Maesawa C, Ogasawara S, Yashima-Abo A, Kimura T, Kotani K, Masuda S, Nagata Y, Iwaya T, Suzuki K, Oyake T, Akiyama Y, Kawamura H, Masuda T
Department of Pathology, Iwate Medical University School of Medicine, Uchimaru 19-1, 020-8505 Morioka, Japan.
J Clin Pathol. 2006 Mar;59(3):328-30. doi: 10.1136/jcp.2005.027284.
Aberrant expression of maspin protein related to DNA hypomethylation in the promoter region is frequently observed in gallbladder carcinomas, whereas the non-tumorous gallbladder epithelium is maspin negative. We investigated maspin expression in non-tumorous gallbladder epithelium in patients with cholelithiasis.
An immunohistochemical study of maspin expression was performed in 69 patients with cholelithiasis and 30 patients with gastric cancer without cholelithiasis.
Immunoreactivity for maspin was observed in focal and patchy regions of the gallbladder epithelium. Positive immunoreactivity for maspin was significantly associated with the presence of intestinal metaplasia in patients with cholelithiasis (p<0.05).
The high incidence of aberrant maspin expression in both intestinal metaplasia and carcinoma of the gallbladder supports the assumption that intestinal metaplasia of the gallbladder may predispose to gallbladder carcinoma.
在胆囊癌中经常观察到与启动子区域DNA低甲基化相关的maspin蛋白异常表达,而非肿瘤性胆囊上皮maspin呈阴性。我们研究了胆石症患者非肿瘤性胆囊上皮中maspin的表达。
对69例胆石症患者和30例无胆石症的胃癌患者进行了maspin表达的免疫组织化学研究。
在胆囊上皮的局灶性和散在区域观察到maspin免疫反应性。胆石症患者中maspin阳性免疫反应性与肠化生的存在显著相关(p<0.05)。
胆囊肠化生和胆囊癌中maspin异常表达的高发生率支持了胆囊肠化生可能易患胆囊癌的假设。