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Journal of Clinical Otorhinolaryngology Head and Neck Surgery ; (24): 165-174, 2014.
Artículo en Chino | WPRIM | ID: wpr-748515

RESUMEN

OBJECTIVE@#To explore new hallmarks affecting the prognosis of patients with laryngeal squamous cell carcinoma (LSCC) via investigating the expression of CyclinE and p27 in LSCC tissues.@*METHOD@#The expression of CyclinE and p27 was detected via Elivision immunohistochemical staining in 160 LSCC tissues and 20 normal laryngeal tissues (NLT). The relationship between CyclinE/ p27 and LSCC/ NLT was analyzed via Log-rank analysis. The relationship of CyclinE and p27 protein was statistically analyzed by spearman correlation analysis. The relationship between CyclinE/p27 and clinical-pathology-factors of patients with LSCC, such as age, gender, tumor site, diameter, differentiation, lymph node metastasis and PTNM stage were analyzed by Chi-square test. The relationship between clinical-pathology-factors, CyclinE, p27 and overall survival time of patients with LSCC was analyzed via Cox multiplicity and Kaplan-Meier survival analysis. A significant difference was recognized by P0.05 for all). A negative correlation was found between the expression of CyclinE and p27 protein, r= -0.767(P<0.05). Kaplan-Meier survival analysis showed that the overall survival rate of patients with LSCC was 36.9% (P<0.05). The 5-year survival rate in positive group of CyclinE was 8%, in negative group was 80% (P<0.05). On the contrary, the 5-year survival rate of patients with LSCC in positive group of p27 protein was 77.27%, the rate was 5.32% in negative group (P<0.05). Cox multivariate regression analysis revealed that lymph node metastasis, PTNM stage, CyclinE and p27 were independent risk factors of prognosis for patients with LSCC.@*CONCLUSION@#It is the molecular basis underlying the development and invasion/ metastasis of LSCC that activation of CyclinE gene accompanying inactivation of p27 gene. It is very important of co-detecting CyclinE and p27 protein to predict the prognosis of patients with LSCC.


Asunto(s)
Femenino , Humanos , Masculino , Persona de Mediana Edad , Carcinoma de Células Escamosas , Metabolismo , Patología , Ciclina E , Metabolismo , Inhibidor p27 de las Quinasas Dependientes de la Ciclina , Metabolismo , Neoplasias de Cabeza y Cuello , Metabolismo , Patología , Mucosa Laríngea , Metabolismo , Patología , Neoplasias Laríngeas , Metabolismo , Patología , Metástasis Linfática , Proteínas Oncogénicas , Metabolismo , Pronóstico , Carcinoma de Células Escamosas de Cabeza y Cuello , Tasa de Supervivencia
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