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人骨肉瘤中 b-FGF 和内皮抑素的表达及其临床意义。

Expression of b-FGF and endostatin and their clinical significance in human osteosarcoma.

机构信息

Department of Orthopaedics, Shanxi People's Hospital Department of Pathology, the Second Hospital of Shanxi Medical University, Taiyuan, China.

出版信息

Orthop Surg. 2010 Nov;2(4):291-8. doi: 10.1111/j.1757-7861.2010.00102.x.

Abstract

OBJECTIVE

To investigate the expression and the clinical significance of basic fibroblast growth factor (b-FGF) and endostatin in osteosarcoma.

METHODS

From January 2003 to December 2005, expression of b-FGF, endostatin and CD34 were detected in 30 osteosarcoma and 30 osteochondroma tissue specimens by the immunohistochemical Elivision method. All data were post-processed with SPSS 13.0 software and prepared for investigation and analysis of these expressions and the relationships between the parameters.

RESULTS

(i) The rates of expression of b-FGF, endostatin and CD34 protein in osteosarcoma were 76.7%, 93.3%, and 96.7%, respectively, and in osteochondroma 43.3%, 40.0% and 16.7%, respectively. Each of the three expressions showed obvious differences between the osteosarcoma and the osteochondroma group. (ii) In the osteosarcoma group, expression of endostatin was positively correlated with that of CD34 (P < 0.05, γs = 0.528), and expression of endostatin in poorly differentiated osteosarcoma was much greater than that in highly differentiated osteosarcoma (P= 0.004). Expression of endostatin correlated with osteosarcoma metastasis (P= 0.036). (iii) There was no correlation between b-FGF and endostatin expression rates (P= 0.182) in the osteosarcoma group.

CONCLUSION

Angiogenesis is the basis of tumor metastasis, as well as being an important factor in tumor growth. Expression of endostatin could be adopted as a parameter for the diagnosis of postoperative metastases and for assessing prognosis, and could act as an adjuvant indicator in the grading of osteosarcoma.

摘要

目的

研究碱性成纤维细胞生长因子(b-FGF)和内皮抑素在骨肉瘤中的表达及其临床意义。

方法

采用免疫组化 Elivision 法检测 2003 年 1 月至 2005 年 12 月 30 例骨肉瘤和 30 例骨软骨瘤组织中 b-FGF、内皮抑素和 CD34 的表达。所有数据均采用 SPSS 13.0 软件进行后处理,并对这些表达的参数进行了调查和分析。

结果

(i)骨肉瘤 b-FGF、内皮抑素和 CD34 蛋白的表达率分别为 76.7%、93.3%和 96.7%,骨软骨瘤分别为 43.3%、40.0%和 16.7%。这三组蛋白在骨肉瘤和骨软骨瘤组之间的表达差异均有统计学意义。(ii)在骨肉瘤组中,内皮抑素的表达与 CD34 的表达呈正相关(P<0.05,γs=0.528),低分化骨肉瘤内皮抑素的表达明显高于高分化骨肉瘤(P=0.004)。内皮抑素的表达与骨肉瘤转移相关(P=0.036)。(iii)骨肉瘤组中 b-FGF 与内皮抑素表达率无相关性(P=0.182)。

结论

血管生成是肿瘤转移的基础,也是肿瘤生长的重要因素。内皮抑素的表达可作为术后转移的诊断和预后评估的参数,并可作为骨肉瘤分级的辅助指标。

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