MRP1/CD9蛋白在人肝细胞癌中的表达及其意义
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张卫国

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Significance of MRP1/CD9 protein expression in human hepatocellular carcinoma
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    摘要:

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    目的 探讨MRP1/CD9蛋白在人肝细胞癌(HCC)中的表达及其与癌侵袭转移的关系。
    方法 构建肝癌组织芯片。样本包括肝细胞癌及癌旁肝组织152例,癌栓22例,肝内转移癌4例,肝外转移癌17例。正常对照肝组织5例。应用免疫组织化学(免疫组化)方法检测肝癌组织芯片中样本MRP1/CD9蛋白的表达。
    结果 27%(41/152)肝细胞癌原发灶表达MRP1/CD9蛋白。伴癌栓形成HCC中MRP1/CD9蛋白表达率低于无癌栓形成者(分别为21.82%和40.48%; P<0.05)。巨块型肝癌中MRP1/CD9蛋白表达率亦低于直径在10cm以下者(分别为5%和34.82%; P<0.01)。MRP1/CD9蛋白表达尚与HCC病理分级及血清AFP水平有关:病理分级2级的阳性表达率高于3~4级(分别为39.02%和22.52%;P=0.043),血清AFP≤20μg/L者阳性表达率高于>20μg/L者(分别为41.94%和22.50%;P=0.029)。
    结论 肝细胞癌MRP1/CD9蛋白表达水平低下可能与癌组织侵袭转移有关。

    Abstract:

    Abstract:Objective To investigate the expression of MRP1/CD9 protein in human hepatocellular carcinoma (HCC),and its relationship to carcinoma invasion and metastasis.
    Methods The specimens of tissue microarray from 152 primary hepatocellular carcinomas with paracancerous liver tissue, 22 tumor emboli,4 intrahepatic satellite metastases, 17 extrahepatic metastases ,and 5 normal livers, respectively, were constructed and used for detection of MRP1/CD9 expression by immunohistochemistry.
    Results Immunohistochemical analysis of tissue microarrays demonstrated MRP1/CD9 protein expression in 27.0%(41/152)of the primary HCCs. The expression of MRP1/CD9 protein was higher in HCCs without cancer thrombi than in those with cancer thrombi (40.48%vs21.82%,P<0.05). MRP1/CD9 protein expression was also inversely correlated with the tumor size (≤10cm vs >10cm, P<0.01), pathological grade (P=0.043), and the serum level of AFP (≤20μg/L vs >20μg/L, P=0.029). Conclusions Loss of MRP1/CD9 protein expression may be associated with invasion and metastases of hepatocellular carcinoma.

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张卫国 ,王一 ,吴伟清 ,冼志红 ,关新元 ,吴孟超. MRP1/CD9蛋白在人肝细胞癌中的表达及其意义[J].中国普通外科杂志,2005,14(2):7-.
DOI:10.7659/j. issn.1005-6947.2005.02.007

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  • 收稿日期:2004-09-10
  • 最后修改日期:2004-12-20
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  • 在线发布日期: 2005-02-25