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  1. NTU Theses and Dissertations Repository
  2. 醫學院
  3. 病理學科所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/15705
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor林中梧
dc.contributor.authorTing-Chu Linen
dc.contributor.author林庭竹zh_TW
dc.date.accessioned2021-06-07T17:50:26Z-
dc.date.copyright2013-03-04
dc.date.issued2012
dc.date.submitted2012-12-23
dc.identifier.citationReferences
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2. Lin CW, Chen YH, Chuang YC, Liu TY, Hsu SM: CD94 transcripts imply a better prognosis in nasal-type extranodal NK/T-cell lymphoma. Blood 2003;102:2623-2631.
3. Kim TM, Park YH, Lee SY, Kim JH, Kim DW, Im SA, Kim TY, Kim CW, Heo DS, Bang YJ, Chang KH, Kim NK: Local tumor invasiveness is more predictive of survival than International Prognostic Index in stage I(E)/II(E) extranodal NK/T-cell lymphoma, nasal type. Blood 2005;106:3785-3790.
4. Lin TC, Chen SU, Chen FC, Chang YC, Lin CW: Intramucosal variant of nasal NK/T-cell lymphoma has a better survival than invasive variant does: implication on loss of ETS-1 and T-bet with invasion. Histopathology 2012;60:287-295.
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12. Cai X, Schafer A, Lu S, Bilello JP, Desrosiers RC, Edwards R, Raab-Traub N, Cullen BR: Epstein-Barr virus microRNAs are evolutionarily conserved and differentially
expressed. PLoS Pathog 2006;2:e23.
13. Qiu J, Cosmopoulos K, Pegtel M, Hopmans E, Murray P, Middeldorp J, Shapiro M, Thorley-Lawson DA: A novel persistence associated EBV miRNA expression profile
is disrupted in neoplasia. PLoS Pathog 2011;7:e1002193.
14. Kwong YL: Natural killer-cell malignancies: diagnosis and treatment. Leukemia 2005;19:2186-2194.
15. Liang X, Graham DK: Natural killer cell neoplasms. Cancer 2008;112:1425-1436.
16. Chen C, Ridzon DA, Broomer AJ, Zhou Z, Lee DH, Nguyen JT, Barbisin M, Xu NL, Mahuvakar VR, Andersen MR, Lao KQ, Livak KJ, Guegler KJ: Real-time quantification of microRNAs by stem-loop RT-PCR. Nucleic Acids Res 2005;33:e179.
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large cell morphology and advanced disease. Am J Pathol 2001;159:2095-2105.
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27. Chinen H, Matsuoka K, Sato T, Kamada N, Okamoto S, Hisamatsu T, Kobayashi T, Hasegawa H, Sugita A, Kinjo F, Fujita J, Hibi T: Lamina propria c-kit+ immune precursors reside in human adult intestine and differentiate into natural killer cells. Gastroenterology 2007;133:559-573.
28. Freud AG, Yokohama A, Becknell B, Lee MT, Mao HC, Ferketich AK, Caligiuri MA: Evidence for discrete stages of human natural killer cell differentiation in vivo. J Exp Med 2006;203:1033-1043.
29. Jenner RG, Townsend MJ, Jackson I, Sun K, Bouwman RD, Young RA, Glimcher LH, Lord GM: The transcription factors T-bet and GATA-3 control alternative pathways of T-cell differentiation through a shared set of target genes. Proc Natl Acad Sci U S A 2009;106:17876-17881.
30. Miller SA, Weinmann AS: Common themes emerge in the transcriptional control of T helper and developmental cell fate decisions regulated by the T-box, GATA and ROR families. Immunology 2009;126:306-315.
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33. Choy EY, Siu KL, Kok KH, Lung RW, Tsang CM, To KF, Kwong DL, Tsao SW, Jin DY: An Epstein-Barr virus-encoded microRNA targets PUMA to promote host cell survival. J Exp Med 2008;205:2551-2560.
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35. Barth S, Pfuhl T, Mamiani A, Ehses C, Roemer K, Kremmer E, Jaker C, Hock J, Meister G, Grasser FA: Epstein-Barr virus-encoded microRNA miR-BART2 downregulates the viral DNA polymerase BALF5. Nucleic Acids Res 2008;36:666-675.
