管艳芹,刘建群,吴秀芳.卵巢癌组织中EZH2蛋白表达与临床病理特征及预后的关系[J].肿瘤学杂志,2015,21(11):875-879.
卵巢癌组织中EZH2蛋白表达与临床病理特征及预后的关系
The Relationship of Expression of EZH2 Protein with Clinicopathological Characteristics and Prognosis in Ovarian Carcinoma
投稿时间:2015-03-01  
DOI:10.11735/j.issn.1671-170X.2015.11.B003
中文关键词:  卵巢肿瘤  果蝇zeste 基因增强子同源物2  细胞周期蛋白D1  基质金属蛋白酶-9  肿瘤转移
英文关键词:ovarian neoplasms  enhancer of zeste homolog 2  Cyclin D1  matrix metalloproteinase-9( MMP-9)  neoplasm metastasis
基金项目:
作者单位
管艳芹 迁安市人民医院 
刘建群 迁安市人民医院 
吴秀芳 迁安市人民医院 
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中文摘要:
      摘 要:[目的] 检测果蝇zeste基因增强子同源物2(EZH2)、细胞周期蛋白D1(Cyclin D1)及基质金属蛋白酶-9(MMP-9)在卵巢癌组织中表达情况及与临床病理特征预后的关系,分析EZH2检测的临床意义。[方法] 采用免疫组织化学法(SP法)检测85例卵巢癌、30例卵巢良性肿瘤、30例正常卵巢组织中EZH2、Cyclin D1及MMP-9蛋白表达情况。[结果] EZH2蛋白在卵巢癌组织中的阳性表达率为72.9%(62/85),较卵巢良性肿瘤组20.0%(6/30)和对照组10.0%(3/30)显著增高(P<0.05);Cyclin D1蛋白在卵巢癌组织中的阳性表达率为60.0%(51/85),较卵巢良性肿瘤组13.3%(4/30)和对照组10.0%(3/30)显著增高(P<0.05);MMP-9蛋白在卵巢癌组织中的阳性表达率为90.6%(77/85),较卵巢良性肿瘤组23.3%(7/30)和对照组6.7%(2/30)显著增高(P<0.05)。EZH2、Cyclin D1及MMP-9蛋白表达与卵巢癌分化程度、FIGO临床分期、淋巴结转移、脉管瘤栓有明显相关性(P<0.05)。Kaplan-Meier生存分析表明,卵巢癌EZH2蛋白表达阳性患者的生存期短于阴性表达者(P<0.05),经相关性分析发现,EZH2与Cyclin D1及MMP-9蛋白表达呈正相关(r=0.314,0.298;均P<0.01)。[结论] EZH2参与卵巢癌的发生发展,可能与Cyclin D1、MMP-9协同促进卵巢癌的恶性增殖与转移,是卵巢癌预后的危险因素。
英文摘要:
      Abstract:[Purpose] To investigate the expressions of enhancer of zeste homolog 2(EZH2),Cyclin D1 and matrix metalloproteinase-9(MMP-9) in ovarian carcinoma as well as the relationship of expression of EZH2 with clinicopathological characteristics and prognosis in ovarian carcinoma,and to analyze the clinical significance of detection of EZH2. [Methods] EZH2,Cyclin D1 and MMP-9 proteins were detected in 85 cases with ovarian carcinoma and 30 cases with benign tumors and 30 samples of normal ovarian tissues by immunohistochemical staining method(SP). [Results] In ovarian carcinoma,the positive expression rate of EZH2 was 72.9%(62/85),which was significantly higher than that in benign tumors (20.0%,6/30) and control group (10.0%,3/30) (P<0.05). In ovarian carcinoma,the positive expression rate of Cyclin D1 was 60.0%(51/85),which was significantly higher than that in benign tumors(13.3%,4/30) and control group (10.0%,3/30)(P<0.05). In ovarian carcinoma,the positive expression rate of MMP-9 was 90.6%(77/85),which was higher than that in benign tumors (23.3%,7/30) and control group(6.7%,2/30)(P<0.05). The expressions of these three proteins were significantly correlated with the tumor differentiation grade,clinical stage,lymph node metastasis and vascular embolus(P<0.05). Kaplan-Meier analysis indicated that the overall survival rate was lower in patients with a positive expression of EZH2 than those with negative expression(P<0.05) .In ovarian carcinoma,EZH2 expression was positively correlated with Cyclin D1 and MMP-9 (r=0.314,0.298;both with P<0.01). [Conclusion] EZH2 expression might involve in the development of ovarian carcinoma and promote the proliferation and metastasis of ovarian carcinoma by interacting with Cyclin D1 and MMP-9,and overexpression of EZH2 might be as a prognostic risk factor of ovarian carcinoma.
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