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Notch1在宣威女性肺癌患者中的表达及临床意义
引用本文:牛华涛,白鹏,刘建兴,周永春,刘馨,赵光强,雷玉洁,黄云超.Notch1在宣威女性肺癌患者中的表达及临床意义[J].昆明理工大学学报(理工版),2014(6):101-106.
作者姓名:牛华涛  白鹏  刘建兴  周永春  刘馨  赵光强  雷玉洁  黄云超
作者单位:1. 昆明医科大学 第三附属医院神经外科,云南省肺癌研究重点实验室,云南 昆明650118
2. 昆明医科大学 第一附属医院微创神经外科,云南 昆明,650032
3. 昆明医科大学,云南 昆明,650500
4. 昆明医科大学 第三附属医院胸外科,云南省肺癌研究重点实验室,云南 昆明650118
基金项目:国家自然科学基金重点项目,云南省科技厅应用基础研究项目,云南省教育厅科学研究基金项目(2010Y188).
摘    要:为研究宣威女性肺癌中Notch1的表达及其临床意义,采用免疫组化SP法检测54例宣威女性肺癌组织及远端正常肺组织中Notch1的表达,并结合患者临床资料,探讨Notch1在宣威女性肺癌患者中的作用.结果显示,Notch1蛋白主要表达于细胞质,在宣威女性肺癌中的阳性表达显著高于远端正常肺组织(P0.05);Notch1蛋白在不同临床分期、分化程度及淋巴结转移与否患者中的表达差异有统计学意义(P0.05).生存分析显示:Notch1蛋白阳性表达组的中位生存期为27个月,而阴性表达组为38个月(P0.05),无淋巴结转移患者的中位生存期较有淋巴结转移患者长,进展期患者的中位生存期短于早期患者(P0.05),多因素Cox风险回归模型显示:宣威女性肺癌预后判断的独立影响因素为病理分期.提示Notch1基因在宣威女性肺癌组织中存在异常表达升高,且Notch1蛋白阳性表达的患者中位生存时间相对较短.Notch1蛋白的表达水平对于判断宣威女性肺癌患者预后有一定的指导意义.

关 键 词:Notch1  女性  肺肿瘤  宣威

Expression of Notch1 and Its Clinical Significance in Xuanwei Female Lung Cancer
NIU Hua-tao,Bai Peng,LIU Jian-xing,ZHOU Yong-chun,LIU Xin,ZHAO Guang-qiang,LEI Yu-jie,H UANG Yun-chao.Expression of Notch1 and Its Clinical Significance in Xuanwei Female Lung Cancer[J].Journal of Kunming University of Science and Technology(Natural Science Edition),2014(6):101-106.
Authors:NIU Hua-tao  Bai Peng  LIU Jian-xing  ZHOU Yong-chun  LIU Xin  ZHAO Guang-qiang  LEI Yu-jie  H UANG Yun-chao
Affiliation:NIU Hua-tao, Bai Peng, LIU Jian-xing, ZHOU Yong-chun, LIU Xin, ZHAO Guang-qiang, LEI Yu-jie, H UANG Yun-chao ( 1. Yunnan Key Laboratory of Lung Cancer Research, Department of Neurosurgery,the Third Affiliated Hospital of Kunming Medical University, Kunming 650118, China; 2. Department of Minimally Invasive Neurosurgery, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China; 3. Kunming Medical University, Kunming 650500, China; 4. Yunnan Key Laboratory of Lung Cancer Research, Department of Thoracic Surgery, the Third Affiliated Hospital of Kunming Medical University, Kunming 650118, China)
Abstract:The aim of this study is to appraise the clinical significance of the expression of Notch-1 protein in Xuanwei female lung cancer.SP immunohistochemical staining is performed to investigate Notch-1 protein ex-pression in Xuanwei female lung cancer specimens and the corresponding normal lung tissues,and further to elu-cidate its correlation with clinicopathological characteristics and prognosis.Immunohistochemical staining show that Notch-1 protein mainly expresses in cytoplasm.The Notch-1 expression level of Xuanwei lung cancer tis-sues is significant higher than that of matched normal ones.There are significant differences in the expression of Notch-1 protein among patients with different pathological grade (P〈0. 05 ),whether with or without lymph node metastasis(P〈0. 05 )and the degree of tumor differentiation (P〈0. 05 ).The survival analysis show that the median survival time of Notch-1 positive-expression and negative-expression patients is 27 months and 38 months,respectively(P〈0. 05 ).Patients with lymph node metastasis or high pathological grade have signifi-cant shorter median survival time than those without lymph node metastasis(P〈0. 05 )or low pathological grade (P〈0. 05 ).Cox regression survival analysis show that pathological grade is a significant independent factor af-fecting prognosis.There is an abnormally up -regulated expression of Notch -1 gene in Xuanwei female lung cancer tissues.Patients with positive Notch-1 expression have a relative shorter median survival time.Notch-1 expression level combining pathological grade can be used as an assessment and prognosis-estimation refer-ence for Xuanwei female lung cancer patients.
Keywords:Notch1  female  lung neoplasms  Xuanwei
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