首页|eEF2K、HLAⅠ及β2-MG在胃腺癌中的表达及临床意义

eEF2K、HLAⅠ及β2-MG在胃腺癌中的表达及临床意义

Expression and clinical significance of eEF2K,HLAⅠ and β2-MG in gastric adenocarcinoma

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目的 探讨eEF2K、人类白细胞抗原I类基因(HLAⅠ)及β2-微球蛋白(β2-MG)在胃腺癌中的表达及临床意义.方法 收集我院病理诊断为胃腺癌的 240 例组织标本为胃腺癌组,同时收集距离肿瘤 5cm处的正常胃黏膜标本 89 例为对照组.根据错配修复蛋白MSH2、MSH6、MLH1 及PMS2 的表达情况,将胃腺癌组标本分为MSI及非MSI组.采用免疫组化染色方法检测各组eEF2K、HLAⅠ及β2-MG蛋白的表达,分析各指标与临床病理参数之间的关系.结果 240 例胃腺癌标本中,男 155 例,女 85 例;年龄 32~90 岁,平均 62 岁,其中高分化 1 例,中分化 77 例,低分化162例.与对照组相比,非MSI组及MSI组eEF2K、HLAⅠ及β2-MG的表达均显著上调,差异具有统计学意义(P<0.05);与非MSI组相比,MSI组eEF2K的表达阳性率显著降低(P<0.05).HLAⅠ蛋白表达与脉管侵犯有关(P<0.05),而eEF2K的表达率升高提示组织学分化较差(P<0.05).结论 eEF2K、HLAⅠ及β2-MG蛋白在胃腺癌的发生发展过程中起促癌的作用,并与组织学分化较差及预后相关.
Objective To investigate the expression and clinical significance of eEF2K,HLAⅠ and β2-MG proteins in gastric adenocarcinoma.Methods Collected 240 tissue samples diagnosed as gastric adenocarcinoma from our hospital as the gastric adenocarcinoma group,and collected 89 normal gastric mucosal samples at a distance of 5cm from the tumor as the control group.According to the expression of mismatch repair proteins MSH2,MSH6,MLH1 and PMS2,gastric adenocarcinoma specimens were divided into MSI and non-MSI groups.Immunohistochemical staining was used to detect the expression of eEF2K,HLAⅠ and β2-MG proteins in different groups,and the correlation between their expression and clinicopathological parameters was analyzed.Results Among the 240 gastric adenocarcinoma specimens,155 were male and 85 were female.The age ranged from 32 to 90 years(mean 62 years).Among them,1 case was well differentiated,77 cases were moderately differentiated and 162 cases were poorly differentiated.Compared with the control group,the expressions of eEF2K,HLAⅠ and β2-MG in non-MSI group and MSI group were significantly up-regulated,the difference was statistically significant(P<0.05).Compared with the non-MSI group,the expression of eEF2K was significantly decreased in MSI group(P<0.05).HLAⅠ was associated with vascular invasion(P<0.05),while the increased expression rate of eEF2K suggested poor histological grade(P<0.05).Conclusion eEF2K,HLAⅠ and β2-MG protein play a role in promoting the development of gastric adenocarcinoma,and are related to histological grade and prognosis.

Gastric adenocarcinomaeEF2KHLAⅠβ2-MGImmunohistochemistry

王羚、汪亮亮、李婷、张卢舜、周燕、胡佳莉、魏淑飞、张小容

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九江学院附属医院病理科,江西九江 332000

胃腺癌 eEF2K HLAⅠ β2-MG 免疫组化

江西省卫生健康委科技项目

202311547

2024

中国现代医药杂志
北京航天总医院

中国现代医药杂志

影响因子:0.689
ISSN:1672-9463
年,卷(期):2024.26(5)