孙 盈,李维妙,庞赛楠.EGFR 19缺失突变的非小细胞肺癌中Fn14表达与EGFR 19缺失的相关性及临床意义[J].肿瘤学杂志,2015,21(3):206-211. |
EGFR 19缺失突变的非小细胞肺癌中Fn14表达与EGFR 19缺失的相关性及临床意义 |
The Correlation Between the Expressions of Fn14 and Epidermal Growth Factor Receptor (EGFR) 19-Del in Non-small Cell Lung Cancer(NSCLC) Patients with EGFR Exon 19 Deletion and Their Clinical Significance |
投稿时间:2014-08-15 |
DOI:10.11735/j.issn.1671-170X.2015.03.B009 |
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中文关键词: 成纤维细胞生长因子诱导14(Fn14) 表皮生长因子受体(EGFR) 非小细胞肺癌(NSCLC) 基因突变 |
英文关键词:fibroblast growth factor induction of 14(Fn14) epidermal growth factor receptor (EGFR) non-small cell lung cancer (NSCLC) gene mutation |
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中文摘要: |
摘 要:[目的]探讨成纤维细胞生长因子诱导14(Fn14)与表皮生长因子受体(EGFR)外显子19缺失突变之间的关系。[方法] 对125例EGFR外显子19缺失突变的非小细胞肺癌(NSCLC)患者,应用免疫组织化学法检测组织样本中EGFR 19缺失(EGFR 19-Del)和Fn14的表达,统计分析EGFR 19-Del与Fn14在不同临床病理特征中的表达差异以及两者之间的相关性。[结果] EGFR 19-Del阳性主要在细胞膜上表达,Fn14阳性表达主要定位于胞膜和胞质中。EGFR 19-Del的阳性表达率为99.2%,Fn14阳性表达率为100.0%。EGFR 19-Del、Fn14在鳞癌、腺癌组间的表达差异均无统计学意义(P=0.480;P=0.106);EGFR 19-Del、Fn14在总的NSCLC、腺癌的不同病理分级、TNM分期中差异显著(P均<0.05),而在鳞癌的不同病理分级、TNM分期中差异无统计学意义(P均>0.05)。Fn14与EGFR 19-Del在总的NSCLC、腺癌、鳞癌中的表达均呈正相关(P均<0.05,rs均>0.47);二者在中、低分化癌中呈正相关(P均<0.05,rs均>0.43),而在高分化癌中无相关性(rs<0.3);二者在Ⅱ、Ⅲ期中呈正相关。[结论] Fn14在NSCLC EGFR 19缺失突变样本中有很高的表达率,其表达与EGFR 19-Del有相关性,提示EGFR激活突变可能会影响Fn14的表达。 |
英文摘要: |
Abstract:[Purpose] To investigate the correlation of fibroblast growth factor-inducible 14 (Fn14) expression with epidermal growth factor receptor(EGFR) exon 19 deletion mutation. [Methods] Fn14 and EGFR 19-Del were detected in 125 NSCLC samples with EGFR exon 19 deletion mutation immunohistochemically.[Results] The expression of EGFR 19-Del was mainly located in cell membrane and the expression of Fn14 was mainly located in cell membrane and cytoplasm. The expression rates of EGFR 19-Del and Fn14 proteins were 99.2% and 100.0%,respectively. There was no significant differences of EGFR 19-Del and Fn14 between squamous cell carcinoma group and adenocarcinoma group(P=0.480; P=0.106). There were significant differences of EGFR 19-Del,Fn14 among different pathological grades and different TNM stages in NSCLC or adenocarcinoma(P<0.05),while there was no statistical difference in squamous cell carcinoma(P>0.05). The correlation of Fn14 with EGFR 19-Del were positive(P<0.05,rs>0.47) in NSCLC,adenocarcinoma or squamous cell carcinoma. The correlation of Fn14 with EGFR 19-Del were positive in middle or low differentiation patients(P<0.05,rs>0.43),but no relevance was found in high differentiation of NSCLC (rs<0.3). And there were positive correlations between Fn14 and EGFR 19-Del in patients with stage Ⅱor Ⅲ.[Conclusion] The Fn14 protein is highly expressed in NSCLC with EGFR exon 19 deletion mutation,and its expression has correlation with the expression of EGFR 19-Del,which suggests that EGFR activated mutation might influence the expression of Fn14 . |
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