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作 者:左凯[1] 薛栋[2] 孔丽[3] 谢琳琳[1] 李文玉[1] 燕小辉[1] 常晓华[1] 王铁军[1]
机构地区:[1]滨州市人民医院感染二科,山东省滨州256610 [2]滨州市人民医院普外一科,山东省滨州256610 [3]滨州市人民医院静配中心,山东省滨州256610
出 处:《中国医师杂志》2016年第11期1662-1665,共4页Journal of Chinese Physician
摘 要:目的探讨富含脯氨酸的酪氨酸蛋白激酶2(Pyk2)、血管内皮生长因子(VEGF)和N-钙黏蛋白(N-cadherin)在肝细胞癌中的表达及与临床病理参数之间的关系。方法应用免疫组织化学法检测80例肝癌组织及癌旁肝组织中Pyl(2、VEGF及N-cadherin的表达情况,并分析它们与临床病理参数的关系。结果Pyk2、VEGF、N-cadherin在肝癌组织的阳性表达率均高于癌旁肝组织,差异有统计学意义(71.3%vs 12.0%;63.8%vs 8.0%;57.5%vs 10.0%,P〈0.05)。Pyk2,VEGF、N-cad-herin阳性表达与肝癌病理分级、肿瘤分化程度、血管侵犯及临床TNM分期均有关(P〈0.05)。经speannan等级检验分析,Pyk2与VEGF、N.eadherin在肝癌组织中的表达均呈正相关(P〈0.05),VEGF和N—cadherin在肝癌组织中的表达也呈正相关(P〈0.05)。结论Pyk2、VEGF及N—cadherin与肝癌血管形成及肿瘤侵袭转移密切相关,推测Pyk2基因可作为肝癌预后判断的一个重要指标。Objective To investigate the expressions of proline-rich tyrosine kinase-2 ( Pyk2), vascular endotheliar growth factor (VEGF), and N-cadherin in hepatocellular carcinomas and their clinical significances. Methods The expressions of Pyk2, VEGF, and N-cadherin proteins were tested with immu- nohistochemistry in 80 cases of hepatocellular carcinomas and adjacent paracancerous tissues. Results The positive rates of Pyk2, VEGF, and N-cadherin in hepatocellular carcinomas were significantly higher than adjacent paracancerous tissues (71.3% vs 12. 0% ; 63.8% vs 8.0% ; 57.5% vs 10. 0%, P 〈0. 05 ). The differences in the expressions of Pyk2, VEGF, and N-cadherin in hepatocellular carcinoma of pathological grading, tumor differentiation, vascular invasion and clinical tumor node metastasis (TNM) stage were significant (P 〈 0. 05). Significantly positive correlation was found between Pyk2 and VEGF or N-cadherin with Spearman correlation analysis ( all P 〈 0. 05). There was positive correlation between N-cadherin and VEGF (P 〈0.05). Conclusions The abnormal expressions of Pyk2, VEGF, and N-cadherin genes may promote tumor angiogenesis and progression of hepatocellular carcinoma. Pyk2 may provide an important ref-erence for prognostic evaluation of hepatocellular carcinoma.
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