细胞周期蛋白G1在喉鳞状细胞癌中的表达及其临床病理学意义

目的 探讨喉鳞状细胞癌组织中细胞周期蛋白(cyclin)G1表达与临床病理参数及p53、癌组织微血管密度(MVD)的关系,并分析其作为预测喉鳞状细胞癌预后指标的可能性.方法 采用免疫组织化学(EnVision法)检测81例喉鳞状细胞癌组织中cyclin G1、p53的表达情况,用CD34标记新生血管内皮细胞,在显微镜下观察MVD.同时测它们在20例癌旁正常喉黏膜中的表达.结果 与正常喉黏膜组织相比,肿瘤组织中cyclin G1、p53表达及MVD均明显增加.喉鳞状细胞癌组织中cyclin G1、p53的阳性表达率分别为61.7%(50/81)和65.4%(53/81),在p53蛋白表达阳性和阴性的喉鳞状细胞癌组织标本中,cyclin G1蛋白阳性率分别为71.7%(38/53)和42.9%(12/28),cyclin G1表达与p53有相关性(Kappa值为0.281,P=0.011).cyclin G1蛋白阳性组平均MVD为(51.23±16.46),阴性者(30.74±12.29),其差异有统计学意义(P=0.005).cyclin G1高表达与肿瘤组织分化程度、颈淋巴结转移以及5年生存率均有统计学意义(P值分别为0.002、0.013和0.032).结论 cyclin G1蛋白在喉鳞状细胞癌中存在高表达,并与p53、MVD关系密切,cyclin G1异常表达可能在喉鳞状细胞癌发生、发展及转移过程中发挥重要作用,并可能作为判断患者预后的指标之一.

Expression of cyclin G1 in laryngeal squamous cell carcinoma and its clinicopathologic significance

OBJECTIVE: To evaluate the expression of cyclin G1 and its relationship with clinical pathological characters, p53 expression and microvessel density (MVD) in laryngeal squamous cell carcinoma (LSCC), and to investigate the prognostic value of cyclin G1 in LSCC. METHODS: Using immunohistochemistry, 81 cases of LSCC were evaluated for cyclin G1 and p52 expression, MVD was assessed by CD34 staining. In 20 cases, similar assessment was made in the adjacent normal mucosa. RESULTS: Compared to the normal laryngeal mucosa, the expressions of cyclin Gl, p53 and MVD were higher in LSCC than that in normal tissues. The positive rates of cyclin G1 and p53 expressions in LSCC were 61.7% (50/81) and 65.4% (53/81), respectively. The positive rates of cyclin G1 in LSCC with or without p53 expression were 71.7% (38/53) and 42.9% (12/28), respectively. The expression of cyclin G1 was significantly correlated with p53 (P = 0.011). The mean value of MVD was (51.23 +/- 16.46 mv) in cyclin G1 positive group, and(30.74 +/- 12.29 mv) in the negative group, and the difference was significant (P = 0.005). Furthermore, the over-expression of cyclin G1 was related to the histological grade, cervical lymph node metastases and 5 year survival (P = 0.002, 0.013 and 0.032 respectively). CONCLUSIONS: Cyclin G1 is highly expressed in laryngeal squamous cell carcinoma, and is associated with the expression of p53 protein and tumor angiogenesis. It may play an important role in carcinogenesis and metastasis in LSCC, and may be one of prognostic indices for LSCC patients.