尿激酶型纤溶酶原激活物在人脑胶质瘤的表达与随访分析
Expressing of urokinase-type plasminogen activator in human glioma and correlated follow-up study
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摘要: 目的: 研究尿激酶型纤溶酶原激活物在人胶质瘤中的的表达,及其在中枢神经系统肿瘤的预后判断中的作用。方法: 采用免疫组化方法检测102例人胶质瘤标本的uPA表达情况,追踪患者预后,并通过多因素分析评估其预后作用。结果: uPA在恶性胶质瘤呈高水平表达,而低级别胶质瘤中表达较弱甚至不表达。uPA水平与胶质瘤影像水肿表现显著相关。结论: uPA的高水平表达与胶质瘤的恶性程度显著相关,并可作为星形细胞瘤的一种独立预后指标。Abstract: Objective: To evaluate the expression of urokinase-type plasminogen activator (uPA ) in human glioma, and to estimate its prognostic role. Methods: The expressing of uPA in 102 human astrocytoma were detected by immunohistochemistry, and was compared with the pathological characteristics as well as the follow-up data in these patients. Results: High levels of uPA were seen in malignant glioma, whereas low levels of uPA or no expression were found in low-grade gliomas. There is a significant correlation between the uPA level and the peritumoral edema which was revealed by the radiographic analysis. Patients with high uPA level had a statistically significant poor prognosis than those with low uPA level. Conclusions: The level of uPA was correlated with the malignant phenotype of human glioma and can be a independent prognostic indicator.
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