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机构地区:[1]中国医科大学附属盛京医院妇产科,沈阳110004
出 处:《生殖与避孕》2016年第3期171-176,共6页Reproduction and Contraception
基 金:国家自然科学基金项目(No.81100433);辽宁省科技厅计划项目(2010225031);辽宁省教育厅高等学校科学研究项目(L2010654)
摘 要:目的:探讨绒毛组织中轴突导向因子(Netrin-1)及其受体结直肠癌缺失基因(deleted in colorectal cancer,DCC)和非协调性分子5同源蛋白B(uncoordinated-5-homolog B,UNC5B)的表达及其与胚胎停止发育的关系。方法:采用免疫组织化学PV法检测20例正常早期妊娠绒毛(对照组)、25例早期胚胎停止发育绒毛(实验组)组织中Netrin-1及其受体DCC、UNC5B的表达情况。结果:Netrin-1在对照组的阳性表达率为95.00%,实验组的阳性表达率为76.00%,组间差异有统计学意义(P<0.01)。DCC在对照组阳性表达率为95.00%,实验组阳性表达率为32.00%,组间差异有统计学意义(P<0.01)。UNC5B在对照组阳性表达率为55.00%,实验组阳性表达率为96.00%,组间差异有统计学意义(P<0.01)。对照组Netrin-1、DCC和UNC5B三者两两间的表达无显著相关性。实验组DCC和Netrin-1的表达间呈显著负相关(r=-0.227,P<0.01),DCC和UNC5B的表达间呈显著正相关(r=0.151,P<0.05)。Netrin-1和UNC5B的表达间无显著相关性(r=-0.065,P=0.303)。结论:Netrin-1及其受体DCC、UNC5B的异常表达可能与早期胚胎停止发育发生有关;三者可能通过协同作用影响早期胚胎发育过程中胎盘血管的形成,导致胚胎停止发育。Objeetive: To explore the clinical significances of the expression of Netrin- 1 and its receptors deleted in colorectal cancer (DCC), uncoordinated-5-homolog B (UNC5B) with the occurrence of early miscarriage. Methods: Immunohistochemistry PV-6000 two-step method was used to detect the expression of Netrin-1 and its receptors DCC, UNC5B protein in 20 cases of normal early pregnancy villi (control group), 25 cases of villi from early miscarriage patients (experimental group). Results: The positive expression rate ofNetrin-1, DCC, UNC5B in control group and experimental group was 95.00% vs 76.00%, 95.00% vs 32.00%, 55.00% vs 96.00%, respectively, with significant differences between the two groups (P〈0.01). There were no significant correlations among the three proteins in control group. But there was a significantly negative correlation between DCC and Netrin-1 in experimental group (r=-0.227, P〈0.01), a significantly positive correlation between DCC and UNC5B in experimental group (r=0.151, P〈0.05). No significant correlation was detected between the expression of UNC5B and Netrin-1 (r=-0.065, P=0.303). Conclusion: The abnormal expression of Netrin-1 and its receptors DCC and UNC5B might be related to early miscarriage. Those proteins might be involved in the placental vasculogenesis in early embryo development.
关 键 词:早期胚胎停止发育 轴突导向因子(Netrin-1) 结直肠癌缺失基因(DCC) 非协调性分子5同源蛋白B(UNC5B) 免疫组织化学
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