机构地区:[1]南昌大学第一附属医院胃肠外科,江西南昌330006
出 处:《中华肿瘤防治杂志》2016年第14期944-951,共8页Chinese Journal of Cancer Prevention and Treatment
基 金:国家自然科学基金重点项目(30930038);国家自然科学基金(81302292)
摘 要:目的非肌性肌球蛋白重链9基因(non-muscular myosin heavy chain9,MYH-9)在多种恶性肿瘤中高表达,且预后差。检测胃癌组织MYH-9的表达及利用RNA干扰(RNA interference,RNAi)技术特异性,抑制胃癌SGC-7901细胞中MYH-9的表达对细胞侵袭和转移的影响,探讨在胃癌治疗中将MYH-9作为基因治疗靶点的价值。方法选取2009-06-01-2010-01-01南昌大学第一附属医院126例胃癌及癌旁组织。利用RNA技术将MYH-9 siRNA转染到胃癌SGC-7901细胞中,蛋白质印迹法检测MYH-9蛋白的表达,RT-PCR法检测MYH-9 mRNA的表达;运用细胞迁移和侵袭实验检测MYH-9 siRNA下调胃癌SGC-7901细胞中MYH-9的表达对细胞侵袭转移的影响。结果MYH-9在胃癌组织中的表达显著高于癌旁组织,χ2=77.83,P〈0.001。胃癌MYH-9蛋白表达与肿瘤Lauren分型(χ2=5.296,P=0.020)、肿瘤分化程度(χ2=14.39,P=0.002)、肿瘤浸润深度(χ2=5.296,P=0.026)、肿瘤淋巴结转移数(χ2=11.15,P=0.003)、脉管癌栓(χ2=5.255,P=0.022)、肿瘤远处转移状态(χ2=6.683,P=0.009)和TNM分期(χ2=10.73,P=0.002)密切相关。MYH-9蛋白表达(HR=2.825,95%CI=1.104~3.706,P=0.041)、胃癌远处转移状态(HR=1.749,95%CI=0.983~3.503,P=0.035)和胃癌淋巴结转移数(HR=3.235,95%CI=1.579~5.358,P〈0.001)可作为预测患者不良预后的独立指标。与空白对照组及阴性对照组比较,特异性siRNA可以高效抑制SGC-7901细胞MYH-9基因的表达,在mRNA水平其表达抑制率分别为87.5%(t=48.22,P〈0.001)和86.9%(t=57.30,P〈0.001);在蛋白质水平其表达抑制率分别为52.9%(t=11.01,P〈O.001)和60.1%(t=15.53,P〈O.001)。在侵袭实验中,实验组细胞数为(49.5±13.8)个,显著低于阴性对照组(112±4.34)个(t=15.53,P〈0.001)和空白对照组(116�OBJECTIVE MYH-9 has a high expression in different tumors, and has a poor survival. This study is to detect the expression of MYH-9 in the tissue of gastric carcinoma. RNA interference (RNAi) was employed to inhibit the expression of MYH-9 in SGC-7901 cells and to evaluate the effects of MYH-9 as a target for gene therapy in gastric carci- noma. METHODS MYH-9 protein expression was examined by immunohistochemistry in 126 gastric adenocarcinoma and adjacent normal tissues. SGC-7901 cells were transfected with MYH-9 siRNA. MYH-9 protein and mRNA levels were detected using Western Blotting and RT-PCR. The migration and invasion assay were used to evaluate the effect of siR- NA-mediated inhibition of MYH-9 on invasion and metastasis in gastric carcinoma SGC-7901 cells. RESULTS MYH-9 protein was overexpressed in GC compared with the adjacent normal gastric epithelium (χ2= 77.83, P〈0. 001). Elevated MYH-9 expression was strongly correlated with Lauren classification (χ2 = 5. 296 ,P=0. 020), tumor differentiation(χ2 = 14.39, P = 0.002), depth of wall invasion(χ2 = 5.296, P = 0.026), mean no. of MLNs (χ2 = 11.15, P = 0. 003 ), vascular tumor embolus(χ2 =5. 255,P=0. 022), distant metastasis staus(χ2 =6. 683,P=0. 009) and clinical stage(χ2 = 10.73, P= 0. 002). Cox regression model demonstrated that MYH-9 expression level ( HR= 2. 825,95%CI=1. 104-3. 706, P= 0. 041), distant metastasis status(HR=1. 749,95%CI=0. 983-3. 503,P=0. 035) and mean no. of MLNs(HR=3. 235, 950, CI= 1.579=5. 358, P〈0.001) were the independent prognostic factors of gastric cancer. The specific siRNA can efficiently block the expression of MYH-9 both at mRNA and protein levels. Compared with the blank control group and negative control group, the expression inhibition rates were 87.5 % (t = 48.22, P〈 0. 001) and 86.9 % (t = 57.30, P 〈0. 001)at mRNA level, respectively. The expression inhibition rates were 52.9%0 (t=11.01,P〈0. 001) and 60.1% (t= 15.53,P〈0. 001) at potein
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