实用肿瘤学杂志 ›› 2009, Vol. 23 ›› Issue (5): 447-450.doi: 10.3969/j.issn.1002-3070.2009.05.013

• 论著 • 上一篇    下一篇

p53、p21WAF-1和p63在胃肠间质瘤中表达的相互关系及意义

程新宇, 孙洁, 王翠芳   

  1. 沈阳医学院奉天医院病理科(沈阳 110024)
  • 收稿日期:2008-10-15 出版日期:2009-10-25 发布日期:2012-02-21
  • 作者简介:程新宇, 女, (1971-), 硕士, 从事消化系统肿瘤的研究

Expression and significance of p53、p21WAF-1 and p63 in gastrointestinal stromal tumors

CHENG Xinyu, SUN Jie, WANG Cuifang   

  1. Department of Pathology, Fengtian Hospital, Shenyang Medical College, Shenyang 110024
  • Received:2008-10-15 Online:2009-10-25 Published:2012-02-21

摘要: 目的探讨p53、p21WAF-1和p63在胃肠间质瘤(gastrointestinal stromal tumor, GIST)中的表达和相互关系及其临床病理意义。方法 应用免疫组化S-P法检测70例手术切除胃肠间质瘤中p53、p21WAF-1和p63蛋白表达情况。结果 p53、p21WAF-1和p63在GIST中表达率分别为62.86%(44/70)、34.29%(24/70)和14.29%(10/70);p53与肿瘤部位、肿瘤坏死、肿瘤大小、核分裂像、Fletcher分级有关(P<0.05);p21WAF-1与肿瘤细胞类型、肿瘤大小、核分裂像、Fletcher分级有关(P<0.05);p63与核分裂像和肿瘤坏死有关(P<0.05);p53与p21WAF-1的表达呈负相关(r=-0.538, P=0.000)。结论 p53、p21WAF-1和p63蛋白表达与GIST生物学行为关系密切, 三者有可能成为判断GIST生物学行为的评价指标。

Abstract: Objective To study the expression of p53、p21WAF-1 and p63 in gastrointestinal stromal tumors(GIST)and the relationship with clinicpathological factors.Methods The expression level of p53、p21WAF-1 and p63 in 70 cases of GIST was examined by using SP immunohistochemical method.Results The positive expression rate of p53、p21WAF-1 and p63 was 62.86%、34.29% and 14.29% respectively.The positive expression of p53 was related to primary location of tumor, necrosis, tumor diameter, nuclear mitosis and Fletcher grading(P<0.05).The positive expression of p21WAF-1 was related to tumor cell types, tumor diameter, nuclear mitosis and Fletcher grading(P<0.05).The positive expression of p63 was related to necrosis and nuclear mitosis(P<0.05).The expression of p21WAF-1 showed negative correlation with that of p53.Conclusion The expression level of p53、p21WAF-1 and p63 was closely related with the biological behavior of GIST and might be considered as potential marker for the biological behavior of GIST.

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