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[胃腺瘤和腺癌中c-erbB-2和c-met蛋白的表达]

[Expression of c-erbB-2 and c-met proteins in gastric adenoma and adenocarcinoma].

作者信息

Lee Seung Woo, Kang Sang Beom, Kim Yon Soo, Nam Soon Woo, Lee Dong Soo, Lee Hye Kyung, Han Sok Won

机构信息

Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.

出版信息

Korean J Gastroenterol. 2007 Mar;49(3):152-7.

Abstract

BACKGROUND/AIMS: The aim of this study was to investigate the immunohistochemical overexpression of c-erbB-2 and c-met proteins according to the histopathological parameters such as grade of dysplasia, histological type, depth of invasion, lymph node metastasis, and TNM stage in gastric adenoma and gastric adenocarcinoma.

METHODS

Immunohistochemical staining using monoclonal c-erbB-2 and c-met antibodies was performed on paraffin embedded specimens in 43 adenomas and 44 adenocarcinomas.

RESULTS

The expression rate of c-erbB-2 was higher in adenomas (91%) than adenocarcinomas (30%). The expression rate of c-met was higher in adenocarcinomas (77%) than adenomas (49%). In adenoma, the expression rate of c-met was higher in high grade dysplasia (94%) than in low grade dysplasia (22%). In adenocarcinoma, c-met expression was significantly related with lymph node metastasis.

CONCLUSIONS

c-erbB-2 would be involved in the development of relatively early stage gastric carcinogenesis. c-erbB-2 is related with histologic type and c-met with lymph node metastasis in gastric carcinomas. Although meaning for the expression of these proteins in gastric carcinomas would be different, these proteins may play as important oncogenes in gastric carcinogenesis.

摘要

背景/目的:本研究旨在根据组织病理学参数,如发育异常程度、组织学类型、浸润深度、淋巴结转移及TNM分期,研究胃腺瘤和胃腺癌中c-erbB-2和c-met蛋白的免疫组化过表达情况。

方法

对43例腺瘤和44例腺癌的石蜡包埋标本进行单克隆c-erbB-2和c-met抗体免疫组化染色。

结果

c-erbB-2在腺瘤中的表达率(91%)高于腺癌(30%)。c-met在腺癌中的表达率(77%)高于腺瘤(49%)。在腺瘤中,高级别发育异常的c-met表达率(94%)高于低级别发育异常(22%)。在腺癌中,c-met表达与淋巴结转移显著相关。

结论

c-erbB-2可能参与相对早期胃癌发生的发展过程。在胃癌中,c-erbB-2与组织学类型有关,c-met与淋巴结转移有关。尽管这些蛋白在胃癌中的表达意义可能不同,但它们可能在胃癌发生过程中作为重要的癌基因发挥作用。

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