甲状腺乳头状癌特异性肿瘤标志物的临床应用
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R736.1

基金项目:

国家自然科学基金(81970868,81972537,81200734).


Clinical application of specific tumor markers for papillary thyroid carcinoma
Author:
Affiliation:

Fund Project:

Supported by National Natural Science Foundation of China (81970868, 81972537, 81200734).

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的 探讨细胞角蛋白19(CK19)、半乳糖凝集素3(Gal-3)、p53、拓扑异构酶Ⅱ(TopoⅡ)、Ki-67、细胞周期蛋白D1(CCND1)、人骨髓内皮细胞标志物1(HBME-1)、B-Raf原癌基因丝氨酸/苏氨酸蛋白激酶V600E突变型(BRAFV600E)在甲状腺乳头状癌(PTC)病理诊断中的临床应用价值。方法 选取100例PTC和40例甲状腺良性病变标本,采用免疫组织化学染色EnVision法检测CK19、Gal-3、p53、TopoⅡ、Ki-67、CCND1和HBME-1在组织中的表达情况,通过荧光PCR检测BRAFV600E在组织中的表达情况。结果 PTC组织中CK19、Gal-3、TopoⅡ、CCND1、HBME-1和BRAFV600E阳性表达率[97.0%(97/100)、98.0%(98/100)、56.0%(56/100)、95.0%(95/100)、66.0%(66/100)、75.0%(75/100)]高于甲状腺良性组织[45.0%(18/40)、20.0%(8/40)、15.0%(6/40)、55.0%(22/40)、25.0%(10/40)、12.5%(5/40)],差异均有统计学意义(P均<0.01)。8种标志物单独用于PTC的诊断时,CK19、Gal-3的灵敏度最高(97.0%、98.0%),Gal-3的准确度最高(92.9%);3种标志物联合应用并以其中任意2种阳性作为阳性判断标准时,CK19、Gal-3、HBME-1组合检测PTC的准确度最高(96.4%),其次为BRAFV600E、CK19、Gal-3组合(91.4%)。结论 CK19、Gal-3、TopoⅡ、CCND1、HBME-1、BRAFV600E是诊断PTC的重要标志物,这些标志物联合应用有助于对形态不典型PTC与甲状腺良性病变进行鉴别。

    Abstract:

    Objective To investigate the clinical application of cytokeratin 19 (CK19), galectin-3 (Gal-3), p53, topoisomerase Ⅱ (TopoⅡ), Ki-67, cyclin D1 (CCND1), human bone marrow endothelial marker 1 (HBME-1), and B-Raf proto-oncogene, serine/threonine kinase V600E mutant type (BRAFV600E) in the pathological diagnosis of papillary thyroid carcinoma (PTC). Methods A total of 100 PTC and 40 benign thyroid lesions were selected. The expression of CK19, Gal-3, p53, TopoⅡ, Ki-67, CCND1 and HBME-1 in tissues was detected by immunohistochemistry EnVision method, and the expression of BRAFV600E was detected by fluorescence polymerase chain reaction. Results The positive expression rates of CK19, Gal-3, TopoⅡ, CCND1, HBME-1 and BRAFV600E in PTC tissues (97.0%[97/100], 98.0%[98/100], 56.0%[56/100], 95.0%[95/100], 66.0%[66/100] and 75.0%[75/100]) were significantly higher than those in benign thyroid tissues (45.0%[18/40], 20.0%[8/40], 15.0%[6/40], 55.0%[22/40], 25.0%[10/40] and 12.5%[5/40]), and the differences were statistically significant (all P<0.01). CK19 and Gal-3 had the highest sensitivity (97.0% and 98.0%, respectively) and Gal-3 had the highest accuracy (92.9%) when the 8 markers were used alone for the diagnosis of PTC. Taking any 2 being positive of a 3 combination as the positive criterion, the combined application of CK19, Gal-3 and HBME-1 as diagnostic criteria for PTC had the highest accuracy of 96.4%. The combication of BRAFV600E, CK19 and Gal-3 showed high accuracy as well (91.4%). Conclusion CK19, Gal-3, TopoⅡ, CCND1, HBME-1 and BRAFV600E are important markers for the diagnosis of PTC, and the combined application of these markers can help to distinguish the abnormal PTC from benign thyroid lesions.

    参考文献
    相似文献
    引证文献
相关视频

分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2022-05-11
  • 最后修改日期:2022-09-02
  • 录用日期:
  • 在线发布日期: 2022-11-28
  • 出版日期: 2022-10-20
文章二维码
重要通知
友情提醒: 近日发现论文正式见刊或网络首发后,有人冒充我刊编辑部名义给作者发邮件,要求添加微信,此系诈骗行为!可致电编辑部核实:021-81870792。
            《海军军医大学学报》编辑部
关闭