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脑胶质瘤组织PTEN基因异常及其蛋白表达

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目的:研究不同级别脑胶质瘤中PTEN基因第7外显子缺失,突变及PTEN蛋白的表达,分析PTEN基因与脑胶质瘤发生发展的关系.方法:64例胶质瘤标本中病理分化为高分化组(Ⅰ,Ⅱ级)29例,低分化组(Ⅲ,Ⅳ级)35例.采用双重PCR,PCR-SSCP,DNA测序对PTEN基因第7外显子的异常进行分析;采用免疫组化技术对PTEN蛋白表达进行分析.结果:PTEN基因第7外显子总的缺失和突变率为52%.高分化组14%,低分化组83%,2组差异显著(P<0.05).PTEN 蛋白的表达率为48%.高分化组66%,低分化组34%,2组差异显著(P<0.05).PTEN蛋白表达在PTEN基因异常组阳性表达率3%,低于PTEN基因正常组的97%,2组差异显著(P<0.05).结论:PTEN基因缺失和突变是胶质瘤发生的晚期事件,与其蛋白阳性表达率呈负相关.PTEN蛋白阳性表达随胶质瘤恶性程度的增加有不同程度的减少.
Study on abnormality of PTEN gene and its expression in human gliomas
AIM:To study the deletion and mutation of the exon 7 of PTEN gene and the expression of PTEN protein in human gloimas and to analyze the relationships between PTEN and clinical classifications. METHODS: Included in the study were 64 cases;29 grade Ⅰ and Ⅱ and 35 grade Ⅲ and Ⅳ. Exon 7 of PTEN gene was examined for its deletion by differential polymer-ase chain reaction (DPCR) and its mutation by single-strand conformation polymorphism( SSCP) with silver staining and DNA sequencing. The expression of the PTEN protein was measured by immunohistochemistry. RESULTS: The whole deletion and mutation of exon 7 of PTEN gene in gliomas was 51.56%,with 14% in grade Ⅰ and Ⅱ,and 83% in grade Ⅲ and Ⅳ (P <0. 05). The expression of PTEN protein in gliomas was 48. 44%,with 56% in grade Ⅰ and Ⅱ,and 34% in grade Ⅲ and Ⅳ (P<0.05). The positive expression of PTEN protein in abnormal group ( 97 % ) was lower than that in the normal group (3 % ) with a significant difference between them ( P < 0. 05). CONCLUSION: PTEN gene deletion and mutation is a late occurrence of glioma genesis and the abnormal PTEN gene promotes the malignant progress of glioma. The positive expression of PTEN reduces to some extent with the increase of glioma malignancy. PTEN gene deletion and mutation is negatively correlative to its positive expression. The abnormal PTEN gene influences the progress of transcription and translation in the course of PTEN protein synthesis.

gliomaPTENpolymorphismgene deletiongene mutationimmunohistochemistry

赵军、刘晓谦、张军、李晖、康铁江、王策

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齐齐哈尔市第一医院脑外分院,黑龙江,齐齐哈尔 161005

附属第四临床医院神经外科,黑龙江,哈尔滨,150001

分子生物学教研室,黑龙江,哈尔滨,150086

胶质瘤 PTEN基因 多态性 基因缺失 基因突变 免疫组织化学

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(9)
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