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机构地区:[1]中国医科大学附属第一医院消化内科,辽宁沈阳110001
出 处:《现代肿瘤医学》2008年第3期394-396,共3页Journal of Modern Oncology
摘 要:目的:观察胃癌组织中幽门螺杆菌(H.pylori)感染和EB病毒潜伏膜蛋白(EBV-LMP)的同步表达情况,探讨两者在胃癌中的相互关系。方法:80例正常胃黏膜组织和97例胃癌组织,利用HE染色对所取标本进行组织病理学诊断,EBV-LMP测定采用免疫组化SP法,H.pylori感染判定采用HE,H.pylori-DNA PCR和血清ELISA法测定IgG抗体三种方法。结果:正常胃黏膜组织未见EBV-LMP的表达,胃癌黏膜组织EBV-LMP表达阳性率为7.2%(7/97),胃癌组织EBV-LMP表达明显高于正常胃黏膜组织,差异有统计学意义(P<0.05)。本组病例中H.pylori感染的胃癌黏膜组织中EBV-LMP的阳性表达率为13.5%(7/52),无H.pylori感染的胃癌组织EBV-LMP的阳性表达率为0,H.pylori感染的胃癌组织EBV-LMP表达明显高于无H.pylori感染的胃癌组织,差异有统计学意义(P<0.05)。结论:正常胃黏膜组织无EBV-LMP的表达,胃癌组织中EBV-LMP表达明显高于正常胃黏膜组织,H.pylori感染胃癌组织比无H.pylori感染胃癌组织EBV-LMP呈现高表达,H.pylori感染和EB病毒感染在胃癌的发生和发展过程中可能具有更加深在的相互关系。Objective:To study the relationship between the expression of EBV - LMP and the H. pylori infection of gastric cancer tissue. Methods: To detect the histopathalogical diagnosis of 80 normal cases and 97 gastric cancer tissue cases by HE staining. Examination of EBV - LMP was by SP histochemical staining. The diagnosis of H. pylori infection was by three methods: HE, H. pylori - DNA PCR, and ELISA for anti - H. pylofi IgG respectively. Results: No expression of EBV - LMP in normal mucosa, while the positive rate of EBV - LMP expression in cancer was 7.2%. The expression of EBV - LMP in cancer was much higher than that in normal mucosa (P 〈 0.05 ) .The positive rate of the expression of EBV - LMP in gastic cancer tissue with H. pylofi infection was 13.5% (7/52) ,and the positive rate of the expression of EBV - LMP in gastric cancer tissue without H. pylori infection was 0. The expression of EBV - LMP in gastic cancer tissue with H. pylori infection was much higher than that of gastric cancer tissue without H. pylori infection(P 〈0.05). Conclusion: No expression of EBV- LMP in normal gastric mucosa, the expression of EBV - LMP in gastric cancer mucosa is much higher than in normal mucosa. The expression of EBV - LMP in gastic cancer tissue with H. pylofi infection is much higher than that of gastric cancer tissue without H. pylofi infection.
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