临床肿瘤学杂志

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FGFR1和IGF1R在肺鳞癌中的表达及其临床意义

周永芳,王 萌,闫 安,李晓莉

  

  1. 150081 哈尔滨 哈尔滨医科大学附属肿瘤医院内一科
  • 收稿日期:2014-07-15 修回日期:2014-09-18 出版日期:2014-12-31 发布日期:2014-12-31
  • 通讯作者: 李晓莉

Expression of FGFR1, IGF1R in resected squamous cell lung cancer and their clinical significance

ZHOU Yongfang, WANG Meng,YAN An, LI Xiaoli.

  

  1. First Department of Oncology,the Affiliated Tumor Hospital of Harbin Medical University, Harbin 150081, China
  • Received:2014-07-15 Revised:2014-09-18 Online:2014-12-31 Published:2014-12-31
  • Contact: LI Xiaoli

摘要: 目的 探讨成纤维生长因子受体1(FGFR1)、胰岛素样生长因子受体1(IGF1R)在肺鳞癌组织中的表达及两者的临床意义。方法 采用免疫组化法检测260例肺鳞癌术后患者的癌组织及40例癌旁正常组织中FGFR1、IGF1R的表达,分析两者表达与临床病理特征及预后的关系。采用Kaplan-Meier法进行生存分析,用Cox回归模型分析影响肺鳞癌预后的独立因素。结果 FGFR1、IGF1R在肺鳞癌组织中的阳性表达率分别为51.92%(135/260)、55.4%(144/260),均明显高于癌旁正常组织的32.5%(13/40)、30.0%(12/40),差异均有统计学意义(P<0.05)。FGFR1在肺鳞癌组织中的表达与吸烟、淋巴结转移有关,IGF1R表达仅与淋巴结转移有关(P<0.005)。FGFR1、IGF1R蛋白阳性表达者的中位OS分别为38.21个月、38.48个月,均低于阴性表达者的42.55个月、42.51个月(P>0.05)。Cox多因素分析显示,FGFR1、IGF1R表达及淋巴结转移为肺鳞癌患者术后的独立预后因子。结论 FGFR1、IGF1R均参与了肺鳞癌的发生、发展,并且二者均为肺鳞癌的不良预后指标,并有望成为分子靶向治疗的新靶点。

Abstract: Objective To investigate the expression of fibroblast growth factor receptor 1(FGFR1), insulinlike growth factor(IGF1R) in resected squamous cell lung cancer tissue and their clinical significance. Methods The immunohistochemical method was applied to detect the protein expression of FGFR1, IGF1R on tissue sections from 260 squamous cell lung cancer and 40 adjacent normal tissues. Then the relationship between expression of FGFR1, IGF1R and clinicopathological characteristics and prognosis. The overall survival(OS) was estimated using the KaplanMeier method. The factors affecting the prognosis of squamous cell lung cancer were analyzed by Cox multivariate survival analysis. Results The positive expression rates of FGFR1, IGF1R in squamous cell lung cancer tisssues was 32.5%(13/40)and 30.0%(12/40), higher than 32.5%(13/40)and 30.0%(12/40)of adjacent normal tissues with significant differences(P<0.05). FGFR1 expression was related with smoking and lymph node metastasis, and the IGF1R expression was only related with lymph node metastasis(P<0.05). The median OS of patients with FGFR1 and IGF1R positive expression was 38.21, 38.48 months, lower than 42.55, 42.51 months of patients with FGFR1 and IGF1R negtive expression(P<0.05). Multivariate survival analysis showed that FGFR1, IGF1R expression and lymph node metastasis may act as independent prognostic factors for squamous cell lung cancer. Conclusion Expression of FGFR1 and IGF1R may be involved in the occurrence and development of squamous cell lung cancer.They may serve as markers for predicting the prognosis of patients with squamous cell lung cancer.

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