Li Y
Fujian Medical College, Fuzhou.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1995;30(2):101-4.
By using PCR-SSCP and PCR-DNA sequencing method, 60 specimens of laryngeal carcinoma which were embedded in paraffin were detected for the mutations of P53 gene (exon 5-8). The point mutation and deletion which cause the change of amino acid were found in 19 cases. The mutation rate of patient with clinical III and IV stages was 50%, which was far higher than that of patient with clinical I and II stages. The mutation rate of poor differentiated carcinoma was 66.6%, which was higher than that of well differentiated carcinoma. These results indicate that the mutation of P53 gene is closely related with the malignant level of larynx carcinoma. Detection of P53 gene mutation using above sensitive and rapid method reveals practical significance for judging malignant level and evaluating prognosis of laryngeal carcinoma.
采用聚合酶链反应-单链构象多态性(PCR-SSCP)及聚合酶链反应-脱氧核糖核酸测序(PCR-DNA测序)方法,对60例石蜡包埋的喉癌标本进行P53基因(第5-8外显子)突变检测。发现19例存在导致氨基酸改变的点突变和缺失。临床Ⅲ、Ⅳ期患者的突变率为50%,远高于临床Ⅰ、Ⅱ期患者。低分化癌的突变率为66.6%,高于高分化癌。这些结果表明,P53基因的突变与喉癌的恶性程度密切相关。采用上述灵敏快速的方法检测P53基因突变,对判断喉癌的恶性程度及评估预后具有实际意义。