硒蛋白-P在大肠癌组织中的表达及临床意义  

Expression and significance of selenoprotein-P in the tissues of colorectal cancer

作　　者：桑温昌[1] 李兆德[1] 房玉霞[2] 宫东尧[3] 

机构地区：[1]济南市槐荫人民医院普外科,山东济南250021 [2]济南市槐荫人民医院病理科,山东济南250021 [3]山东省立医院普外科,山东济南250021

出　　处：《中国现代普通外科进展》2010年第11期861-863,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:研究硒蛋白-P在大肠癌、转移淋巴结及正常大肠组织中的表达情况,探讨其在大肠癌发生、发展中的作用。方法:采用免疫组织化学方法检测81例大肠癌组织和20例癌旁正常黏膜中硒蛋白-P的表达。结果:硒蛋白-P在大肠癌、转移淋巴结组织中的阳性表达率分别为53.1%(43/81)和55.7%(39/70),在正常黏膜中的阳性表达率为80.0%(16/20),硒蛋白P在正常大肠黏膜中的表达明显高于大肠癌组织(P<0.05),且硒蛋白-P在大肠癌组织中的表达与肿瘤的大体类型、大小、分化程度、浸润深度及有无转移淋巴结等临床病理因素无关(P>0.05)。且患者5年存活率与硒蛋白-P在大肠癌组织中的表达无关(P>0.05)。结论:硒蛋白-P在大肠癌组织中表达降低,提示其可能在大肠癌的发生、发展过程中起重要作用,但不能作为判断预后的指标。Objietive： To investigate the expression and significance of selenoprotein-P in colorectal cancer,metastatic lymph node and adjacentmucosa of colorectal cancer,and discuss the effect of selenoprotein-p on occurring and developing of colorectal cancer.Methods： The expression of selenopreotein-P in adjacentmucosa of colorectal cancer,and in the cancer、 metastatic lymph node were detected by means of immunohistochemistry.Results： The positive rate of selenorotein-P were 53.1%,55.7%,80.0% in tumor cell,metastatic lymph node and adjacentmucosa of colorectal cancer.The expression of adjacentmucosa was significantly higher than that two sites（χ^2=4.87,P〈0.05）.The positive of selenoprotein-P expression in the tissues of colorectal cancer was not related to other pathological factors.Conclusions： The expression of selenoprotein-P is low in colorectal cancer,and may play an important role in occurring and developing of colorectal cancer.

关 键 词：硒蛋白P 结直肠肿瘤 免疫组织化学 

分 类 号：R656.9[医药卫生—外科学]