直肠癌组织中基质调控蛋白的表达及意义
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余丹

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Study on the expressions of matrix regulated proteins in rectal cancer tissues
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    摘要:

    目的:研究直肠癌组织中EMMPRIN,MMP1,MMP9,TIMP1的表达及其临床病理意义。方法:41例直肠癌手术切除标本和15例非癌组织(距肿块≥5cm)石蜡切片行ABC免疫组化法检测EMMPRIN,MMP1,MMP9,TIMP1的表达水平,对其进行分析比较。结果:EMMPRIN,MMP1,MMP9,TIMP1在直肠癌组织的表达阳性率分别为58.5%(24/41),53.6%(22/41),51.2%(21/42),46.3%(19/41);15例非癌组织阳性率分别为13.3%(2/15),13.3%(2/15),6.7%(1/15),86.7%(13/15),两者存在显著或高度显著差异(P<0.05~P<0.01)。高中分化、癌细胞仅浸润肌层和肿块最大径≤5cm者的EMMPRIN,MMP1,MMP9表达阳性率明显低于低分化、癌细胞浸润浆膜层和肿块最大径>5cm者,其中EMMPRIN表达在直肠癌的浸润深度,MMP1表达在肿块大小,MMP9表达在分化程度上均有显著差异(P<0.05),但TIMP1则相反,且肿块大小上有显著差异(P<0.05),无淋巴结转移者EMMPRIN,MMP1,MMP9表达阳性率明显低于有转移者(均P<0.05),但TIMP1则相反(P<0.05)。结论:EMMPRIN,MMP1,MMP9,TIMP1表达可能是反映直肠癌临床病理特征、生物学行为及预后的重要标记物。

    Abstract:

    ObjectiveTo investigate the expressions of EMMPRIN, MMP1, MMP9 and TIMP1 in rectal cancer tissues and their clinicopathotogic significances. MethodsImmunohistochemical method of avidinbiotincomplex was used for four targets on the routinely paraffinembedded sections of 41 cases of surgical resected specimens of rectal carcinoma and 15 noncancerous rectal tissues in the 41 cases. Results The expression positive rate of EMMPRIN, MMP1, MMP9 and TIMP1 was 58.5%, 53.6%, 51.2% and 46.3%, respectively. The positive rate of EMMPRIN, MMP1, MMP9 and TIMP1 was 13.3%, 13.3%, 6.7% and 86.7%, respectively, and the positive rates of rectal cancer showed significant differentiation compared with those of noncancerous rectal tissues. The positive rates of EMMPRIN, MMP1 and MMP9 were significantlyhigher in cancer tissuse of poordifferentiation, infiltration of serous layer by cancer cells, maximaldiameter of mass >5cm and with metastasis of lymph nodes than that in the ones of wellor milddifferentiation, filtration of only muscular layer by cancer cells, maximal diameter of mass <5cm and withoutmetastasis of lymph nodes, but those of TIMP1 were the opposite. ConclusionsThe expression of EMMPRIN, MMP1, MMP9 and TIMP1 might be important biological markers for reflecting clinicopathologic features、biological behaviors and prognosis of rectal cancer.

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余丹,杨竹林.直肠癌组织中基质调控蛋白的表达及意义[J].中国普通外科杂志,2005,14(10):11-756.
DOI:10.7659/j. issn.1005-6947.2005.10.011

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  • 在线发布日期: 2005-10-25