Article

두경부 악성종양 조직에서의 c-fos 암유전자 및 β2-microglobulin의 발현양상과 악성종양전이간의 상관성에 관한 연구

김종애1, 곽정텍1, 김미라1, 이종덕1, 김태형1, 이강대1, 유태현1, 박병채1, 서진혜2
Jong Ae Kim1, Jeoung Taek Kwak1, Mi Ra Kim1, Jong Duk Lee1, Tae Hyung Kim1, Kang Dae Lee1, Tai Hyun Yu1, Byung Chae Park1, Jin Hye Suh2
Author Information & Copyright
1고신대학 의학부 이비인후과학 교실, 내과학 교실
2중앙연구실
1Department of Otolaryngology, Internal medicine, Kosin Medical College
2Cancer Research Institude, Kosin Medical College

© Copyright 1992 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

All of oncogene were first described as part of the genome of RNA tumor viruses and were subsequently shown to be of cellular origin. These genes termed cellular oncogene (c-onc) appear to have been the evolutionary progenators of viral oncogenes. It is strongly suggested that cellualr oncogene may possess an oncogenic potential. It is important to elucidate which and how cellualr oncogenes can be activated for specific tissue types of human tumors.

In order to verify the possibility that the patterns of expression of oncogenes and HLA might be related to the metastasis of human head and neck cancer, the expression of c-fos and β2-microglobulin in head and neck cancer (40 cases), and normal tissues (40 cases) were evaluated by immunohistochemical method with monoclonal antibodies.

The obtained results are as follows:

  1. Numbers of stage II, III, IV were 14, 15,11 respectively among 40 patients and of them laryngeal cancer was highest in incidence (25 cases).

  2. The nuclear staining of anti c-fos product monoclonal antibody in 32 cases (80.0%) and membrane reaction of anti β2-microglobulin monoclonal antibody in 35 cases (87.5%) were observed in normal cells.

  3. The nuclei of cancer cells in 11 cases (78.6%) of stage II, 12 cases (80.0%) of stage III, 4 cases (36.4%) oi stage IV were positively stained with anti c-fos product monoclonal antibody.

  4. The membrane of cancer cells in 13 cases (92.9%) of stage II, 13 cases (86.6%) of stage III, 4 cases (36.4%) of stage IV were positively stained with anti β2-microglobulin monoclonal antibody.

  5. Comparison between the metastatic and non-metastatic group showed that the expression rate of c-fos product (40 : 80%) and β2-microglobulin (30 : 65%) was lower in metastatic group.(p<0.05)

The present results indicate that the overall incidences of expression in stage IV head and neck cancer of c-fos product and β2-microglobulin are significantly decreased as compared with normal counterparts and stage II. Such a difference is also noticed between metastatic and non-metastatic group.

Since the overall incidence of expression of these products is gradually decreased according to the stage of head and neck cancer and correlation with metastasis, it is conceivable that a tumor cell devoid of c-fos product and β2-microglobulin expression might be regarded as metastatic phenotype in human head and neck cancer.

Keywords: Immunohistochemical method; Expression of c-fos oncogene; β2-microglobulin; Eetastatic phenotype


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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