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/15705-
dc.description.abstract目的:
NK/T細胞鼻淋巴癌源自於鼻黏膜,會透過局部的侵入擴散到相鄰的組織,或是遠端轉移到區域性淋巴結。本研究目的主要探討NK/T細胞鼻淋巴癌一旦具侵入性後對預後的影響,以及淋巴癌中細胞毒殺標誌表現與侵入的關聯。
方法與結果:
此研究選擇了64位NK/T細胞鼻淋巴癌病人,利用組織病理學方法去評估侵入之程度及組織免疫染色去看細胞毒殺細胞的標誌的表現,包含了看:ETS-1,T細胞中的T-bet,信息傳遞及活化轉錄因子STAT-1,CD56,granzyme B。其中有17位病人被歸類為無侵入性的第一期(又稱為Ia 或是黏膜型),有21位病人被歸類為侵入性的第一期(又稱為Ib),16位病人被歸類為第二期,10位病人被歸類為第三/四期。第Ia期的病人較Ib期及二、三/四期的病人五年內有較好的存活率(分別是85%,38%,33%,20%)。研究結果發現在第Ia期的病人中ETS-1的表現為24%(4/17),而第Ib及二、三/四期的病人ETS-1的表現為65%(28/43);而T-bet在Ia期病人表現為29%(5/17),在Ib及二、三/四期病人表現為67%(30/45)。
結論:
NK/T細胞鼻淋巴癌為典型的侵襲性淋巴癌,但是黏膜型的侵襲性較低。由實驗中發現,ETS-1及T-bet表現量的減少也與侵襲性低有相關,之後我們也會做其他相關的研究來進一步證實。
zh_TW
dc.description.abstractAims: Nasal NK/T-cell lymphoma (NNKTCL) arises from the nasal mucosa, and spreads to adjacent tissues via local invasion or to regional lymph nodes and distant sites via metastasis. We studied the impact of invasion on the prognosis of NNKTCL, and correlated invasion with the expression of cytotoxic markers of lymphoma cells.
Methods and Results: Histopathologic evaluations of invasion and immunostains for cytotoxic markers, including EST-1, T-bet, STAT-1, CD56, and granzyme B, were performed in 64 NNKTCLs. There were 17 stage-I cases without invasion (stage Ia or intramucosal), 21 stage-I cases with invasion (stage Ib), 16 stage-II cases, and 10 stage-III/IV cases. Stage-Ia NNKTCLs had a better 5-year overall survival rate than that of stage-Ib, II, or III/IV NNKTCLs (85%, 38%, 33%, and 20%, respectively, p<0.001 by logrank test). Loss of ETS-1 was found in 24% (4/17) stage-Ia NNKTCLs and in 65% (28/43) stage-Ib/II/III/IV NNKTCLs (p=0.04, Fischer’s test); loss of T-bet was found in 29% (5/17) stage-Ia NNKTCLs and in 67% (30/45) stage-Ib/II/III/IV NNKTCLs (p=0.02, Fischer’s test).
Conclusions: NNKTCL is classically an aggressive lymphoma, but the intramucosal variant is less aggressive. Loss of ETS-1 or T-bet correlated weakly with invasion, a finding that requires further confirmation.
en
dc.description.provenanceMade available in DSpace on 2021-06-07T17:50:26Z (GMT). No. of bitstreams: 1
ntu-101-R97444003-1.pdf: 2142976 bytes, checksum: 6feec33232139a875b991252a28d7945 (MD5)
Previous issue date: 2012
en
dc.description.tableofcontentsContents
口試委員會審定書……………….………………………………i
PART 1. An intramucosal or non-invasive variant of nasal NK-cell lymphoma……....................................1
中文摘要……………………….................…........2
Abstract.............................................3
Introduction.........................................7
Materials and Methods................................9
Results.............................................12
Discussion..........................................16
References..........................................20
Table...............................................25
Figure..............................................28
PART 2. The EBV-encoded miR-BART20-5p inhibits T-bet with
secondary
suppression of p53 in nasal NK cell lymphoma.......31
中文摘要…………………………………………………………32
Abstract…………………………………………………………33
Introduction……………………………………………………37
Materials and Methods…………………………………………39
Results…………………………………….………………………46
Discussion…………………………………………………………50
References…………………………………………………………54
Table……………………………………….....…………………59
Figure………………………………………………………………61
dc.language.isoen
dc.subject黏膜內層zh_TW
dc.subject轉錄因子ETS-1zh_TW
dc.subject轉錄因子T-betzh_TW
dc.subjectNK/T細胞淋巴癌zh_TW
dc.subjectETS-1en
dc.subjectintramucosalen
dc.subjectnasal NK/T-cell lymphomaen
dc.subjectT-beten
dc.titleEBV微RNA-BART20-5p在NK細胞淋巴癌中直接抑制T-bet並間接抑制p53zh_TW
dc.titleEBV-encoded miR-BART20-5p inhibits T-bet with secondary suppression of p53 in NK-cell lymphomaen
dc.typeThesis
dc.date.schoolyear101-1
dc.description.degree碩士
dc.contributor.oralexamcommittee張逸良,郭頌鑫,黃聖懿
dc.subject.keyword轉錄因子ETS-1,轉錄因子T-bet,NK/T細胞淋巴癌,黏膜內層,zh_TW
dc.subject.keywordETS-1,T-bet,nasal NK/T-cell lymphoma,intramucosal,en
dc.relation.page68
dc.rights.note未授權
dc.date.accepted2012-12-24
dc.contributor.author-college醫學院zh_TW
dc.contributor.author-dept病理學研究所zh_TW
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