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作 者:石毅[1] 孙跃明[1] 白剑锋[1] 陆文熊[1] 傅赞[1] 赵翰林[1] 苗毅[1]
机构地区:[1]南京医科大学第一附属医院普外科,210029
出 处:《中华普通外科杂志》2008年第11期846-849,共4页Chinese Journal of General Surgery
基 金:江苏省“135”基金重点资助项目(08)
摘 要:目的探讨生长激素(GH)对人胰腺癌荷瘤裸鼠移植瘤及小肠黏膜组织胰岛素样生长因子Ⅰ、Ⅱ(IGF-Ⅰ、-Ⅱ)的影响。方法用原位杂交法检测胰岛素样生长因子Ⅰ型、Ⅱ型受体(IGFR—Ⅰ、-Ⅱ)mRNA在胰腺癌细胞株SW-1990、移植瘤的表达;裸鼠成瘤后随机分为注射生长激素的实验组(GH组)及注射生理盐水的对照组(NS组),荷瘤裸鼠在依次注射GH后第1、2、6及24h取材,Western方法观察移植瘤及宿主小肠黏膜细胞中IGF—Ⅰ、-Ⅱ的表达变化。结果IGFR—Ⅰ,ⅡmRNA在胰腺癌呈较强表达;与对照组相比,注射GH后1h移植瘤IGF—Ⅰ、IGF-Ⅱ差异无统计学意义(P〉0.05);而在小肠黏膜,IGF—Ⅰ表达在GH刺激后1、2,6h有明显提高(1h:0.33±0.05,P〈0.05;2h:0.34±0.04,P〈0.05;6h:0.34±0.05,P〈0.05),IGF-Ⅱ在1h有所增强(0.36±0.05,P〈0.05);IGF—Ⅰ、-Ⅱ的表达在24h时与对照组的差异均无统计学意义。结论作为合成代谢剂的GH能上调荷瘤宿主小肠黏膜局部IGF—Ⅰ、-Ⅱ,但对失去正常调控的肿瘤则作用不明显。Objective To study the impact of exogenous growth hormone (GH) on the levels of insulin-like growth factor- Ⅰ and - Ⅱ ( IGF- Ⅰ , - Ⅱ ) of the pancreatic cancer tissue and the small intestine mucosa of the host. Methods In situ hybridization was performed on pancreatic cancer cell lines (SW-1990) and inoculation tumor of the host to determine the location of the mRNA transcript encoding IGF R- Ⅰ ,-Ⅱ. Athymic nude Balb/c mice were inoculated with SW-1990 cells. After inoculated tumors have become palpable, animals were randomized to receive GH (4 mg/kg once daily for 2 weeks) versus saline control. After the animals were killed at time point, tissues (tumor and small intestine) were rapidly incised for subsequent immune blotting analysis. Results Strong IGF R-Ⅰ ,-Ⅱ mRNA hybridization signal could he detected in pancreatic cancer cell. There was no statistically significant difference between the level of IGF- Ⅰ , Ⅱ in the tumor of the GH and NS groups after 1 hours of GH injection (P 〉 0. 05 ). GH augmented the expression of IGF-Ⅰ (1 h: 0.33 ±0.05, P〈0.05; 2h: 0.34 ±0.04, P〈0.05; 6 h: 0.34±0.05, P〈0.05), -Ⅱ (1 h: 0.36±0.05, P〈0.05) in the small intestine mucosa of the host. Conclusions The expression of IGF- Ⅰ , Ⅱ in the small intestine mucosa of the host was elevated by GH, but not in the inoculation tumor in vivo. The discrepancy of GH-IGF pathway between inoculation tumor and small intestine of the host may help to explain the phenomena that GH doesn't accelerate growth of pancreatic
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