癌变·畸变·突变 ›› 2007, Vol. 19 ›› Issue (6): 501-504.doi: 10.3969/j.issn.1004-616x.2007.06.020

• 检测研究 • 上一篇    下一篇

T细胞非霍奇金淋巴瘤中ZAP_70的表达及其与P53、Ki67的相关性

赵 静1 /周 韧2   

  1. 1. 温州医学院附属第一医院病理科,2. 浙江大学病理学与法医学研究所
  • 收稿日期:2007-04-09 修回日期:2007-09-04 出版日期:2007-11-30 发布日期:2007-11-30

Expression of ZAP_70 Protein in T Cell Non_Hodgkin's Lymphoma and It's Correlation With P53 and Ki67

ZHAO Jing1,ZHOU Ren2   

  1. 1. The First Affiliated Hospital of Wenzhou Medical College,2. Institute of Pathology and Forensic Medicine, Zhejiang University
  • Received:2007-04-09 Revised:2007-09-04 Online:2007-11-30 Published:2007-11-30

摘要: 背景与目的: 检测T细胞非霍奇金淋巴瘤(T_NHL)中ZAP_70的表达水平变化,分析ZAP_70与P53、Ki67的相关性,探讨ZAP_70蛋白在T_NHL中表达的意义。 材料与方法: 采用SP免疫组织化学方法检测48例T_NHL中ZAP_70、P53、Ki67蛋白的表达,利用χ2、t检验、Spearman's等级相关检验方法分析3种蛋白表达的相关性。 结果: ZAP_70在T_NHL中的表达阳性率为58.3%。肿瘤恶性程度越高,ZAP_70蛋白的表达水平越低,ZAP_70蛋白与肿瘤的恶性程度呈负相关关系(P=0.001);P53、Ki67蛋白与肿瘤的恶性程度呈正相关, P53蛋白的表达与Ki67蛋白之间存在相关性(P<0.01),且P53蛋白与EB病毒感染呈正相关(P<0.05)。 结论: ZAP_70蛋白表达的缺失对于恶性T细胞淋巴瘤的诊断可能具有一定的辅助作用;联合检测P53与Ki67蛋白的表达水平对判断T_NHL 的预后,指导术后辅助治疗具有重要意义。

关键词: T细胞非霍奇金淋巴瘤, ZAP_70, P53, Ki67

Abstract: ACKGROUND & AIM:Assessed the expression of ZAP_70 in T_NHL, and analyzed the correlation between ZAP_70 and P53,Ki67,to explore the significance of ZAP_70 protein expression in T_NHL. MATERIALS AND METHODS:Evaluated the expression of ZAP_70, P53 and Ki67 in 48 T_NHL by SP immunohistochemistry techniques. The results were analyzed by χ2,t test and Spearman's rank correlation. RESULTS: Expression of ZAP_70 was detected in 58.3%T_cell lymphomas, and the expression of this protein was correlated negatively with tumor grade. Expression of ZAP_70 in high_grade T_NHL was significantly lower than that in low_grade T_NHL(P=0.001).Of 48 T_NHL,expression of P53 was not only correlated positively with tumor grade, but also had a positive relationship with infection of EBV (P<0.05).The expression of ki67 was also increased in high_grade T_NHL. Statistical analysis demonstrated that there was a positive correlation between P53 and Ki67 (P<0.01). CONCLUSION:Absence of ZAP_70 may be diagnostically useful in paraffin sections suggesting T_NHL. Simultaneous measurement of P53 and Ki67 may have great importance in evaluating prognosis and directing therapy after operation in T_NHL.

Key words: T_cell non_Hodgkin lymphoma, ZAP_70, P53, Ki67