claudin-3、4在食管鳞状细胞癌中的表达及其临床意义

    Expression of claudin-3,4 in esophageal squamous cell carcinoma and its clinical significance

    • 摘要: 目的:探讨claudin-3、4在人类食管鳞状细胞癌和癌旁正常组织中的表达及其临床意义。方法:应用免疫组织化学SP法检测54例食管鳞状细胞癌和26例癌旁正常组织中claudin-3、4的表达及其与临床病理参数的关系。结果:claudin-3在食管鳞状细胞癌中的阳性率(92.6%)显著高于癌旁正常组织(15.4%)(P<0.01),claudin-3的表达与性别、年龄、肿瘤大小、病理分级、TNM分期、淋巴结转移均无明显关系(P>0.05),但有远处转移者阳性率较无远处转移者低(P<0.05);而claudin-4在年龄≤ 60岁和有远处转移者阳性率均较年龄>60岁与无远处转移者低(P<0.01和P<0.05)。结论:claudin-3、4在食管鳞状细胞癌的发生中起着促进作用,但在有远处转移时出现表达缺失或低表达。

       

      Abstract: Objective: To explore the expression of claudin-3,4 in human esophageal squamous cell carcinoma and adjacent normal esophageal mucosa and its clinical significance.Methods: Immunohistochemistry SP method was used to detected the expressions of claudin-3,4 protein and clinicopathological characteristics in fifty-four cases of esophageal squamous cell carcinoma and twenty-six cases of adjacent normal esophageal tissue.Results: The positive expression rate (92.6%) of claudin-3 protein in esophageal squamous cell carcinoma was significantly higher than adjacent normal esophageal mucosa (15.4%) (P<0.01),the expression of claudin-3 protein was unrelated with sex,age,tumor size,histological grade,TNM stage,lymph node metastasis (P>0.05),but was related with distant metastasis,the positive rate in distant metastasis were lower than those without distant metastasis (P<0.05).The expression of claudin-4 protein was related with age and distant metastasis,the positive rate in distant metastasis and ≤ 60 years old were lower than those without distant metastasis (P<0.05) and patients>60 years (P<0.01).Conclusions: Claudin-3,4 plays a catalytic role in esophageal squamous cell carcinoma pathogenesis,but when there is distant metastasis,the expression is low or lack.

       

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