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作 者:石干[1,2] 田德安[1] 何星星[1] 廖家智[1]
机构地区:[1]华中科技大学同济医学院附属同济医院肝病研究所,湖北省武汉市430030 [2]武汉市中心医院消化内科,湖北省武汉市430014
出 处:《世界华人消化杂志》2013年第27期2832-2837,共6页World Chinese Journal of Digestology
基 金:国家青年自然科学基金资助项目;No.81101824~~
摘 要:目的:检测RhoGTP酶解离抑制蛋白2(RhoGTPase dissociation inhibitor 2,RHOGDI2)在胃癌患者中的表达状况,并评价其与胃癌临床病理特征的相关性,评估RhoGDI2在胃癌侵袭转移中的临床意义.方法:采用免疫组织化学技术检测103例胃癌标本中RhoGDI2的表达.结果:RhoGDI2阳性表达细胞为肿瘤细胞,主要位于胞浆或胞核.RhoGDI2在胃癌组织表达率为72.82%(75/103),在非癌胃组织(病理结果示"黏膜呈轻度慢性炎症改变"或"正常胃黏膜表现")中无表达(0/21),差异有统计学意义(2=38.70,P<0.05);低分化型胃癌组显著高于高-中分化型胃癌组(2=6.37,P<0.05);随浸润深度(分别浸润至黏膜层、黏膜下层、肌层、浆膜层)增加,RhoGDI2的表达率增加(2=21.64,P<0.05);淋巴结转移组显著高于无转移组(2=54.50,P<0.05);远处转移组显著高于无转移组(2=19.81,P<0.05);临床分期Ⅲ+Ⅳ期组明显高于Ⅰ+Ⅱ期组(2=24.90,P<0.05).RhoGDI2表达与性别、年龄(<60岁或≥60岁)、肿瘤部位(贲门胃底、胃体、胃角、胃窦)、原发灶大小(直径<5 cm或≥5 cm)无相关性(P>0.05).结论:在胃癌组织RhoGDI2的表达与胃癌侵袭转移病理特征密切相关.RhoGDI2可能参与调节胃癌的侵袭转移的过程.AIM: To detect the expression of RhoGTPase dis- sociation inhibitor 2 (RhoGDI2) in gastric cancer, and to assess its correlation with clinicopatho- logical characteristic of gastric cancer. METHODS: Immunohistochemistry was used to detect the expression of RhoGDI2 in 103 gastric cancer specimens. RESULTS: RhoGDI2 was expressed mainly in the cytoplasm or the nucleus. The positive rate of RhoGDI2 protein expression was significantly higher in gastric cancer than in normal gastric tissue (72.82% vs 0.00%, Z2 = 38.70, P 〈 0.05). The expression of RhoGDI2 protein was significantly correlated with tumor differentiation, invasion, lymph node metastasis, distant metastasis and stage (x2= 6.37, 21.64, 54.50, 19.81, 24.90, all P 〈 0.05), but not with gender, age, tumor location or size. CONCLUSION: The expression of RhoGDI2 is closely related to the invasion and metastasis of gastric cancer.
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