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作 者:刘杰[1] 胡家露[1] 朱明华[1] 陈希陶[1] 曹晓燕[1]
机构地区:[1]西京医院消化内科
出 处:《第四军医大学学报》1994年第4期241-243,共3页Journal of the Fourth Military Medical University
摘 要:作者应用ABC免疫组化方法,对38例手术切除的胃癌组织及癌旁胃粘膜的冰冻切片标本进行了p53突变蛋白表达的检测.结果:38例胃癌标本,24例p53突变蛋白高表达,阳性率63.2%,高分化腺癌3/4(75.0%)阳性,中分化腺癌13/20(65.0%)阳性,低分化腺癌5/9(55.6%),粘液腺癌3/5(60.0%)阳性,癌旁胃粘膜有10例p53突变蛋白弱表达.23例伴有淋巴结转移的胃癌标本,18例(78.3%)p53蛋白高表达.以上结果提示:抑癌基因p53的突变在胃癌的发生中是一个比较常见的基因改变,尤其在分化型腺癌的发生中表现明显.By using ABC immunohistochemical method,we studied expression of p53 protein in cryostatic sec-tions of tumor tissues and their adjacent mucosa resected from 38 patients with gastric cancer.p53 was found positive in nuclei with intensive staining in 24 out of 38 cases with carcinoma(63.2%),in which 3/4 were well differentiated,13/20 moderatelly differentiated,5/9 poorly differentiated and 3/5 mucinous adenocarci-noma. p53 positive cells were distributed diffusively in the tumor tissues. All the adjacent mucosa except 10 were negatively stained with anti-p53 monoclonal antibody pAb1801.These 10 adjacent mucosas were only weakly stained.p53 was also found positive in 18 out of 23 cancer patients with metastasis in perigastric lymph nodes(78.3%).The results suggest that p53 inactivation may be one of the genetic events in development of gastric carcinoma and may play a role in tumor metastasis.
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