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机构地区:[1]本溪市本钢总医院消化内科,辽宁省本溪市117000 [2]大连医科大学附属一院消化内科,辽宁省大连市116011 [3]大连医科大学附属二院中心实验室,辽宁省大连市116023
出 处:《世界华人消化杂志》2006年第31期3026-3029,共4页World Chinese Journal of Digestology
摘 要:目的:观察TGF-α,EGFR,PCNA在胃癌组织中的表达,研究三者对胃黏膜上皮细胞增殖的作用及与癌变的关系.方法:采用免疫组织化学SP法分别检测TGF-α,EGFR,PCNA在正常胃黏膜34例、胃癌62例中的表达,分析不同病理组织学分型的TGF-α,EGFR,PCNA表达差异.结果:TGF-α,EGFR,PCNA在正常胃组织阳性表达率均明显低于胃癌组织的阳性表达率(χ2=10.090,P<0.05;χ2=4.373,P<0.05;χ2=31.230,P<0.05).TGF-α,EGFR,PCNA在胃低分化腺癌阳性表达均明显高于高中分化腺癌(χ2=15.290,P<0.05;χ2=7.779,P<0.05;χ2=10.895,P<0.05),低分化腺癌与黏液癌之间阳性表达无显著性差异(P>0.05).胃癌组织中TGF-α与PCNA表达呈正相关(χ2=5.158,P<0.05).胃癌组织中EGFR与PCNA表达呈正相关(χ2=5.322,P<0.05).结论:TGF-α,EGFR和PCNA与胃癌发生相关,可能与胃癌的恶性程度有关,对判断预后有帮助.AIM: To observe the expression of transforming growth factor-α (TGF-α, epidermal growth factor receptor (EGFR) and proliferating cell nuclear antigen (PCNA) as well as their correlations in gastric carcinoma. METHODS: Irnrnunohistochemical staining (SP method) was used to detect the expression of TGF-α, EGFR and PCNA in specimens from 62 gastric carcinoma patients, and the pathological characteristics were comparatively analyzed. RESULTS: The positive rates of TGF-α, EGFR and PCNA expression in normal gastric mucosa were significantly lower than those in gastric carcinoma (χ^2 = 10.090, P 〈 0.05; χ^2 = 4.373, P 〈 0.05; χ^2=31.230, P 〈 0.05), while their positive expression rate were markedly higher in the lowly-differentiated adenocarcinoma and mu- cosal carcinoma than those in the highly- and moderately-differentiated one (χ^2 = 15.290, P 〈 0.05; χ^2 = 7.779, P 〈 0.05; 2 = 10.895, P 〈 0.05). A positive correlation was observed between TGF-α and PCNA expression (χ^2 = 5.158, P 〈 0.05) as well as between EGFR and PCNA expression (χ^2= 5.322, P 〈 0.05). CONCLUSION: The expression of TGF-α, EGFR and PCNA play important roles in the carcinogenesis and progression of gastric carcinoma, and they may help to evaluate the prognosis of gastric cancer patients.
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