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基质金属蛋白酶-9、孕激素受体、Ki-67及生存素在多发性脑膜瘤中的表达及意义

[Expression and significance of MMP-9, PR, Ki-67 and Survivin in multiple meningiomas].

作者信息

Gong Jie, Zhu Shu-gan, Wu Cheng-yuan, Li Xin-gang, Liu Yu-guang, Ren Xiao-hui, Zhang Yuan

机构信息

Department of Neurosurgery, Qilu Hospital, Shandong University, Jinan 250012, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2012 Dec 4;92(45):3218-20.

Abstract

OBJECTIVE

To detect the expressions of matrix metalloproteinase-9(MMP-9), progesterone receptor(PR), Ki-67 and Survivin in the multiple meningiomas (MMs) and explore its genesis, diagnosis and bionomics features.

METHODS

A total of 66 cases with histological sections of meningiomas retrieved from the archives of Department of Pathology of our hospital, including 30 cases of solitary meningiomas (SMs) and 36 cases MMs, were regrouped as benign, atypical and malignant by hematoxylin and eosin staining according to the World Health Organization classification of nervous system tumors. Immunohistochemistry was performed to detect the expressions of MMP-9, PR, Ki-67 and Survivin in 36 cases of MMs and 30 cases of SMs. And normal brain tissue was selected as a control group. The staining intensity was analyzed quantitatively for the differential expressions of MMP-9, PR, Ki-67 and Survivin between SMs and MMs.

RESULTS

No expression of MMP-9, PR, Ki-67 and Survivin was detected in 5 normal brain tissues, but the expression rates were 100%, 53%, 23% and 88% respectively for significant difference comparing with normal tissue. The result of statistical analysis showed that there was significant difference in the expression intensity of MMP-9 and PR between two groups. The expression intensity MMP-9 in multiple group was significantly higher in MMs than that in SMs (P < 0.01) while PR was lower in MMs than that in SMs (P < 0.05). But no significant difference was found for the expression of Ki-67 or Survivin between two groups.

CONCLUSION

The detections of MMP-9, PR, Ki-67 and Survivin are helpful in the clinical diagnosis and early detection of meningioma.

摘要

目的

检测基质金属蛋白酶-9(MMP-9)、孕激素受体(PR)、Ki-67和生存素在多发性脑膜瘤(MMs)中的表达,探讨其发生、诊断及生物学特性。

方法

从我院病理科存档的脑膜瘤组织切片中选取66例,其中孤立性脑膜瘤(SMs)30例,MMs 36例,根据世界卫生组织神经系统肿瘤分类标准,经苏木精-伊红染色将其重新分为良性、非典型性和恶性。对36例MMs和30例SMs进行免疫组织化学检测,以检测MMP-9、PR、Ki-67和生存素的表达,并选取正常脑组织作为对照组。对染色强度进行定量分析,以比较SMs和MMs之间MMP-9、PR、Ki-67和生存素的差异表达。

结果

5例正常脑组织中未检测到MMP-9、PR、Ki-67和生存素的表达,但与正常组织相比,其表达率分别为100%、53%、23%和88%,差异有统计学意义。统计学分析结果显示,两组间MMP-9和PR的表达强度有显著差异。MMs中MMP-9在多发型组的表达强度明显高于单发型组(P < 0.01),而PR则低于单发型组(P < 0.05)。但两组间Ki-67或生存素的表达无显著差异。

结论

检测MMP-9、PR、Ki-67和生存素有助于脑膜瘤的临床诊断和早期发现。

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