肝癌微血管密度、微血管面积和Piezo1的表达与微血管侵犯的相关性  

Correlation between microvascular density,microvascular area,Piezo1 expression and microvascular invasion in hepatocellular carcinoma

作　　者：赵伟[1] 刘文广[1] 刘华平[1] 侯佳乐[1] 冯德云[2] 易小平[1] 裴贻刚[1] 刘慧[1] 刘丽愉[3] 李文政[1] 

机构地区：[1]中南大学湘雅医院放射科,长沙410008 [2]中南大学湘雅医院病理科,长沙410008 [3]中南大学湘雅医院分子影像研究中心,长沙410008

出　　处：《临床与病理杂志》2017年第8期1593-1600,共8页Journal of Clinical and Pathological Research

基　　金：中南大学湘雅医院临床科研基金(2014L05)~~

摘　　要：目的:探讨肝癌组织中微血管密度(microvascular density,MVD)、微血管面积(microvascular area,MVA)以及Piezo1的表达水平预测肝癌微血管侵犯(microvascular invasion,MVI)的临床价值。方法:应用免疫组织化学方法检测38例病理证实为肝癌患者的肝癌组织的CD34以及Piezo1的表达情况,计算基于CD34染色的MVD和MVA,分析MVI与MVD,MVA以及Piezo1因子的表达水平的相关性。结果:38例肝癌中,13例有微血管侵犯,定义MVI(+)组,25例无微血管侵犯,定义MVI(.)组。MVI(+)组的MVA及MVD均高于MVI(.)组,两组间差异有统计学意义(P=0.007,P=0.011)。MVD和MVA联合预测MVI的敏感性和特异性为100%和64%,较单一指标效能高。Piezo1在肝癌MVI(+)组阳性率高于MVI(.)组,两组间差异有统计学意义(P=0.032)。结论:MVD,MVA以及Piezo1的表达水平均与肝癌MVI具有一定的相关性,可以作为辅助诊断微血管侵犯的指标,Piezo1可以作为潜在的限制MVI的治疗靶点。Objective： To investigate the clinical value of microvascular density （MVD）, microvascular area （MVA） and the expression of Piezol in predicting microvascular invasion （MVI） of hepatocellular carcinoma （HCC）. Methods： Immunohistochemical method was applied to detect the expression of CD34 and Piezol of 38 pathologically confirmed HCC for 38 patients, MVD and MVA were measured based on CD34 staining. Thecorrelations between the expression level of Piezol, MVD, MVA and MVI were analyzed. Results： Thirteen in 38 cases were presented with MVI, defined as MVI （＋） group, 25 in 38 cases were absence of MV[, defined as MVI （-） group, qhe MVA and MVD were significantly higher in MVI （＋） group （P=0.007, P=0.011; respectively） than in MV/（-） group. MVD combined with/VIVA achieved a sensitivity of 100% and a specificity of 64% in predicting MVI of HCC, which was higher than single index. The expression level of Piezol was significantly higher in the MVI （＋） group than in the MVI （-） group （P=0.032）. Conclusion： MVD, MVA and the expression level of Piezo 1 are significantly correlated with MVI which can be used as surrogate markers of MVI, Piezo 1 may be a novel therapy target for restraining MVI.

关 键 词：肝癌 微血管侵犯 微血管密度 微血管面积 Piezo1 

分 类 号：R735.7[医药卫生—肿瘤]