Clinical significance of EphA2 expression in squamous-cell carcinoma of the head and neck

Clinical significance of EphA2 expression in squamous-cell carcinoma of the head and neck
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EphA2在头颈部鳞状细胞癌中表达的临床意义

DOI:
10.1007/s00432-010-0936-2
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发表时间:
2011-05-01
影响因子:
3.6
通讯作者:
Tian, Yongquan
Tian, Yongquan
中科院分区:
医学3区
文献类型:
--
作者:
Liu, Yong;Zhang, Xin;Tian, Yongquan

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目的:EphA2受体酪氨酸激酶在多种人类癌症中频繁过表达和功能改变。方法:采用免疫组织化学方法检测98例头颈部鳞状细胞癌(SCCHN)组织中EphA2的表达,并与临床病理参数进行相关性分析。结果:EphA2在SCCHN组织和SCCHN细胞系中均过表达。更重要的是,EphA2高表达分别与肿瘤部位、T分类、临床分期、复发和淋巴结转移显著相关。EphA2高表达患者的无病生存期和总生存期均低于EphA2低表达患者。多因素考克斯回归分析显示EphA2过表达是SCCHN患者的独立预后因素。结论:EphA2可能参与SCCHN的进展,是SCCHN患者的一个新的预后指标。
Purpose:EphA2 receptor tyrosine kinase is frequently overexpressed and functionally altered in a variety of human cancers. The study aimed to assess EphA2 expression and to explore its roles in squamous-cell carcinoma of the head and neck (SCCHN).Methods:EphA2 expression in 98 primary SCCHN tissue specimens was analyzed by immunohistochemistry and correlated with clinicopathological parameters. Additionally, 13 paired SCCHN tissues and 6 SCCHN cell lines were evaluated for EphA2 expression by RT-PCR and immunoblotting.Results:EphA2 overexpressed in SCCHN tissues and SCCHN cell lines. More importantly, high EphA2 expression was significantly associated with tumor site, T classification, clinical stage, recurrence, and lymph node metastasis, respectively. Patients with high EphA2 expression had both poorer disease-free survival and overall survival than patients with low EphA2 expression. Multivariate Cox regression analysis revealed that EphA2 overexpression was an independent prognostic factor for patients with SCCHN.Conclusions:These findings suggested that EphA2 may contribute to SCCHN progression and represent a novel prognostic indicator for patients with SCCHN.