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《Tumor》 2008-05
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Expressions of Cox-2 and HIF-1α and their relationship with clinicopathologic characteristics of osteosarcoma

GENG Yan-hua1,WAN Chang-xing2,CHEN Pei-hui1(1.Department of Pathology,Second Affiliated Hospital,Zhejiang University Medical College,Hangzhou 310009,China;2.Department of Orthopaedics,Xinhua Hospital of Zhejiang Province,Hangzhou 310005,China)  
Objective: This study aims to investigate the protein expressions of cyclooxygenase-2(Cox-2) and hypoxia-inducible factor 1 alpha(HIF-1α) and their correlations with the clinicopathological features of osteosarcoma and tries to reveal the potential mechanisms for the formation and progression of osteosarcoma.Methods: We screened 59 typical samples of osteosarcoma tissues without os and decalcification treatment.They were grouped according to the clinicopathologic characteristics and were followed up post surgery.Expression of Cox-2 and HIF-1alpha were detected by immunohistochemistry.The results were evaluated by χ2 analysis and Spearman rank correlation analysis.The postoperative survival rates were calculated by Kaplan-Meier survival curve and the differences between groups were analyzed by Log-Rank method.Results: The positive expression rates of COX-2 and HIF-1α in osteosarcoma were 69.49% and 38.98%,respectively,which were significantly different compared with negative expression in control group(P0.01 and 0.05).The expression of Cox-2 in osteosarcoma positively correlated with the clinical stage(P0.05) and the expression of HIF-1α correlated with the age of patients(P0.01).The expressions of Cox-2 and HIF-1α were closely associated with the histological classifications.In COX-2-and HIF-1α-positive groups,the total positive rates(16.67% and 0%) of intraosseous well-differentiated and parosteaosteosarcoma were significantly lower than that of any others(73.33%,and 43.18%),respectively.The difference was significant(and P0.01 and P0.05).The expression of Cox-2 had positive correlation with HIF-1alpha.The positive co-expression of both HIF-lα and Cox-2 was 38.98%.There was 30.50% osteosarcoma tissues had no expression of both Cox-2 and HIF-1alpha.The positive expression rates of HIF-lα in Cox-2-positive and Cox-2-negative groups were 56.10% and 0%,respectively.The difference was significant(P0.01).The postoperative survival period was negatively associated with the expression of Cox-2 and HIF-1α.The postoperative accumulative survival rates were significantly lower in Cox-2-and HIF-1alpha-positive patients compared with those in Cox-2-and HIF-1alpha-negative patients(P0.05 and P0.01,respectively).Conclusion: Cox-2 and HIF-1α were over-expressed in osteosarcoma.Their expressions are related with the formation and progression of tumor and may have synergistic effects in prompting the malignant development of osteosarcoma.The patients with positive expression of Cox-2 and HIF-1α have lower postoperative accumulative survival rates.Their expressions may be useful prognostic factors for osteosarcoma.
【CateGory Index】: R738.1
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