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P_(53)蛋白和增殖细胞核抗原在肾癌中表达的临床意义
引用本文:种铁,万恒麟,王子明,石涛,苏宝山,王康敏.P_(53)蛋白和增殖细胞核抗原在肾癌中表达的临床意义[J].西安交通大学学报(医学版),1997(1).
作者姓名:种铁  万恒麟  王子明  石涛  苏宝山  王康敏
作者单位:第二附属医院泌尿外科!西安710004(种铁,万恒麟,王子明,石涛),第二附属医院病理科!西安710004(苏宝山,王康敏)
摘    要:采用免疫组织化学方法检测40例肾癌组织中P53蛋白和增殖细胞核抗原(PC-NA)的表达。发现P53蛋白阳性表达者共10例(25%)。P53蛋白表达与肿瘤病理分级、临床分期及预后无相关性。肾癌组织的PCNA增殖指数随肿瘤病理分级的上升而增加,PC-NA高表达组(增殖指数>10%)预后不良,特别是临床早期但PCNA高表达者预后也很差。结果提示P53蛋白表达在肾癌生物学行为及预后评估中无重要意义,而PCNA可作为肾癌恶性度及预后评估指标。P53蛋白和PCNA表达无相关性。

关 键 词:肾肿瘤  P_(53)蛋白  增殖细胞核抗原

CLINICAL SIGNIFICANCE OF P_(53) PROTEIN AND PCNA EXPRESSION IN RENAL CELL CARCINOMA
Chong Tie,Wan Henglin,Wang Ziming,et al.CLINICAL SIGNIFICANCE OF P_(53) PROTEIN AND PCNA EXPRESSION IN RENAL CELL CARCINOMA[J].Journal of Xi‘an Jiaotong University:Medical Sciences,1997(1).
Authors:Chong Tie  Wan Henglin  Wang Ziming  
Abstract:The expression of P53 protein andproliferating cell nuclear antigen (PCNA) was analysed by immunocytochemical technique in 40 casesof renal cell carcinoma (RCC ). P53 protein expression was not related to tumour grade, stage or prognosis. The PCNA indices increased wit11 tumourgrade. The patients with tumous with high PCNAindex(greater than 10% ) had a poor outcome. Thecases with low stage but high PCNA index also hada poor prognosis. The results suggest that overexpression of P53 protein in RCC is of no prognosticvalue, whereas PCNA index can be used as a majorpredictor of prognosis. There was no correlation between expression of P53 protein and PCNA index.
Keywords:kidney neoplasms  P_(53) protein  PCNA
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