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• 临床研究 • 上一篇    下一篇

喉癌细胞周期和细胞凋亡的同步检测及意义

陈玮伦1, 李秋明2, 祝 威1, 郭晓峰1,崔 航*   

  1. (1.吉林大学第一医院耳鼻咽喉-头颈外科,吉林 长春 130021;2.长春中医药大学针灸推
  • 收稿日期:2008-01-15 修回日期:1900-01-01 出版日期:2008-09-28 发布日期:2008-09-28
  • 通讯作者: 李秋明

Synchronous detection of cell cycle and apoptosis in laryngeal carcinoma cells and its significance

CHEN Wei-lun1,LI Qiu-ming2,ZHU Wei1,GUO Xiao-feng1,CUI Hang*   

  1. (1. Department of Otorhinolaryngology and Head-Neck Surgery,First Hospital,Jilin University,Changchun 130021,China;2.College of Acupuncture and Massage,Changchun University of Chinese Medicine,Changchun 130117,China )
  • Received:2008-01-15 Revised:1900-01-01 Online:2008-09-28 Published:2008-09-28
  • Contact: LI Qiu-ming

摘要: 目的:检测喉鳞癌细胞的细胞周期变化和细胞周期各时相细胞凋亡情况,探讨细胞周期的变化和细胞周期各时相的细胞凋亡在喉癌发生、发展及预后中的作用。方法: 应用流式细胞仪双参数分析结合脱氧核苷酸原位末端标记(TUNEL)技术,检测15例声带息肉和387例喉鳞癌细胞周期和细胞周期各时相的细胞凋亡。结果:与声带息肉组比较,喉鳞癌组在G0G1期细胞构成比增加,但差异无显著性(P>0.05),S期和G2M期细胞构成比无明显变化,其细胞凋亡指数明显低于声带息肉组(P<0.05),而且主要是由于G0G1期细胞凋亡的下降所引起;低分化鳞癌较高、中分化鳞癌G2M期细胞构成比显著性增加,S期、G2M期和总的细胞凋亡指数反而明显增加(P<0.05);5年内死亡组与复发转移组的G2M期构成比显著性增加,S期、G2M期和总的细胞凋亡指数明显增加(P<0.05);存活5年以上组和未复发转移组G2M期细胞构成比下降明显,G0G1期和总的细胞凋亡指数亦较声带息肉组明显下降(P<0.05)。结论:肿瘤G2M期细胞比例显著性增加,S期、G2M期和总的细胞凋亡指数的明显增加可以作为喉癌恶性度高、预后不良、需要辅助治疗的客观指标。

关键词: 细胞凋亡, 细胞周期, 肿瘤, 鳞状细胞

Abstract: To detect the cell cycle change and the apoptosis at each phase of cell cycle in laryngeal carcinoma cells,and discuss the role of the cell cycle change and the apoptosis at each phase of cell cycle in the occurrence,development and prognosis of laryngeal carcinoma.Methods The TUNEL technique and flow cytometry(FCM) parameter analysis were used to detect the cell cycle change and the apoptosis at each phase of cell cycle in 15 cases of polyp of vocal cord and 387 patients with laryngeal carcinoma.Results Compared with the group of polyp of vocal cord,although the proportion of the cells at G0G1 phase increased in the group of laryngeal carcinoma,there was no significant difference(P>0.05).The apoptotic index (AI) in laryngeal carcinoma was obviously lower than that in polyp of vocal cord,and this phenomenon was mainly caused by the decrease of the apoptosis of the cells at G0G1 phase.The proportion of the cells at G2M phase,the total AI,the AI at S phase and G2M phase were obviously enhanced in the poor-differentiated cancer,and this result was also observed both in the group of recurrence and in the patients who died in 5 years after operation,there was no significant difference between the well-differentiated and the moderate-differentiated cancer.The proportion of the cells at G2M phase,the total AI and the AI at G0G1 phase in the group of no-relapse and the patients who lived more than 5 years after operation were strongly lower than that in polyp of vocal cord(P>0.05).Conclusion The significant increasing of the proportion of the cells at G2M phase,the total AI,the AI at S phase and G2M phase could be regard as S indicators to judge prognosis and assistant therapy for laryngeal carcinoma.

Key words: cell cycle, apoptosis, neoplasms, squamous cells

中图分类号: 

  • R73-354