Wu Shuhua, Li Tangyue, Mu Qinghai, Li Yangyang, Gao Xiangqian, He Shuang, Sun Chenbo
Department of Pathology, Binzhou Medical University Hospital Binzhou, Shandong Province, China.
Department of Pathology, Binzhou Medical University Binzhou, Shandong Province, China.
Int J Clin Exp Pathol. 2015 Dec 1;8(12):16026-35. eCollection 2015.
To evaluate the expression and clinical significance of PI3Kp110α and PI3Kp110β in colorectal conventional adenoma, serrated lesions and adenoma with canceration.
Immunohistochemistry and Western blot analysis were conducted to detect the expression of p110α and p110β in normal colorectal tissues, conventional adenoma, serrated lesions and adenoma canceration. Results revealed that the expression of P110α and P110β in the adenoma canceration was significantly higher than that in normal tissues, tubular adenoma (low grade) and tubular-villous adenoma (low grade) of conventional adenoma, hyperplastic polyps of serrated lesions (P<0.05). But there was no significant difference between the adenoma canceration and the high grade adenoma of conventional adenoma, all grade of villous adenoma and serrated adenoma (P>0.05). The expression of p110α and p110β was correlated with different clinicopathologic factors in conventional adenoma, serrated adenoma and adenoma canceration (P<0.05).
p110α and p110β were highly expressed in villous adenoma, serrated adenoma and adenoma with canceration. Its high expression may be the risk factor of the progress of adenoma to adenocarcinoma, and may be an important cause of what canceration rate of villous adenoma and serrated adenoma was higher than that of other adenomas. Combined detection of p110α and p110β is helpful to determine the canceration potential of colorectal villous adenoma and serrated adenoma.
评估PI3Kp110α和PI3Kp110β在结直肠传统腺瘤、锯齿状病变及癌变腺瘤中的表达及临床意义。
采用免疫组织化学和蛋白质印迹分析检测正常结直肠组织、传统腺瘤、锯齿状病变及腺瘤癌变中p110α和p110β的表达。结果显示,腺瘤癌变中P110α和P110β的表达显著高于正常组织、传统腺瘤的管状腺瘤(低级别)和管状绒毛状腺瘤(低级别)、锯齿状病变的增生性息肉(P<0.05)。但腺瘤癌变与传统腺瘤的高级别腺瘤、所有级别的绒毛状腺瘤及锯齿状腺瘤之间无显著差异(P>0.05)。p110α和p110β的表达与传统腺瘤、锯齿状腺瘤及腺瘤癌变的不同临床病理因素相关(P<0.05)。
p110α和p110β在绒毛状腺瘤、锯齿状腺瘤及癌变腺瘤中高表达。其高表达可能是腺瘤进展为腺癌的危险因素,可能是绒毛状腺瘤和锯齿状腺瘤癌变率高于其他腺瘤的重要原因。联合检测p110α和p110β有助于判断结直肠绒毛状腺瘤和锯齿状腺瘤的癌变潜能。