文章摘要
吴芸,张贵.碳酸酐酶Ⅸ蛋白在鼻咽癌组织中的表达及其与预后的关系[J].安徽医药,2022,26(5):1016-1019.
碳酸酐酶Ⅸ蛋白在鼻咽癌组织中的表达及其与预后的关系
Expression of carbonic anhydrase Ⅸ protein in nasopharyngeal carcinoma and its relationship with prognosis
  
DOI:10.3969/j.issn.1009-6469.2022.05.039
中文关键词: 鼻咽肿瘤  碳酸酐酶Ⅸ  预后  临床病理特征
英文关键词: Nasopharyngeal neoplasms  Carbonic anhydrase Ⅸ  Prognosis  Clinicopathological features
基金项目:
作者单位
吴芸 泰州市人民医院耳鼻喉头颈外科江苏泰州225300 
张贵 南阳市中心医院耳鼻咽喉一病区河南南阳473000 
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中文摘要:
      目的探讨碳酸酐酶Ⅸ(CAⅨ)在鼻咽癌组织中的表达及与预后的关系。方法选取2013年1月至2015年1月泰州市人民医院保存的鼻咽癌组织标本122例,同时选取慢性鼻咽炎性组织标本60例作为对照组,采用免疫组化染色法检测CAⅨ蛋白表达,随访病人无进展生存期。结果鼻咽癌组CAⅨ蛋白阳性表达率为55.74%,明显高于慢性鼻咽炎性组的16.67%,差异有统计学意义(P<0.05);CAⅨ蛋白表达与淋巴结转移有密切关联(P<0.05),与病人年龄、性别、肿瘤长径、TNM分期、病理类型和关联性不大(P>0.05);CAⅨ蛋白阳性表达组中位无进展生存期为46个月(95%CI:31.92~48.08),明显低于CAⅨ蛋白阴性表达组,差异有统计学意义(P<0.05);COX回归分析结果显示,TNM分期、淋巴结转移和CAⅨ蛋白表达是鼻咽癌病人预后(无进展生存)的危险影响因素(HR=2.06、1.65和1.47,P<0.05)。结论鼻咽癌组织CAⅨ蛋白表达上调,与病人预后有关。
英文摘要:
      Objective To investigate the expression of carbonic anhydrase Ⅸ (CAⅨ) in nasopharyngeal carcinoma and its relation?ship with prognosis.Methods One hundred and twenty-two specimens of nasopharyngeal carcinomain Taizhou People's Hospital from January 2013 to January 2015 were selected, and 60 chronic nasopharyngeal inflammatory tissues were selected as control group, the expression of CAⅨ protein was detected by immunohistochemical staining, and the progression-free survival time of patients was fol?lowed up.Results The positive expression rate of CAⅨ protein in nasopharyngeal carcinoma group was 55.74%, which was signifi?cantly higher than that in chronic nasopharyngeal inflammatory group (16.67%) (P<0.05). The expression of CAⅨ protein was closely associated with lymph node metastasis (P<0.05), and not significantly correlated with age, sex, tumor diameter, TNM stage, pathological type and lymph node metastasis (P>0.05). The median progression-free survival of CAⅨ protein positive expression group was 46 months (95%CI:31.92-48.08), which was significantly lower than that of the CAⅨ protein expression negative group, the difference was statistically significant (P<0.05). COX regression analysis showed that TNM stage, lymph node metastasis and CAⅨ protein expression was the prognosis of patients with nasopharyngeal carcinoma (progression-free survival) risk factors (HR=2.06,1.65 and 1.47,P<0.05).Conclusion Nasopharyngeal carcinoma tissue CAⅨ protein expression level is up-regulated, and related to the prognosis of patients.
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