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血管生成素-2、酪氨酸激酶2及血管内皮生长因子受体-2在结直肠癌血管生成中的作用及其预后价值

[Role of Ang-2, Tie-2 and VEGFR-2 in angiogenesis in colorectal carcinoma and their prognostic value].

作者信息

Liu Xinlan, Li Yigong, Wei Jianmin, Zhao Yanjiao

机构信息

Department of Oncology, General Hospital of Ningxia Medical University, Yinchuan, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2012 Nov;32(11):1658-62.

PMID:23174599
Abstract

OBJECTIVE

To study the expression of angiotensin-2 (Ang-2), Tie-2 and vascular endothelial growth factor receptor-2 (VEGFR-2) in colorectal cancer and analyze their relationship with the occurrence, recurrence, metastasis, angiogenesis and prognosis of colorectal cancer.

METHODS

Immunohistochemistry with SP method was used to detect the expressions of Ang-2, Tie-2 and VEGFR-2 in 118 colorectal cancer, 40 adjacent normal tissue and 40 benign colorectal lesion specimens.

RESULTS

The positivity rates of Ang-2, Tie-2 and VEGFR-2 in colorectal cancer tissue were 74.58%, 69.49%, and 61.02%, respectively, significantly higher than those in the adjacent normal tissues (25.00%, 17.50%, and 17.50%, P<0.05) and benign colorectal lesion tissues (35.00%, 32.50%, and 32.50%, P<0.05). The rates of two or three coexpression were significantly higher than that of a single expression in the cancer tissues (61.02% vs 15.25%). The microvascular density (MVD) of colorectal cancer tissues was 31.43∓10.50, significantly higher than that of the adjacent normal tissues (10.61∓3.76) and benign colorectal lesions (16.89∓3.83) (P<0.05). The expressions of Ang-2, Tie-2, and VEGFR-2 were positively correlated with carcinoembryonic antigen (CEA) and MVD (P<0.05). The expression of Ang-2, but not Tie-2 and VEGFR-2, was positively correlated with CA199. Ang-2, Tie-2, and VEGFR-2 expressions showed significant differences between cases with tumor recurrence/metastasis and those without 5 years after radical mastectomy, and were all positively correlated with the 5-year survival rates (P<0.05).

CONCLUSION

Ang-2, Tie-2 and VEGFR-2 are involved in the development, invasion, metastasis, and prognosis of colorectal cancer, and play important roles in the angiogenesis of the tumors.

摘要

目的

研究血管紧张素 -2(Ang-2)、Tie-2 和血管内皮生长因子受体 -2(VEGFR-2)在结直肠癌中的表达情况,并分析它们与结直肠癌的发生、复发、转移、血管生成及预后的关系。

方法

采用免疫组织化学 SP 法检测 118 例结直肠癌、40 例癌旁正常组织及 40 例大肠良性病变标本中 Ang-2、Tie-2 和 VEGFR-2 的表达。

结果

结直肠癌组织中 Ang-2、Tie-2 和 VEGFR-2 的阳性率分别为 74.58%、69.49%和 61.02%,显著高于癌旁正常组织(25.00%、17.50%和 17.50%,P<0.05)及大肠良性病变组织(35.00%、32.50%和 32.50%,P<0.05)。癌组织中双表达或三表达的比例显著高于单表达比例(61.02%对 15.25%)。结直肠癌组织的微血管密度(MVD)为 31.43±10.50,显著高于癌旁正常组织(10.61±3.76)及大肠良性病变组织(16.89±3.83)(P<0.05)。Ang-2、Tie-2 和 VEGFR-2 的表达与癌胚抗原(CEA)及 MVD 呈正相关(P<0.05)。Ang-2 的表达与 CA199 呈正相关,而 Tie-2 和 VEGFR-2 与 CA199 无相关性。根治性切除术后 5 年,有肿瘤复发/转移的病例与无复发/转移的病例相比,Ang-2、Tie-2 和 VEGFR-2 的表达存在显著差异,且三者均与 5 年生存率呈正相关(P<0.05)。

结论

Ang-2、Tie-2 和 VEGFR-2 参与了结直肠癌的发生、侵袭、转移及预后过程,并在肿瘤血管生成中发挥重要作用。

相似文献

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[Role of Ang-2, Tie-2 and VEGFR-2 in angiogenesis in colorectal carcinoma and their prognostic value].血管生成素-2、酪氨酸激酶2及血管内皮生长因子受体-2在结直肠癌血管生成中的作用及其预后价值
Nan Fang Yi Ke Da Xue Xue Bao. 2012 Nov;32(11):1658-62.
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