was related to 4E-BP1(=0.655,=0.001). The positive expression rates of 4E-BP1were linked to IPI of lymphoma(χ ²=4.051, =0.044). High-expressions of mTOR and 4E-BP1 in patients with ENKTCL are related to the biological progression and recurrence of ENKTCL and are malignant indicators to identify ENKTCL from nasal pharyngeal lymphoid hyperplasia. mTOR and 4E-BP1 may play important roles to assess ENKTCL prognosis..

摘要

研究mTOR和4E-BP1在结外鼻型NK/T细胞淋巴瘤(ENKTCL)中的表达及其与ENKTCL临床病理因素和预后的相关性。采用免疫组织化学法检测ENKTCL组织及鼻咽部淋巴组织增生中mTOR和4E-BP1的表达。采用卡方检验分析mTOR和4E-BP1表达与临床病理特征的关系,包括临床分期、一般状况评分和国际预后指数(IPI)。ENKTCL中mTOR和4E-BP1的表达率分别为63.9%和58.3%,显著高于鼻咽部淋巴组织增生患者(15.0%和10.0%)(χ²=12.355,P =0.0001;χ²=12.410,P =0.0001)。mTOR的阳性表达率与临床分期有关,Ⅲ期和Ⅳ期的阳性蛋白表达高于Ⅰ期和Ⅱ期(χ²=17.902,P =0.0001)。mTOR表达与4E-BP1相关(r =0.655,P =0.001)。4E-BP1的阳性表达率与淋巴瘤的IPI有关(χ²=4.051,P =0.044)。ENKTCL患者中mTOR和4E-BP1的高表达与ENKTCL的生物学进展和复发有关,是鉴别ENKTCL与鼻咽部淋巴组织增生的恶性指标。mTOR和4E-BP1可能在评估ENKTCL预后中起重要作用。

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