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人结肠腺癌中临床病理与热休克蛋白70及葡萄糖调节蛋白94表达的相关性

Correlation between clinicopathology and expression of heat shock protein 70 and glucose-regulated protein 94 in human colonic adenocarcinoma.

作者信息

Wang Xiao-Ping, Qiu Fan-Rong, Liu Guo-Zhen, Chen Rui-Fen

机构信息

Department of Pathology, Capital University of Medical Sciences, Beijing 100054, China.

出版信息

World J Gastroenterol. 2005 Feb 21;11(7):1056-9. doi: 10.3748/wjg.v11.i7.1056.

Abstract

AIM

To investigate the correlation between clinicopathology and expression of heat shock protein 70 (HSP70) and glucose-regulated protein 94 (grp94) in human colonic carcinoma.

METHODS

The expression of HSP70 and grp94 was studied in 80 human colonic cancers with or without metastasis as well as in their adjacent mucous membrane by way of immunohistochemistry and pathology photograph analysis.

RESULTS

The expression of HSP70 and grp94 was significantly higher in cancer than that in adjacent mucous membrane (92.5%, 85.0% vs 56.3%, 42.5%, P<0.01). HSP70 and grp94 expressed higher in moderately- and poorly-differentiated colonic cancers than that in their adjacent tissues (93.7%, 87.5%; 100%, 90% vs 56.3%, 42.5%; P<0.01). Dukes C and D stages of colonic cancers showed higher positive rates than Dukes A and B stage groups (97.1%, 91.2%; 100%, 90.9%; vs 80%, 70%; 78.6%, 71.4%; P<0.05). There were definite differences in HSP70 and grp94 expression between metastasis groups and non-metastasis groups (100% vs 75%, 100% vs 50%, P<0.05).

CONCLUSION

The HSP70 and grp94 expression rates in colonic cancer groups are significantly higher than that in their adjacent mucous membrane. The HSP70 and grp94 expression in poorly-differentiated colonic cancers with metastasis is significantly higher than well-differentiated cancers without metastasis. The overexpression of HSP70 and grp94 can be used as diagnostic or prognostic markers for colonic cancer.

摘要

目的

探讨人结肠癌中临床病理特征与热休克蛋白70(HSP70)及葡萄糖调节蛋白94(grp94)表达之间的相关性。

方法

采用免疫组织化学及病理图像分析方法,研究80例有或无转移的人结肠癌及其癌旁黏膜中HSP70和grp94的表达情况。

结果

HSP70和grp94在癌组织中的表达显著高于癌旁黏膜(92.5%,85.0% 对56.3%,42.5%,P<0.01)。HSP70和grp94在中分化和低分化结肠癌中的表达高于其相邻组织(93.7%,87.5%;100%,90% 对56.3%,42.5%;P<0.01)。结肠癌的Dukes C期和D期阳性率高于Dukes A期和B期组(97.1%,91.2%;100%,90.9%;对80%,70%;78.6%,71.4%;P<0.05)。转移组与非转移组之间HSP70和grp94表达存在明显差异(100% 对75%,100% 对50%,P<0.05)。

结论

结肠癌组中HSP70和grp94的表达率显著高于其相邻黏膜。有转移的低分化结肠癌中HSP70和grp94的表达显著高于无转移的高分化癌。HSP70和grp94的过表达可作为结肠癌的诊断或预后标志物。

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