The expression and clinical significance of T-cadherin protein and gene in the mixed cell type of hybrid hodgkin lymphoma
10.3969/j.issn.1671-8348.2015.33.014
- VernacularTitle:T-cadherin 蛋白与基因在混合细胞型霍奇金淋巴瘤中表达和临床意义
- Author:
Mingqiang REN
;
Tianhai TAN
;
Jun SU
- Publication Type:Journal Article
- Keywords:
hodgkin disease;
reactive hyperplasia lymphoid;
T-cadherin
- From:
Chongqing Medicine
2015;(33):4647-4650
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the expression level and clinical significance of T‐cadherin protein and gene in the mixed cell type of hybrid hodgkin lymphoma .Methods The lymph nodetissue samples were obtained from 45 hybrid Hodgkin lymphoma patients and 20 reactive hyperplasia lymphoid patients .The expression level of T‐cadherin of these samples were detected by immu‐nohistochemical staining and RT‐PCR .The relationship of clinic pathological features and prognosis in hybrid Hodgkin lymphoma patients were analyzed by the expression level of T‐cadherin .Results The positive expression rates of T‐cadherin in protein hybrid hodgkin lymphoma and reactive hyperplasia lymphoid tissue specimens were 31 .1% (14/45) and 90 .0% (18/20)(P< 0 .05) .T‐cad‐herin mRNA relative expression in hybrid Hodgkin lymphoma was significantly lower than reactive hyperplasia lymphoid tis ‐suespecimens(P< 0 .05) .The expression of T‐cadherin was significantly correlated with TNM and lymph node involvement (all P< 0 .05) ,but not significantly correlated with age ,gender ,WBC ,PLT and Hb count ,LDH and IPS grade (all P> 0 .05) .Multiva‐riate logistic regression analysis demonstrated TNM stage and T‐cadherin negative expression were independent factors of lymph node involvement .Log‐rank test revealed the two‐year survival rate in hybrid Hodgkin lymphoma patients of T‐cadherin negative and positive expressionwere 83 .9% and 92 .9% (P> 0 .05) ,three‐year survival rate were 71 .0% and 85 .7% (P> 0 .05) ,five‐year survival rate were 41 .9% and 78 .6% (P< 0 .05) .Kaplan‐Meier survival analysis showed the five‐year survival in T‐cadherin nega‐tive expressionwas lowersignificantly than T‐cadherin positive expression (P< 0 .05) .Conclusion T‐cadherin was low expression in hybrid Hodgkin lymphoma and correlated with TNM and lymph node involvement .T‐cadherin may be a new molecular marker to evaluate the prognosis of hybrid hodgkin lymphoma .
