临床肿瘤学杂志

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皮肤鳞状细胞癌中Livin 基因的表达与CD3+T细胞浸润的研究

李敬果,翟晓翔,张翠侠,陈向辉,唐志铭   

  1. 221003 江苏徐州徐州市中医院皮肤科
  • 收稿日期:2012-04-06 修回日期:2012-09-03 出版日期:2012-10-31 发布日期:2012-10-31

Expression of livin and CD3+T lymphocytes infiltration in cutaneous squamous cell carcinoma

LI Jing-guo,ZHAI Xiao-xiang,ZHANG Cui-xia,CHEN Xiang-hui,TANG Zhi-ming   

  1. Department of Dermatology,Xuzhou City Hospital of Traditional Chinese Medicine,Xuzhou 221003,China
  • Received:2012-04-06 Revised:2012-09-03 Online:2012-10-31 Published:2012-10-31

摘要: 目的 探讨皮肤鳞状细胞癌(CSCC)中Livin蛋白的表达与CD3+T细胞浸润的情况,分析两者在CSCC发生、发展中的作用。方法 采用免疫组织化学SP法检测40例CSCC组织中Livin蛋白表达及CD3+T细胞浸润情况,并以10例正常皮肤组织作对照,分析二者与CSCC临床病理特征的关系及其相关性。结果 CSCC组织中Livin蛋白的阳性表达率为700%(28/40),正常皮肤组织中Livin无表达。10例正常皮肤组织中CD3+T细胞数量较少,为8.70±2.25,40例CSCC中为21.87±5.21,差异有统计学意义(P=0.000)。Livin蛋白表达和CD3+T细胞的数量均与CSCC的病理分级和淋巴结转移有关(P<0.05),但二者之间无相关性(r=0.015,P=0.926)。结论 Livin蛋白可以作为判断CSCC恶性程度、评价预后的指标。CD3+T细胞亦可反映机体抗肿瘤特异性细胞免疫状态和生物学行为,并作为判断预后的重要指标。

Abstract: Objective To study the expression of livin and CD3+T lymphocytes infiltration in cutaneous squamous cell carcinoma(CSCC),and observe their possible role in the pathogenesis of CSCC. Methods The expression of livin and CD3+T lymphocytes infiltration were detected with immunohistochemical SP method in 40 CSCC tissues and 10 normal skin tissues. The relationships among livin, CD3+T lymphocytes and the clinic pathologic characters of CSCC were analyzed.
Results The positive rate of livin in CSCC was 70.0%(28/40),while normal skin tissue did not express livin. The number of CD3+T lymphocytes in normal skin samples was 8.70±2.25,while it was 21.87±5.21 in CSCC examples,showing significant differences(P=0.000). The positive rate of livin and the number of CD3+T lymphocytes were correlated with the tumor histological grade and lymph node metastasis(P<0.05),but they had no correlation(r=0.015,P=0.926).
Conclusion Livin can be used for evaluating the malignant degree of CSCC and predicating the prognosis. The expression of CD3+T lymphocytes may be useful in estimating the local immune status and biological behaviors, and predicting the prognosis of CSCC.

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