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机构地区:[1]宁夏医科大学总医院风湿科教研室,银川750004 [2]宁夏医科大学总医院风湿科,银川750004
出 处:《中华风湿病学杂志》2013年第7期443-445,I0001,共4页Chinese Journal of Rheumatology
基 金:宁夏医科大学2010年度重点孵育项目(XZ201009)
摘 要:目的探讨锌指转录因子Snail、上皮型钙黏附蛋白(E-cad)在原发性干燥综合征(pSS)发病过程中的作用和意义。方法采用免疫组织化学链霉素抗生物素.过氧化酶法(SP法)检测50例pSS患者及30名健康对照组唇腺组织中Snail、E-cad的表达情况。2组间阳性率的比较采用χ^2检验或Fisher’s确切概率法,相关性分析采用Spearman相关分析法。结果E-cad在正常唇腺组织中阳性表达率为100%(30/30),而在pss患者唇腺组织中阳性率为62%(31/50),2组间差异具有统计学意义(χ^2=14.651,P〈O.01);Snail在正常唇腺组织阳性表达率为0,而50例pSS患者唇腺组织中20例呈阳性表达(阳性表达率为40%),2组间差异有统计学意义(χ^2=28.800,P〈0.01);在pSS组患者唇腺组织中随着淋巴细胞浸润等级的增加,E-cad表达降低(P〈O.01),而Snail的表达增强(P〈0.01);pSS组患者唇腺组织中E-cad与Snail表达呈负相关(rs=-0.484,P〈O.01)。结论Snail和E-cad与pSS患者唇腺组织的破坏有关,可能参与了pSS的发病过程。Objective To study the expression of E-cadherin protein and Snail protein in the labial glands of patients with primary Sjogren's syndrome(pSS) and to analyze their roles in the pathogenesis of pSS. Methods The expression of E-cadherin protein and Snail protein were detected by immunohistochemical method. The labial glands were obtained from 50 patients with pSS and 30 healthy controls. The data was analyzed by Chi-Square test, Fisher's exact probability and Spearman's rank correlation analysis. Results The expression rate of E-cadherin in the labials gland of the patients with pSS were lower than that in normal salivary tissues (χ^2=14.651, P〈0.01 ). The positive rates of Snail in the labial glands of the patients with PSS were 40% and it's expression rates were significantly higher than those in normal salivary tissues (χ^2=28.800, P〈0.01). There was a negative correlation between lymphocyte focus score and the expression of E-cadherin (P〈0.01) and a positive correlation between lymphocyte focus score and the expression of Snail in pSS group (P〈0.01). There was a negative correlation between the expression of E-cadherin and Snail (rs=-0.484, P〈 0.01). Conclusion The interaction of E-cadherin and Snail may have played an important role in the Dathozenesis of PSS.
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