胃癌组织中PTEN,VEGF,MMP-9的表达及相关性研究
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A study of the correlation and expression of PTEN ,VEGF and MMP-9 in human gastric carcinoma
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    目的:探讨胃癌中PTEN ,VEGF,MMP-9的表达及其与胃癌生物学行为的关系。方法:应用免疫组织化学SP 法检测71例胃癌组织及37 例远癌胃黏膜中PTEN,VEGF,MMP-9 的表达。结果:胃癌组织中PTEN 蛋白表达(71.8% )显著低于远癌胃黏膜的表达(100% )(P<0. 01) , 且与肿瘤的组织分化程度、浸润深度及淋巴结转移呈负相关(均P<0.05),而与年龄、性别等无关(均P>0.05) 。VEGF 在胃癌中的表达(62. 0%) 显著高于远癌胃黏膜的表达(29.7%)(P<0.01) ,且与淋巴结转移呈正相关(P<0. 01) ,而与年龄、性别、组织分化程度及肿块浸润深度无关(均P>0.05)。MMP-9在胃癌中的表达(69%) 显著高于远癌胃黏膜的表达(40.5%)(P<0.01),且与淋巴结转移呈正相关(P<0.05) , 而与年龄、性别、组织分化程度及癌组织浸润深度无关(均P>0.05)。PTEN 在胃癌中的表达与VEGF和MMP-9呈负相关(P<0.05)。结论:胃癌中PTEN蛋白表达降低,其表达与肿瘤的组织分化程度、浸润深度及淋巴结转移密切相关,且与VEGF,MMP-9表达呈负相关。联合检测PTEN,VEGF ,MMP-9有助于提高胃癌侵袭转移能力的评估,对胃癌的预后判断具有重要的临床意义。

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    Abstract:Objective:To identify the expression of PTEN ,vascular endothelial growth factor(VEGF)and matrix metalloproteinase 9(MMP-9) in gastric carcinoma and its relationship to the biological behavior of gastric carcinoma. Methods:The expression of PTEN ,VEGF and MMP-9 in 71 cases of gastric carcinoma tissue and 37 cases of gastric mucosa distant from carcinoma were detected by streptavidin peroxidase immunohistochemistry. Results:The expression of PTEN in gastric carcinoma tissues(71.8%) was significantly lower than its expression in gastric mucosa distant from carcinoma(100%)(P<0.01),and expression of PTEN was inversely correlated with the histologic differentiation of the tumor,depth of tumor infiltration and lymph node metastasis(P<0.05,in all parameters),but was not related to age or sex of the patient(P>0.05).The expression of VEGF in gastric carcinoma(62.5%) was sigificantly higher than in gastric mucosa distant from carcinoma(29.7%)(P<0.01),The expression of VEGF was positively correlated with lymph node metastasis(P<0.01),but was not related to age,sex of the patient,and the degree of histological differentition or depth of tumor infiltration(P>0.05).The expression of MMP-9 in gastric carcinoma(69%) was significantly higer than in gastric mucosa distant form carcinoma(40.5%)(P<0.01) and was positively correlated with lymph node metastasis(P<0.05),but not related to age,sex of the patient,and the degree of histological differentiation or depth of tumor infiltration(P>0.05).The expression of PTEN in gastric carcinoma was inversely correlated with expression of VEGF and MMP-9(P<0.05). Conclusions:Decreased expression of PTEN was found in gastric carcinoma and significantly correlated with histologic differentiation、 depth of infiltration and lymph node metastasis of gastric carcinoma.Also,the expression of PTEN was inversely correlated with the expression of VEGF and MMP-9 in gastric carcinoma. The combined detection of PTEN,VEGF and MMP-9 may be of important clinical value toevaluate the infiltrative ability and prognosis of gastric carcinoma.

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贺荣芳,胡忠良,沈明,文继舫.胃癌组织中PTEN,VEGF,MMP-9的表达及相关性研究[J].中国普通外科杂志,2005,14(3):4-.
DOI:10.7659/j. issn.1005-6947.2005.03.004

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  • 在线发布日期: 2005-03-25