首页|Hp感染与胃癌组织凋亡抑制基因Survivin、MMP-2的表达及其关联性

Hp感染与胃癌组织凋亡抑制基因Survivin、MMP-2的表达及其关联性

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目的 研究幽门螺杆菌(Hp)感染与胃癌组织凋亡抑制基因存活素(Survivin)、基质金属蛋白酶-2(MMP-2)的表达及其两者的关联性.方法 选取120例胃癌患者为研究对象,采用免疫组化染色法检测癌组织及癌旁组织中Survivin、MMP-2表达,分析其与临床病理特征关系;并检测Hp阳性情况,对比不同感染情况胃癌患者的病理特征及组织凋亡抑制基因Survivin、MMP-2表达,采用Spearman分析Hp感染与Survivin、MMP-2表达的关系.结果 Survivin、MMP-2在胃癌组织中的阳性表达率为76.67%、73.33%,均高于癌旁组织的16.67%和13.33%(P<0.05).Survivin、MMP-2表达与TNM分期、肿瘤分化程度、肿瘤浸润深度及淋巴结转移有关(P<0.05);与年龄、性别、肿瘤直径无关(P>0.05).Hp阳性65例,阴性55例.Hp阳性组患者肿瘤分化程度为低-中分化、肿瘤浸润深度及淋巴结转移发生率均高于Hp阴性组(P<0.05),2组年龄、性别、TNM分期、肿瘤直径比较无差异(P>0.05).Hp阳性组胃癌组织中Survivin、MMP-2阳性表达率为87.69%、83.08%,均高于Hp阴性组的63.64%和61.82%(P<0.05).Spearman相关分析显示,Hp感染与Survivin、MMP-2表达呈正相关性(γ=0.357、0.349,P<0.05).结论 Survivin、MMP-2表达均与胃癌发生有关,且Hp感染能够增加胃癌组织凋亡抑制基因Survivin、MMP-2表达.
Hp Infection and Expressions of Survivin and MMP-2 in Gastric Cancer and Their Correlation
Objective To study Helicobacter pylori(Hp)infection and expressions of survivin and matrix metalloprotei-nase-2(MMP-2)in gastric cancer,and their correlation.Methods 120 patients with gastric cancer were selected as the research subjects.The expressions of survivin and MMP-2 in cancer tissues and adjacent tissues were detected by immunohistochemical staining,and their relationship with clinicopathological characteristics was analyzed.Hp infection was detected.The pathological characteristics and expressions of survivin and MMP-2 in gastric cancer patients with different infection status were compared.The relationship between Hp infection and expressions of survivin and MMP-2 was analyzed by Spearman method.Results The posi-tive expression rates of survivin and MMP-2 in gastric cancer tissues were 76.67%and 73.33%,significantly higher than those in adjacent tissues(16.67%and 13.33%)(P<0.05).The expressions of survivin and MMP-2 were related to TNM staging,tumor differentiation degree,tumor invasion depth and lymph node metastasis(P<0.05),but not related to age,gender or tumor diameter(P>0.05).There were 65 Hp positive cases and 55 negative cases.The incidence of low-moderate differentiation,tumor invasion depth and incidence of lymph node metastasis in Hp-positive group were higher than those in Hp-negative group(P<0.05).There was no significant difference between the two groups in age,gender,TNM staging,or tumor diameter(P>0.05).The positive expression rates of survivin and MMP-2 in Hp-positive group were 87.69%and 83.08%,significantly higher than those in Hp-negative group(63.64%and 61.82%)(P<0.05).Spearman correlation analysis found that Hp infection was posi-tively correlated with expressions of survivin and MMP-2(γ=0.357,0.349,P<0.05).Conclusion The expressions of survivin and MMP-2 are related to the occurrence of gastric cancer.Hp infection can increase the expressions of survivin and MMP-2 in gastric cancer tissues.

Helicobacter pylori infectionGastric cancerSurvivinMatrix metalloproteinase-2

陈莉莎、吕晓龙、张亚丽

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450000 郑州大学附属郑州中心医院

464000 信阳职业技术学院

幽门螺杆菌感染 胃癌 存活素 基质金属蛋白酶-2

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(7)