肺癌中EGFR蛋白表达和基因扩增相关性研究

Correlation between protein expression and gene amplification of epidermal growth factor receptor in lung cancer

  • 摘要: 目的 对肺癌EGFR蛋白表达和基因扩增进行比较分析。方法 对2004年至2006年期间本院病理科常规病理诊断中确诊为肺腺癌和BAC的病例按照2004年WHO最新肺肿瘤分类标准重新分类,应用组织芯片、免疫组织化学和FISH技术对总计89例肺癌进行EGFR蛋白表达和基因扩增的检测。结果 经典型肺腺癌EGFR蛋白的阳性表达率为56.52%,基因扩增率为45.45%;混合亚型肺腺癌EGFR蛋白的阳性表达率为20.51%,基因扩增率为22.58%;BAC病例中的EGFR蛋白的表达率为3.85%,扩增率为14.81%。经典型肺腺癌EGFR的蛋白表达阳性病例和基因扩增病例均明显多于BAC和混合亚型肺腺癌,(P<0.05)。EGFR蛋白表达和基因扩增之间存在正相关(P<0.005)。结论 EGFR基因的扩增及蛋白的表达在肺腺癌病例中均高于BAC,EGFR基因扩增与蛋白表达之间存在相关关系。

     

    Abstract: Objective To analyze the expression and gene amplification of epidermal growth factor receptor(EGFR)in lung cancer. Methods Lung cancer cases were collected and reviewed from the archives of our department from 2004 to 2006.Immunohistochemistry(IHC)and fluorescence in situ hybridization(FISH)were performed to detect the expression and gene amplification of EGFR in pure bronchioloalveolar carcinoma(BAC)and conventional adenocarcinoma. Results The EGFR was expressed in 56.52% of conventional adenocarcinomas and in 3.85% of BAC,respectively.EGFR gene was amplified in 45.45% of conventional adenocarcinomas and in 14.81% of pure BAC,respectively.Conventional adenocarcinoma had a higher EGFR expression and gene amplification than pure BAC(P<0.05).EGFR gene amplification was correlated with EGFR protein expression(P<0.005). Conclusion Protein expression and gene amplification of EGFR can be observed more often in conventional adenocarcinoma than in BAC.Expression of EGFR is frequently accompanied with gene amplification.

     

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