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作 者:汪荣泉[1] 周子成[1] 杨建民[1] 房殿春[1] 晋华源[1]
机构地区:[1]第三军医大学西南医院消化科
出 处:《临床与实验病理学杂志》1997年第1期4-6,共3页Chinese Journal of Clinical and Experimental Pathology
摘 要:目的:探讨肝癌的发病机理。方法:应用免疫组化SP法对46例肝细胞癌组织及其38例癌旁组织中癌基因ras、c-myc、c-erbB-2和抑癌基因p53的蛋白表达作了定位研究。结果:在癌组织中的检出率分别为58.7%、67.4%、47.8%和20.4%,癌旁组织中的检出率分别为34.2%、47.4%、42.1%和7.9%。rasp21蛋白位于肝细胞和肝癌细胞的胞浆内;c-erbB-2蛋白位于肝细胞和肝癌细胞的胞浆和胞膜;c-myc蛋白位于肝细胞和肝癌细胞的胞核内;p53蛋白位于肝细胞的胞浆和癌细胞的胞核内。p53蛋白表达与ras、c-erbB-2蛋白表达有显著的协同性(P<0.05),与c-myc蛋白表达无协同性(P>0.05)。结论:肝细胞癌的发生可能与癌基因ras、c-myc、c-erbB-2的激活和抑癌基因p53的失活密切相关,部分基因的改变存在协同性。Purpose To study the pathogenesis of hepatocellular carcinoma. Methods Expression of ras,c myc,c erbB 2 and p53 proteins in the cancerous tissues of 46 patients with hepatocellular carcinoma(HCC) and its 38 peri cancerous tissues was studied with the streptavidin peroxidase conjugataed method (SP method). Results The positivity rates of ras, c myc,c erbB 2 and p53 proteins were 58 7%,67 4%,47 8% and 20 4% in HCC group and 34 2%,47 4%,42 1% and 7 9% in peri cancerous group respectively. The ras p21 was located in the cytoplasms of hepatocytes and HCC cells, c erbB 2 protein in the cytoplasms and on the cell membranes of hepatocytes and HCC cells, c myc protein in the nuclei of hepatocytes and HCC cells, p53 protein in the cytoplasms of hepatocytes and in the nuclei of HCC cells. The expression of p53 protein had significant synergy with the expression of ras and c erbB 2 proteins (P<0 05) , but no synergy with the expression of c myc protein. Conclusions The results indicated that ras, c myc, c erbB 2 and p53 are related with HCC occuring. They may play a role in HCC occuring.
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