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[血管内皮生长因子C在胰腺癌中的表达及其对淋巴结转移的影响]

[Expression of vascular endothelial growth factor C in pancreatic cancer and its effect upon lymph node metastasis].

作者信息

Li Kai, Li Ming-jie, He Tao, Zheng Zhi, Zheng Xiao-lin, Qu Bi-hui, Wang Yong, Duan Xin, Zheng Ying-jian

机构信息

Department of Hepatobliary and Pancreatic Surgery, Central Hospital of Wuhan, Wuhan 430014, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2009 Sep 15;89(34):2386-90.

Abstract

OBJECTIVE

To investigate the expression of vascular endothelial growth factor C (VEGF-C) and the effect of antisense oligonucleotide (ASODN) upon lymph node metastasis of pancreatic cancer cell.

METHODS

We selected 15 cases of human pancreatic cancer and detected the expression of VEGF-C in primary tumor and lymph node metastasis tissues with immunohistochemistry. Meanwhile, the spontaneous lymphatic metastasis model in nude mice was established with orthotopic implantation for the human pancreatic cancer cell line PANC-1, isolation and culture of primary tumor and spontaneous lymphatic metastasis. The effect of VEGF-C special ASODN upon the apoptosis of pancreatic cancer cell derived from primary tumor and spontaneous lymphatic metastasis were detected by reverse transcription polymerase chain reaction (RT-PCR), enzyme linked immunosorbent assay (ELISA), flow cytometer and terminal deoxynucleotidyl transferase mediated-dUTP nick end labeling (TUNEL).

RESULTS

In tissues of human pancreatic cancer, the values of VEGF-C on lymph nodes metastasis were more higher than primary tumor (P < 0.05). About the expression of VEGF-C on pancreatic cancer cell derived from spontaneous lymphatic metastasis and primary tumor in nude mice model, the mRNA levels of VEGF-C were 0.87 +/- 0.11 and 0.61 +/- 0.15 respectively, the VEGF-C levels in culture supernatants were (1682 +/- 157) pg/ml and (1404 +/- 128) pg/ml. The expression of VEGF-C on pancreatic cancer cells derived from lymphatic metastasis were also more higher than primary tumor (P < 0.05). In vitro and vivo, transfection of VEGF-C ASODN decreased the expression of VEGF-C in pancreatic cancer cell. In control group, scramble-sense oligonucleotide (SODN) group and ASODN group, the apoptosis rates of pancreatic cancer cells derived from lymph node metastasis were (2.8 +/- 1.0)%, (5.0 +/- 2.1)%, (13.2 +/- 2.2)% respectively in vitro, and were (1.8 +/- 0.5)%, (2.0 +/- 0.7)%, (4.4 +/- 1.0)% respectively in vivo, the apoptosis was increased significantly after transfection of VEGF-C ASODN (all P < 0.01). But pancreatic cancer cells derived from primary tumor were not effected (all P > 0.05).

CONCLUSION

In human pancreatic cancer and nude mice model, the expression of VEGF-C on lymphatic metastasis was higher than primary tumor. The apoptosis of pancreatic cancer cells derived from spontaneous lymphatic metastasis were promoted by transfection of VEGF-C ASODN specially.

摘要

目的

探讨血管内皮生长因子C(VEGF-C)的表达及反义寡核苷酸(ASODN)对胰腺癌细胞淋巴结转移的影响。

方法

选取15例人胰腺癌病例,采用免疫组织化学法检测原发性肿瘤及淋巴结转移组织中VEGF-C的表达。同时,将人胰腺癌细胞系PANC-1原位植入裸鼠建立自发淋巴转移模型,分离培养原发性肿瘤及自发淋巴转移灶。采用逆转录聚合酶链反应(RT-PCR)、酶联免疫吸附测定(ELISA)、流式细胞仪及末端脱氧核苷酸转移酶介导的dUTP缺口末端标记法(TUNEL)检测VEGF-C特异性ASODN对原发性肿瘤及自发淋巴转移来源的胰腺癌细胞凋亡的影响。

结果

在人胰腺癌组织中,VEGF-C在淋巴结转移灶中的表达值高于原发性肿瘤(P<0.05)。在裸鼠模型中,自发淋巴转移及原发性肿瘤来源的胰腺癌细胞中VEGF-C的表达情况如下,VEGF-C的mRNA水平分别为0.87±0.11和0.61±0.15,培养上清液中VEGF-C水平分别为(1682±157)pg/ml和(1404±128)pg/ml。淋巴转移来源的胰腺癌细胞中VEGF-C的表达也高于原发性肿瘤(P<0.05)。在体外和体内,转染VEGF-C ASODN均可降低胰腺癌细胞中VEGF-C的表达。在对照组、乱序寡核苷酸(SODN)组和ASODN组中,体外实验中淋巴转移来源的胰腺癌细胞凋亡率分别为(2.8±1.0)%、(5.0±2.1)%、(13.2±2.2)%,体内实验中分别为(1.8±0.5)%、(2.0±0.7)%、(4.4±1.0)%,转染VEGF-C ASODN后凋亡率显著增加(均P<0.01)。但原发性肿瘤来源的胰腺癌细胞未受影响(均P>0.05)。

结论

在人胰腺癌及裸鼠模型中,VEGF-C在淋巴转移灶中的表达高于原发性肿瘤。转染VEGF-C ASODN可特异性促进自发淋巴转移来源的胰腺癌细胞凋亡。

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