Fascin-1及CEA在非小细胞肺癌患者支气管肺泡灌洗液中的表达及意义
投稿时间:2016-01-01  修订日期:2016-01-01  点此下载全文
引用本文:李琪,肖贵华,常芬.Fascin-1及CEA在非小细胞肺癌患者支气管肺泡灌洗液中的表达及意义[J].医学研究杂志,2016,45(8):116-118
DOI: 10.11969/j.issn.1673-548X.2016.08.031
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作者单位E-mail
李琪 430081 武汉科技大学附属普仁医院呼吸内科 liqi0628@163.com 
肖贵华 430081 武汉科技大学附属普仁医院呼吸内科  
常芬 430081 武汉科技大学附属普仁医院呼吸内科  
中文摘要:目的 探讨非小细胞肺癌患者支气管肺泡灌洗液(BALF)中Fascin-1检测的临床意义。方法 收集肺癌组60例及肺良性疾病组45例的BALF标本。采用双抗体夹心酶联免疫吸附试验(ELISA)方法检测BALF中的Fascin-1水平,采用放射免疫分析法检测BALF中的癌胚抗原(CEA)浓度。结果 肺癌组BALF中 Fascin-1及CEA水平均显著高于肺良性疾病组(P<0.01)。TNM分期中,有远处转移的肺癌Ⅳ期患者Fascin-1及CEA水平最高(P<0.05),分期越晚,CEA浓度越高(P<0.05)。50例肺癌患者经治疗后,BALF中Fascin-1及CEA水平较治疗前有明显下降(P<0.01)。BALF中 Fascin-1水平与肺癌病理类型无关(P>0.05)。BALF中Fascin-1与CEA水平呈正相关(r=0.713,P<0.01)。结论 检测BALF中Fascin-1对于及时发现肺癌远处转移、估计预后、判断疗效具有重要的意义。
中文关键词:肺肿瘤  Fascin-1  癌胚抗原  支气管肺泡灌洗液
 
Expression of Fascin-1 and CEA in Bronchoalveolar Lavage Fluid in Nonsmall-cell Lung Cancer and Its Clinical Significance
Abstract:Objective To investigate clinical significance of detecting fascin-1 in bronchoalveolar lavage fluid(BALF) in nonsmall-cell lung cancer. Methods BALF samples of 60 lung cancer patients and 45 benign lung diseases patients were collected. Fascin-1 in BALF was detected by double antibody sandwich enzyme-linked immunosorbent assay(ELISA), and Carcinoembryonic antigen(CEA) in BALF was detected by radio immunoassay. Results Fascin-1 and CEA level in BALF in lung cancer group were both higher than benign lung diseases group(P<0.01). Fascin-1 and CEA level of stage Ⅳ patients with distant metastasis were the highest among the four stage(P<0.05). As staging was later, the concentration of CEA was higher(P<0.05). A significant reduction in fascin-1 and CEA level were found in BALF in 50 NSCLC patients after therapy including operation, radiotherapy or chemotherapy(P<0.01). Fascin-1 level in BALF did not relate with the pathological type of lung cancer. Fascin-1 level in BALF was linearly positively correlated with CEA(r=0.713, P<0.01). Conclusion Detection of fascin-1 in BALF is helpful to estimation of distal metastasis of cancer cells, evaluating prognosis and judging curative effect.
keywords:Lung neoplasms  Fascin-1  Carcinoembryonic antigen  Bronchoalveolar lavage fluid
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