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[肝细胞生长因子及其受体在脑星形细胞瘤中的表达]

[The expression of hepatocyte growth factor and its receptor in brain astrocytomas].

作者信息

Chu Sheng-Hua, Yuan Xian-Hou, Jiang Pu-Cha, Li Zhi-Qiang, Zhang Jie, Wen Zhi-Hua, Zhao Shi-Yu, Chen Xin-Jun, Cao Chang-Jun

机构信息

Department of Neurosurgery, Wuhan University Zhongnan Hospital, Wuhan 430071, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2005 Mar 30;85(12):835-8.

Abstract

OBJECTIVE

To investigate the expression of hepatocyte growth factor (HGF) mRNA and its receptor (c-Met) mRNA in brain astrocytomas and their relationships with tumor proliferation, angiogenesis, clinical pathology and prognosis.

METHODS

The expression of HGF mRNA, c-Met mRNA in the resected tumor tissues of 76 patients with brain astrocytomas, 43 males and 33 females, aged 20 - 71, were detected by in situ hybridization. Immunohistochemistry technique was used to test the expression of proliferating cell nuclear antigen (PCNA) protein and the microvessel density (MVD) was determined by immunohistochemistry with monoclonal antibody against CD34.

RESULTS

The positive rates of expression of HGF, c-Met and PCNA in low pathologic grades of brain astrocytoma were 34.5%, 44.8% and 15% +/- 9% respectively, and in high pathologic grades of brain astrocytoma were 34.5%, 44.8% and 48% +/- 12% respectively (P < 0.05). MVD in low and high pathologic grades of brain astrocytoma were 17 +/- 7 and 31 +/- 13 respectively (P < 0.05). The expression of HGF, c-Met, PCNA and CD34 was not related to sex, age, position of tumor and diameter of tumor. The expression of c-Met was related to the expression of HGF, PCNA and the MVD in the tumor tissues of these patients. The pathological grade, position of tumor, HGF, c-Met, PCNA, MVD had a significant influence on the survival time.

CONCLUSION

HGF/c-Met plays an important role in the formation and progression of the brain astrocytoma and can promote tumor proliferation and intratumoral microvascular formation, and is closely related to the prognosis of the patients.

摘要

目的

探讨肝细胞生长因子(HGF)mRNA及其受体(c-Met)mRNA在脑星形细胞瘤中的表达情况,以及它们与肿瘤增殖、血管生成、临床病理和预后的关系。

方法

采用原位杂交技术检测76例脑星形细胞瘤患者(男43例,女33例,年龄20 - 71岁)手术切除肿瘤组织中HGF mRNA、c-Met mRNA的表达。采用免疫组织化学技术检测增殖细胞核抗原(PCNA)蛋白的表达,并用抗CD34单克隆抗体免疫组织化学法测定微血管密度(MVD)。

结果

低病理分级脑星形细胞瘤中HGF、c-Met和PCNA的阳性表达率分别为34.5%、44.8%和15%±9%,高病理分级脑星形细胞瘤中分别为34.5%、44.8%和48%±12%(P < 0.05)。低、高病理分级脑星形细胞瘤的MVD分别为17±7和31±13(P < 0.05)。HGF、c-Met、PCNA和CD34的表达与性别、年龄、肿瘤位置和肿瘤直径无关。c-Met的表达与这些患者肿瘤组织中HGF、PCNA的表达及MVD相关。病理分级、肿瘤位置、HGF、c-Met、PCNA、MVD对生存时间有显著影响。

结论

HGF/c-Met在脑星形细胞瘤的形成和进展中起重要作用,可促进肿瘤增殖和瘤内微血管形成,与患者预后密切相关。

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