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胃间质瘤(GISTs)中去黏附素的表达

Dysadherin expression in gastrointestinal stromal tumors (GISTs).

作者信息

Liang Jian Fang, Zheng Hui Xia, Xiao Hong, Li Ning, Cheng Cai Xia, Wang Hong Kun

机构信息

Department of Pathology, The First Affiliated Hospital, Shanxi Medical University, 030001 Taiyuan, China.

出版信息

Pathol Res Pract. 2009;205(7):445-50. doi: 10.1016/j.prp.2008.12.020. Epub 2009 Feb 12.

Abstract

The purpose of this study was to detect the protein and mRNA expression of dysadherin and to investigate the clinical significance of dysadherin expression in gastrointestinal stromal tumors (GISTs). Twenty fresh GISTs samples were used for testing the mRNA of dysadherin and E-cadherin by reverse-transcription polymerase chain reaction (RT-PCR). In addition, 54 paraffin blocks of GISTs cases were also used for the investigation of dysadherin and E-cadherin using immunohistochemistry. The dysadherin expression level was significantly correlated with GISTs risk stratification (chi(2)=5.769, P<0.05), but was not related to age, sex, histologic subtype, and location (P>0.05). There was only faint or absent E-cadherin protein expression in GISTs. The expression level of dysadherin is related to the risk of GISTs. Dysadherin upregulation, which may cause loss of E-cadherin, is one of the reasons for GISTs recurrence and metastasis. It seems that dysadherin protein detection is a promising method for GISTs prognostication.

摘要

本研究的目的是检测去黏附素的蛋白和mRNA表达,并探讨去黏附素表达在胃肠道间质瘤(GISTs)中的临床意义。采用逆转录聚合酶链反应(RT-PCR)对20例新鲜GISTs样本进行去黏附素和E-钙黏蛋白mRNA检测。此外,还采用免疫组织化学方法对54例GISTs病例的石蜡块进行去黏附素和E-钙黏蛋白研究。去黏附素表达水平与GISTs危险度分层显著相关(χ²=5.769,P<0.05),但与年龄、性别、组织学亚型及部位无关(P>0.05)。GISTs中E-钙黏蛋白蛋白表达仅呈弱阳性或无表达。去黏附素表达水平与GISTs的危险性有关。去黏附素上调可能导致E-钙黏蛋白缺失,是GISTs复发和转移的原因之一。去黏附素蛋白检测似乎是一种有前景的GISTs预后评估方法。

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