| 摘要: | 
			 
		     | 目的 探讨第187位苏氨酸(Thr187)磷酸化的细胞周期素依赖性激酶抑制蛋白(p27kip1,简称p27)(P-p27Thr187)在结直肠癌发生、发展中的作用及其与结直肠癌临床病理特征的关系。方法 收集行手术切除的80例结直肠癌组织标本,以及6对新鲜结直肠癌和相应癌旁正常组织标本;采用免疫组织化学EnVision二步法和蛋白质印迹法检测结直肠癌组织及相应癌旁正常组织中P-p27Thr187和p27的表达;并分析其与结直肠癌临床病理特征的关系。结果免疫组织化学和蛋白质印迹结果均显示,P-p27Thr187在结直肠癌组织中的阳性表达率明显高于癌旁正常组织;结直肠癌组织中P-p27Thr187阳性表达率为100.0%(80/80),高表达者52例(65.0%,52/80),低表达者28例(35.0%,28/80);而癌旁正常组织中P-p27Thr187阳性表达率为13.8%(11/80),与结直肠癌组织比较差异有统计学意义(P<0.05);p27在结直肠癌组织中的阳性表达率为48.8%(39/80),癌旁正常组织中为90.0%(72/80),两组比较差异有统计学意义(P<0.05);P-p27Thr187阳性表达与肿瘤细胞分化程度和TNM分期有关(均P<0.05);P-p27Thr187表达强度与细胞增殖指标Ki-67表达强度呈正相关(r=0.487,P<0.05),与p27表达强度呈负相关(r=-0.394,P<0.05)。结论结直肠癌组织中P-p27Thr187的异常表达可能参与了结直肠癌的发生、发展过程,其有助于综合评估结直肠癌的生物学行为,对结直肠癌的预后判断及诊治具有一定的参考价值。 | 
			
	         
				| 关键词:  结直肠肿瘤  p27kip1       磷酸化  临床病理特征 | 
			 
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                | 基金项目:浙江省医学重点学科建设计划);嘉兴市科技计划项目;嘉兴市第一医院“启明星”计划 | 
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                | Expression of Thr187 phosphorylated p27kip1  protein in patients with colorectal cancer and its clinical significance | 
           
			
                | GUO Zhiqin,LV Qingshan,YUAN Linna,ZHANG Yanping,WU Wanxin | 
           
		   
		   
                | Jiaxing  First People's Hospital | 
		   
             
                | Abstract: | 
			
                | Objective To investigate the expression of Thr187 phosphorylated p27kip1 (P-p27Thr187) protein in col- orectal cancer and its clinicopathological significance. Methods The expression of P-p27Thr187 and p27 was detected by immunohistochemical EnVision method and Western blot in 80 specimens of colorectal cancer tissue and 6 paired specimens of colorectal cancer and adjacent normal tissue, Results  The positive expression rates of P-p27Thr187 in colorectal cancer tissue was 100.0% (80/80), including high expression in 52 cases (65.0%, 52/80), low expression in 28 cases (35.0%, 28/80); while the
positive expression rates in adjacent normal tissue was 13.8% (11/80) (P<0.05). The positive expression rates of p27 in colorectal
cancer and adjacent normal tissue were 48.8%(39/80) and 90.0%(72/80), respectively (P<0.05). The expression of P-p27Thr187 was correlated with tumor differentiation and TNM stage (all P<0.05); and its expression was positively correlated with prolifera- tion index Ki-67(r= 0.487, P<0.05), and negatively correlated with p27(r=-0.394, P<0.05).    Conclusion    The abnormal expres-
sion of P-p27Thr187 may be involved in the development and progression of colorectal cancer, it might be used as a novel diag- nostic marker and therapeutic target in patients with colorectal cancer. | 
	       
                | Key words:  Colorectal cancer   p27kip1      Phosphorylation   Clinicopathological features |