摘要
目的检测宫颈癌组织中血管内皮生长因子(VEGF)及细胞分化抑制因子(Id)-1的表达情况,分析其在宫颈癌组织中的表达与临床病理参数之间的关系。方法采用免疫组化法检测VEGF及Id-1在60例宫颈癌组织及30例正常宫颈组织中的表达水平。结果宫颈癌组织中VEGF在癌组织中阳性率80.00%(48/60),明显高于正常宫颈组织的6.67%(2/30)(X2=43.56,P〈0.01);宫颈癌癌组织中Id-1阳性率73.34%(44/60),明显高于正常宫颈组织的10.00%(3/30)(X2=38.31,P〈0.01);宫颈癌组织中VEGF及Id-1的表达与癌组织的分化程度、FIGO分期及脉管瘤栓密切相关(均P〈0.05);而与患者年龄、肿瘤大小、病理类型、淋巴结转移无相关性(均P〉0.05);且两者在宫颈癌组织中表达存在明显的正相关性(r=0.642,P=0.000)。多因素预后回归分析显示:VEGF、Id-1、分化程度、脉管浸润、FIGO分期是宫颈癌患者预后的独立危险因素。结论VEGF及Id-1表达异常与宫颈癌的发生和发展密切相关,两者呈正相关性,联合检测宫颈癌组织中两者的表达可作为临床早期诊断、监测转移及预后情况的依据。
Objective To investigate the expression VEGF and Id - 1 and its possible relationship with the clinical pathological features of cervical cancer. Methods The expression of VEGF and Id - 1 were examined in cer- vical cancer and normal tissues by immunohistochemical SP technique. Results The positive expression rate of VEGF in cervical cancer was 80.00% (48/60) ,which was significantly higher than that in normal tissues 6.67% (2/ 30) (P 〈0.01 ) ;The positive expression rate of Id - 1 protein in cervical cancer was 73.34% (44/60) ,which was significantly higher than that in normal tissues 10.00% (3/30) ( P 〈 0.01 ) ; The expressions of VEGF and Id - 1 were positively correlated with the degree of differentiation, vascular invasion, and FIGO stage ( P 〈 0.05 ), and while was not significantly associated with age, tumor size,lymph node metastasis, and pathologic types. Expression of VEGF was positively related with expression of Id - 1 in cervical cancer tissues( r = 0. 642 ,P = 0. 000). Multiple regression anal- ysis showed that: VEGF, Id - 1, differentiation, vascular invasion, and FIGO were independent prognosis factors for cervical cancer. Conclusion The expressions of VEGF and Id - 1 are correlated with the development of cervical cancer. Detection of the expression of VEGF and Id - 1 in cervical cancer can predict the metastasis and prognosis, which can provide the basis for clinical targeted therapy.
出处
《中国基层医药》
CAS
2015年第5期696-699,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
宫颈癌
血管内皮生长因子类
细胞分化抑制因子
Colorectal adenocarcinoma
Vascular endothelial growth factors
Cell differentiation inhibitory factors