肾癌组织中Vimentin蛋白表达与临床相关性分析
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江苏省自然科学基金资助项目(BK2008473)


Expression of vimentin in renal cell carcinoma tissue and its clinical significance
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    目的:检测肾细胞癌(renal cell carcinoma,RCC)组织中波形蛋白(vimentin)的表达,研究其表达水平与肿瘤临床病理特征及临床转归的相关性-方法:收集行肾根治性切除术并经病理证实为肾细胞癌的103例病例(92例为透明细胞癌,11例为乳头状细胞癌),平均随访时间为51.2个月,通过Western Blot检测肿瘤标本中vimentin蛋白的表达情况,对肿瘤大小-分期-分级-转移及生存率等临床病理资料与vimentin表达水平的相关性行统计学分析-结果:肾癌中vimentin蛋白的表达水平与非肿瘤组织相比显著增加,并且与肿瘤大小(P = 0.002)-转移(P < 0.001)-pT分期(P < 0.001)-分级(P < 0.001)-存活率(95.8% vs 72.7%,P = 0.002)有相关性-单变量分析显示vimentin的表达水平对肾细胞癌发展及预后具有预测意义(P < 0.05)-结论:本研究的结果显示vimentin的高表达与肾细胞癌的进展呈正相关,检测vimentin表达水平可用于肾癌分期-分级及预后判断-

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    Objective:To investigate the expression of vimentin protein in renal cell carcinoma and try to clarify its association with the clinicopathologic features and clinical outcome. Methods:RCC samples were obtained from 103 patients treated with radical nephrectomy. The mean follow-up period was 51.2 months. Expression of vimentin was tested by Western blot and compared with the clinicopathologic features such as tumor size, stage, grade, metastasis and survival. Results:Vimentin expression was up-regulated significantly in RCC compared with tumor-free kidney, associated with tumor size(P = 0.002), presence of metastasis(P < 0.001), high pT stage(P < 0.001), high-grade(P < 0.001) and low survival(95.8% vs 72.7%,P = 0.002). Univariate analysis revealed the significance of vimentin expression in renal cell carcinoma(P < 0.05). Conclusion:The results of this study suggest that overexpression of vimentin is associated with progression and recurrence of renal cell carcinoma. Thus, vimentin is a useful instrument for this condition.

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李 普,秦 超,殷长军,孟小鑫,杨 健,朱 建.肾癌组织中Vimentin蛋白表达与临床相关性分析[J].南京医科大学学报(自然科学版),2009,29(4):491-494

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  • 收稿日期:2008-11-12
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