Priolli Denise Gonçalves, Abrantes Ana Margarida, Neves Silvia, Gonçalves Ana Cristina, Lopes Camila Oliveira, Martinez Natalia Peres, Cardinalli Izilda Aparecida, Ribeiro Ana Bela Sarmento, Botelho Maria Filomena
São Francisco University Medical School , Bragança Paulista , Brazil.
Scand J Gastroenterol. 2014 Mar;49(3):309-16. doi: 10.3109/00365521.2013.869350. Epub 2013 Dec 11.
The present study aims to identify differences between left and right colon adenocarcinoma arising from identical clonal cell and to find out if microenvironment has any influence on matrix metalloproteinase-2 (MMP2), p53 and β-catenin tumor expressions. MATERIAL AND METHODS. Rats (RNU) were submitted to cecostomy to obtain the orthotopic model of right colon tumor (n = 10), while for the left colon model (n = 10), a colon diversion and distal mucous fistula in the descending colon was used. Cultivated human colon adenocarcinoma cells (WiDr) were inoculated in stomas submucosa. Histopathological analysis, real-time reverse transcription-PCR for β-catenin, p53 and MMP2, as well as immunohistochemical analysis for p53 and β-catenin expression were conducted. Central tendency, variance analysis and the Livak delta-delta-CT method were used for statistical analysis, adopting a 5% significance level. RESULTS. All tumors from the left colon exhibited infiltrative ulceration, while in the right colon tumor growth was predominantly exophytic (67%). In the left colon, tumor growth was undifferentiated (100%), while it was moderately differentiated in the right colon (83%). In right colon tumors, MMP2, p53, and β-catenin gene expressions were higher than compared to left colon (p = 4.59354E-05, p = 0.0035179, p = 0.00093798, respectively, for MMP2, p53 and β-catenin). β-catenin and p53 results obtained by real-time polymerase chain reaction were confirmed by immunohistochemistry assay (p = 0.01 and p = 0.001, respectively, for β-catenin and p53). CONCLUSION. Left and right human colon adenocarcinomas developed in animal models have distinct phenotypes even when they have the same clonal origin. Microenvironment has influenced p53, β-catenin, and MMP2 expression in animal models of colon cancer.
本研究旨在确定源自相同克隆细胞的左、右结肠腺癌之间的差异,并探究微环境是否对基质金属蛋白酶-2(MMP2)、p53和β-连环蛋白的肿瘤表达有任何影响。材料与方法。将大鼠(RNU)进行盲肠造口术以获得右结肠肿瘤的原位模型(n = 10),而对于左结肠模型(n = 10),则采用降结肠结肠转流术和远端黏液瘘。将培养的人结肠腺癌细胞(WiDr)接种于造口黏膜下层。进行组织病理学分析、β-连环蛋白、p53和MMP2的实时逆转录聚合酶链反应,以及p53和β-连环蛋白表达的免疫组织化学分析。采用集中趋势、方差分析和Livak ΔΔCT法进行统计分析,显著性水平为5%。结果。所有左结肠肿瘤均表现为浸润性溃疡,而右结肠肿瘤生长主要为外生性(67%)。左结肠肿瘤生长未分化(100%),而右结肠肿瘤为中度分化(83%)。右结肠肿瘤中,MMP2、p53和β-连环蛋白基因表达高于左结肠(MMP2、p53和β-连环蛋白分别为p = 4.59354E-05、p = 0.0035179、p = 0.00093798)。实时聚合酶链反应获得的β-连环蛋白和p53结果经免疫组织化学检测得到证实(β-连环蛋白和p53分别为p = 0.01和p = 0.001)。结论。在动物模型中发生的人左、右结肠腺癌即使具有相同的克隆起源,也具有不同的表型。微环境对结肠癌动物模型中p53、β-连环蛋白和MMP2的表达有影响。