Expression of Vimentinand Ki-67 protein and relationship with clinicopathologic feature in patients with cervical squamous cell carcinoma
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摘要: 目的 探讨宫颈鳞状细胞癌中波形蛋白(Vimentin)及Ki-67蛋白的表达及与宫颈鳞状细胞癌的临床病理特征关系,进一步分析两者在宫颈鳞状细胞癌中表达的相关性。 方法 采用免疫组化SP法检测57例宫颈鳞状细胞癌组织中Vimentin和Ki-67蛋白的表达情况,结合患者的临床病理资料,进行统计学处理分析。 结果 57例宫颈鳞状细胞癌组织中,Vimentin阳性表达率为75.4%(43/57),平均得分为(2.41±1.52)分;Ki-67阳性表达率高达100.0%,平均得分为(4.48±1.59)分。Ki-67在宫颈鳞状细胞癌组织中的阳性表达率显著高于Vimentin,差异有统计学意义(χ2=15.960,P<0.01)。Pearson相关性分析表明,宫颈鳞状细胞癌组织中Vimentin与Ki-67表达呈显著正相关(r=0.984,P=0.000)。Ki-67、Vimentin表达均与患者有无局部侵袭、淋巴结转移及肿瘤的分化程度密切相关(P=0.003,0.000,0.017;P=0.001,0.003,0.008),而与年龄、肿瘤大小和分期无关(P>0.05)。 结论 宫颈鳞状细胞癌组织中Ki-67呈高表达,Ki-67、Vimentin表达与肿瘤的发生、转移和分化程度密切相关,对于宫颈癌的治疗具有重要意义。Abstract: Objective To investigate the expression of vimentin(VIM) and Ki-67 protein in patients with cervical squamous cell carcinoma(CSCC),and its relationship with the clinical and pathological features,and analyze the correlation between the expression of Vimentin and Ki-67 in cervical carcinoma. Methods The expression of Vimentin and Ki-67 in 57 cases of CSCC tissue was detected by using immunohistochemical S-P method.The data was statistically analyzed combined with the clinicopathologic materials. Results In 57 cases of CSCC,the positive rates of cervical Vimentin were 75.4%(43/57),the average score statistics for (2.41±1.52);the positive rates of cervical Ki-67 were 100%,the average score statistics for(4.48±1.59);the positive rate of Ki-67 in cervical carcinoma was 100.0%,higher than Vimentin (75.4%)(χ2=15.960,P<0.01).Pearson correlation analysis showed that the expression of Vimentin and CSCC in Ki-67 tissues was significantly positively correlated(r=0.984,P=0.00).Ki-67 and Vimentin expression were closely related to the patients’ local invasion,lymph node metastasis and tumor differentiation(P=0.003,0.000,0.017;P=0.001,0.003,0.008),but not with age,tumor size and stage(P>0.05). Conclusion Ki-67 in cervical squamous cell carcinoma tissues has high expression,the expressions of Ki-67 and Vimentin are closely correlate with invasion,metastasis and differentiated degree.This result has important significance for thetreatment of cervical cancer.
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