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E-cadherin、CD44V6和HIF-1α在结肠癌组织中表达的意义

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目的 探讨E-cadherin、CD44V6和HIF-1α在结肠癌组织中的表达及意义.方法 应用免疫组织化学SP法检测90例结肠癌及癌旁正常结肠组织中E-cadherin、CD44V6和HIF-1α的表达.结果 (1)E-cadherin在结肠癌中的高表达率为58.89%,低于在癌旁正常结肠组织中的高表达率90.00% (P<0.05),CD44V6在结肠癌中表达阳性率为57.78%,高于在癌旁正常结肠组织中的表达阳性率5.56% (P<0.05),HIF-1α在结肠癌中表达阳性率为61.11%,高于在癌旁正常结肠组织中的表达阳性率6.67% (P<0.05).(2)E-cadherin、CD44V6和HIF-1α的表达均与结肠癌有无淋巴结转移及结肠癌的Dukes分期有关(P<0.05).E-cadherin的表达还与结肠癌的分化程度有关(P<0.05).(3)结肠癌中CD44V6与E-cadherin的表达呈负相关(P<0.05).结论 E-cadherin、CD44V6和HIF-1α与结肠癌的发生、发展有关,并且在结肠癌的侵袭和转移中起重要作用,可作为判断结肠癌预后的重要指标.
Expression and clinical significance of E-cadherin、CD44V6 and HIF-1α in colorectal cancer
Objective To investigate the expression and clinical significance of E-cadherin, CD44V6 and HIF-la in colorectal cancer. Methods The expression of E-cadherinXD44V6 and HIF-la were detected by immunohistochemi-cal staining(streptavidine-peroxidase method) in 90 cases of colorectal carcinoma and 90 cases of adjacent normal colorectal mucosa. Results (1) The expression rate of E-cadherin in colorectal carcinoma was significantly lower than that in adjacent normal colorectal mucosa(58. 89% Vs 90. 00% ,P<0. 05). The expression rate of CD44V6 in colorectal carcinoma was significantly higher than that in adjacent normal colorectal mucosa(57. 78% Vs 5. 56% ,P <.0. 05). The expression rate of HIF-la in colorectal carcinoma was significantly higher than that in adjacent normal colorectal mucosa(61. 11% Vs 6. 67% ,P<0.05). (2)The expression of E-cadherin,CD44V6 and HIF-la was associated with lymph node metastasis and Dukes stages(P<0.05). E-cadherin expression was associated with cell differentiation (P<0.05). (3) The expressions of CD44V6 and E-cadherin were negative related in the colorectal cancer (P<0.05). Conclusion E-cadherin,CD44V6 and HIF-la are associated with the tumorigenesis and development of the colorectal cancer,and play an important role in invasion and metastasis of the colorectal cancer. Detection of the expression of E-eadherin,CD44V6 and HIF-la in the colorectal cancer may serve as important prognostic predictors.

Colonic NeoplasmsmetabolismCalcium-Binding ProteinsmetabolismAntigens, CD44metabolismHy-poxia-Inducible Factor 1, alpha Subunitmetabolism

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河北省秦皇岛市第一医院病理科 066000

结肠肿瘤/代谢 钙结合蛋白质类/代谢 抗原,CD44/代谢 缺氧诱导因子1,α亚基/代谢

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(18)
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