TrKB与VEGF在鼻咽癌组织中的表达及临床意义
作者简介:

李仕晟,Email:Lissdoctor@sina.com

基金项目:

国家自然科学基金(81800921)。


Expression and clinical significance of TrKB, VEGF in nasopharyngeal carcinoma
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    摘要:

    目的探讨血管内皮生长因子(VEGF)、酪氨酸激酶B(TrKB)在鼻咽癌(NPC)组织中的表达并比较两者表达的相关性及分析与肿瘤临床特征的关系。方法采用免疫组化方法检测经活检确诊为NPC的患者55例及鼻咽炎组织30例中VEGF、TrKB蛋白表达水平,比较二两者表达差异。根据患者年龄和性别、肿瘤临床分型、原发灶大小、淋巴结转移和有无远处转移将病例分组,应用双变量相关Pearson检验分析研究VEGF、TrKB表达与肿瘤临床病理特征之间的关系。结果①VEGF蛋白于肿瘤细胞浆及血管内皮细胞浆中均表达,TrKB蛋白阳性表达绝大多数位于细胞浆内。在55例NPC患者中,45例TrKB阳性表达,阳性表达率为81.8%;47例VEGF阳性表达,阳性表达率为85.4%。30例鼻咽炎中,只有3例TrKB阳性表达,阳性表达率为10.0%;5例VEGF阳性表达,阳性表达率为16.7%。肿瘤组织中TrKB、VEGF阳性表达率明显高于鼻咽炎组织(P<0.05),NPC组织中VEGF与TrKB表达有明显相关性(R=0.716,P<0.01);②VEGF蛋白表达与NPC的临床分期(P=0.002)、肿瘤的直径大小(P=0.009)及有无淋巴结转移(P=0.001)明显相关,与患者性别、年龄、有无远处转移无关(P>0.05)。TrKB蛋白表达与临床分期(P=0.00)、肿瘤的直径大小(P=0.00)、有无淋巴结转移(P=0.006)明显相关,与患者性别、年龄、有无远处转移无关(P>0.05)。结论VEGF、TrKB在NPC组织中表达增加,可能与NPC的发生发展有关。TrKB可能与NPC血管形成有关。 (

    Abstract:

    ObjectiveTo investigate the expression of tyrosine kinases B (TrKB) and vascular endothelial growth factor (VEGF), their correlation as well as their relationship to the clinical characteristics in nasopharyngeal carcinoma (NPC).MethodsThe expression levels of TrKB and VEGF were determined immunohistochemically in 55 NPC specimens and 30 nasopharyngitis specimens, and their expression difference was compared. The NPC patients were classified according to their age, gender, T stage, lymph node metastasis and distant metastasis. The relationships between their expressions with the clinicopathological parameters were analyzed by bivariate pearson correlation test.Results① Both VEGF and TrKB were expressed in cytoplasm. In 55 specimens of NPC, positive expression of VEGF and TrKB was observed in 47 and 45 with the positive rate of 81.8% and 85.4%, respectively, However, in 30 nasopharyngitis specimens, the numbers of TrKB and VEGF positive expression were 3 and 5 with the positive rate of 10.0% and 16.7%,respectively. The positive expression rates of VEGF and TrKB in NPC were significantly higher than those in the nasopharyngeal tissues (both P<0.05). A correlation analysis indicated a significant correlation between expression of TrKB and VEGF in NPC (R=0.716, P<0.01). ②The VEGF expression was significantly correlated with T stage (P=0.009), clinic stage (P=0.002), and lymph node metastasis (P=0.001) of NPC, but insignificantly with patients’ age and gender, and distant metastasis (all P>0.05). Meanwhile, the TrKB expression was significantly correlated with T stage (P=0.00), clinic stage (P=0.00), and lymph node metastasis (P=0.006), but insignificantly with patients’ age and gender, and distant metastasis (all P>0.05).ConclusionsThe expressions of VEGF and TrKB are increased in NPC, which indicates that both of them may be involved in the occurrence and development of this tumor. The expression of TrKB is probably related to angiogenesis of NPC.

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陈月红,刘家佳,彭韬,李仕晟. TrKB与VEGF在鼻咽癌组织中的表达及临床意义[J].中国耳鼻咽喉颅底外科杂志,2020,26(5):491-496

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