口腔鳞状细胞癌中趋化因子受体CCR7的表达及其与颈部淋巴结转移的关系

目的 探讨趋化因子受体CCR7在口腔鳞状细胞癌中的表达及在口腔鳞癌颈淋巴结定向转移中的作用.方法 应用免疫组化、反转录聚合酶链反应(RT-PCR)和Western blotting等方法检测85例口腔鳞状细胞癌组织以及口腔鳞癌细胞系Tca8113和腺样囊性癌细胞系(adenoid cysticcareinoma,ACC-M)中CCR7的表达,分析CCR7表达与口腔鳞癌临床病理参数之间的关系.比较Tca8113和ACC-M对淋巴结的黏附能力,以及CCR7抗体对其黏附能力的影响.结果 66%(56/85)的口腔鳞癌组织存在CCR7的阳性表达,其中淋巴结转移组的CCR7阳性表达率明显高于无淋巴结转移组(P=0.015).RT-PCR和Western blotting检测结果也证实,CCR7在口腔鳞癌中有阳性表达.Tca8113细胞系对淋巴结的黏附能力明显高于ACC-M细胞系,并且能够被CCR7抗体有效阻断.结论 趋化因子受体CCR7在口腔鳞癌的发生发展及淋巴结转移中起着重要的作用.

Expression of chemokine receptor-7 in oral squamous cell carcinoma and its relation to cervical lymph node metastasis

Objective To investigate the expression of chemokine receptor CCR7 in oral squamous cell carcinoma (OSCC) and its possible role in directional neck lymph node metastasis. Methods The expression of chemokine receptor CCR7 was examined in 85 cases of OSCC,normal oral mucosa,and TcaS113 and adenoid cystic carcinoma (ACC-M) cell lines using immunohistochemistry,RT-PCR and Western blotting.The relationship between the expression and clinicopathological factors of OSCC was analyzed.After treatment with or without CCR7 antibody,in vitro adhesion assay was performed to compare the adhesion of Tea8113 and ACC-M cells to lymph nodes. Results CCR7 was expressed in 66% (56/85)of OSCC cases,and there was a significant difference in CCR7 expression between metastasis group (31/39,79%) and non-metastasis group (25/46,54%).RT-PCR and Western blotting also confirmed the presence of positive CCR7 expression in OSCC. Tea8113 cells expressing CCR7 showed stronger ability to adhere to lymph nodes as compared to CCR7-negative ACC-M cells and could be actively inhibited by CCR7 antibody.Conclusions CCR7 may play an important role in the development and lymph node metastasis of oral squamous cell carcinoma.