Intensive expression of Bmi-1 is a new independent predictor of poor outcome in patients with ovarian carcinoma.

Intensive expression of Bmi-1 is a new independent predictor of poor outcome in patients with ovarian carcinoma.
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Bmi-1 的强烈表达是卵巢癌患者预后不良的新独立预测因子。

DOI:
10.1186/1471-2407-10-133
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发表时间:
2010-04-08
期刊:
影响因子:
3.8
通讯作者:
Xie D
Xie D
中科院分区:
医学2区
文献类型:
--
作者:
Yang GF;He WP;Cai MY;He LR;Luo JH;Deng HX;Guan XY;Zeng MS;Zeng YX;Xie D

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已有研究表明B细胞特异性莫洛尼白血病病毒插入位点1(Bmi-1)基因在多种人类肿瘤中发挥致癌作用,但Bmi-1在卵巢癌中的扩增和表达状况及其临床/预后意义尚不清楚。应用免疫组织化学和荧光原位杂交方法检测30例正常卵巢、30例卵巢囊腺瘤、40例卵巢交界性肿瘤和179例卵巢癌组织中Bmi-1蛋白的表达和扩增。Bmi-1在正常卵巢、3%的卵巢囊腺瘤、10%的交界性肿瘤和37%的卵巢癌中均未检测到强表达。在8%的卵巢癌中检测到Bmi-1扩增。在卵巢癌中,Bmi-1的强表达与肿瘤的组织学分级、pT/pN/pM及FIGO分期呈正相关(P < 0.05)。在卵巢癌组群的单变量生存分析中,Bmi-1的强表达与缩短的患者生存期显著相关(平均49.3个月对100.3个月,p < 0.001)。重要的是,Bmi-1表达在多变量分析中提供了显著的独立预后参数(p = 0.005)。这些发现提供了证据表明,Bmi-1的高表达可能在卵巢癌的侵袭性和/或侵袭性表型的获得中是重要的,并作为患者生存时间缩短的独立生物标志物。
It has been suggested that the B-cell specific moloney leukemia virus insertion site 1 (Bmi-1) gene plays an oncogenic role in several types of human cancer, but the status of Bmi-1 amplification and expression in ovarian cancer and its clinical/prognostic significance are unclear. The methods of immunohistochemistry and fluorescence in situ hybridization were utilized to examine protein expression and amplification of Bmi-1 in 30 normal ovaries, 30 ovarian cystadenomas, 40 borderline ovarian tumors and 179 ovarian carcinomas. Intensive expression of Bmi-1 was detected in none of the normal ovaries, 3% cystadenomas, 10% borderline tumors, and 37% ovarian carcinomas, respectively. Amplification of Bmi-1 was detected in 8% of ovarian carcinomas. In ovarian carcinomas, significant positive associations were found between intensive expression of Bmi-1 and the tumors ascending histological grade, later pT/pN/pM and FIGO stages (P < 0.05). In univariate survival analysis of the ovarian carcinoma cohorts, a significant association of intensive expression of Bmi-1 with shortened patient survival (mean 49.3 months versus 100.3 months, p < 0.001) was demonstrated. Importantly, Bmi-1 expression provided significant independent prognostic parameters in multivariate analysis (p = 0.005). These findings provide evidence that intensive expression of Bmi-1 might be important in the acquisition of an invasive and/or aggressive phenotype of ovarian carcinoma, and serve as a independent biomarker for shortened survival time of patients.
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