多药耐药相关蛋白基因、肺耐药蛋白基因在肝细胞癌中的表达及临床意义
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王百林

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Expressions and clinical significance of multidrug resistance associated protein gene (MRP) and lung resistance protein gene (LRP) in hepatocellular carcinoma (HCC)
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    摘要:

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    目的 研究多药耐药相关蛋白基因(MRP)和肺耐药蛋白基因(LRP)在肝细胞癌(HCC)中的表达及其与临床的关系。
    方法 采用SP免疫组化和PCR技术检测54例HCC和24例癌旁组织及12 例肝炎后肝硬化组织中的两种基因表达。
    结果 MRP和LRP在3种组织中均有表达,HCC组织中其基因表达显著高于其他组织(P<0.05)。HCC中两种基因表达呈正相关(r=0.312, P<0.05;r=0.328, P<0.05);其表达与HCC的分化程度有关(P<0.05)。并且其表达阳性组患者化疗后AFP有效率和平均生存期分别高于和长于阴性组(P<0.05),但LRP与平均生存期无关(P>0.05)。
    结论 HCC多药耐药(MDR)与两种基因表达有关,起源于内源性耐药;检测其表达对预测化疗耐药具有指导意义;MRP可能与预后有关。

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    Abstract:Objective To study the expressions and significance of MRP and LRP in HCC.
    Methods The expressions of two genes were examined in three tissues (54 cases of HCC, 24 paracancer and 12 posthepatitis cirrhosis tissues) by SP immunohistochemical and PCR techniques.
    Results MRP and LRP were expressed in three tissues, with significantly higher rates in HCC than others (P<0.05). The MRP expression positively correlated with the LRP expression in HCC (r=0.312, P<0.05; r=0.328, P<0.05), and was related to the degree of HCC differentiation (P<0.05). In the patients with positive gene expression,the AFP decresing rate was higher and the average survival after chemotherapy was longer than the negative expression group(P<0.05),but there was no relationship between LRP expressions and the average survival time.
    Conclusions Multidrug resistance (MDR) of HCC is related to MRP、LRP expressions, and is initiated by intrinsic MDR. Monitoring of MRP and LRP may help to prospectively evaluate drug resistance. MRP may be relates to the prognosis of HCC patients.

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王百林 ,杨海燕 ,翟淑萍 ,陈孝平 , 仲永 ,张庆业 ,孟磊.多药耐药相关蛋白基因、肺耐药蛋白基因在肝细胞癌中的表达及临床意义[J].中国普通外科杂志,2005,14(2):5-.
DOI:10.7659/j. issn.1005-6947.2005.02.005

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  • 收稿日期:2004-01-02
  • 最后修改日期:2004-09-06
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  • 在线发布日期: 2005-02-25