南方医科大学学报 ›› 2015, Vol. 35 ›› Issue (12): 1765-.

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上皮性卵巢癌中ZEB2 和C-myc蛋白的表达及临床意义

王庆海,蒋惠萍,邓晓洁,方唯意,郭遂群   

  • 出版日期:2015-12-20 发布日期:2015-12-20

Expressions of ZEB2 and C-myc in epithelial ovarian cancer and their clinical
significance

  • Online:2015-12-20 Published:2015-12-20

摘要: 目的探讨E盒锌指结合蛋白2(ZEB2)和原癌基因C-myc(C-myc)在上皮性卵巢癌组织(EOC)中的表达情况,并分析其表
达与EOC病理特征和预后的相关性。方法用免疫组化SP法检测191例EOC和13例正常卵巢组织中ZEB2和C-myc蛋白的表
达,并分析ZEB2及C-myc蛋白的表达与肿瘤临床病理特征的相关性。结果EOC和正常卵巢组织中ZEB2蛋白的阳性表达率
分别为49.2%(94/191)和30.8%(4/13),差异有统计学意义(P=0.007);C-myc 蛋白的阳性表达率分别为53.9%(103/191)和
15.4%(2/13),差异有统计学意义(P=0.001)。ZEB2蛋白的表达与EOC病理分型(P=0.003)、FIGO 分期(P=0.028)、T分期(P=
0.002)、淋巴结转移(P=0.04)有关。C-myc 蛋白的表达与EOC中FIGO 分期(P=0.035)、病理学分级(P=0.039)、T 分期(P=
0.002)有关。EOC组织中ZEB2与C-myc蛋白的表达有关联(R=0.358, P<0.001)。同时ZEB2及C-myc的共同表达在T分期和
FIGO分期有关(P<0.001,P<0.008)。结论ZEB2 和C-myc有助于促进EOC的发展、浸润和转移,两者联合检测有望成为EOC
的早期诊断指标。

Abstract: Objective To investigate the expression patterns of ZEB2 and C-myc in epithelial ovarian cancer (EOC) and the
associations between their expressions and the pathological features of EOC. Methods The expressions of ZEB2 and C-myc
proteins were detected immunohistochemically in 191 cervical cancer tissues and 13 normal ovarian tissues. The relationship
between ZEB2 and C-myc protein expressions and the clinicopathological features of EOC was evaluated. Results ZEB2
positive expression ratea in EOC tissues and normal ovarian tissues were 49.2% (94/191) and 30.8% (4/13), respectively (P=
0.007), and C-myc positive expression rates in the two tissues were 53.9% (103/191) and 15.4% (2/13), respectively (P=0.001). A
high expression of ZEB2 was positively correlated with the pathological type of the tumor (P=0.003), FIGO stage (P=0.028), T
stage (P=0.002), and N stage (P=0.04), and a high expression of C-myc was positively correlated with FIGO stage (P=0.035),
histological grade (P=0.039), and T stage (P=0.002). C-myc and ZEB2 expressions were positively correlated in EOC (P<0.001),
and their co-expression in EOC was significantly correlated with T stage (R=0.358, P<0.001) and FIGO stage (P=0.008).
Conclusion ZEB2 and C-myc can promote the progression, invasion and metastasis of EOC, and their combined detection may
assist in early diagnosis of EOC.