Su Jian-Li, Wang Cheng-Hong, Kang Hong-Gang, Zhang Jing, Wang Bao-Zhong, Liu Mei-Rong, Zhao Jun, Liu Lin
Department of Laboratory Medicine, Qilu Hospital of Shandong University, Qingdao, Shandong 266000, P.R. China.
Department of Laboratory Medicine, Yantaishan Hospital, Yantai, Shandong 264000, P.R. China.
Oncol Lett. 2017 Sep;14(3):3510-3514. doi: 10.3892/ol.2017.6642. Epub 2017 Jul 20.
The aim of the present study was to examine and discuss the association between multidrug resistance 1 gene () of gastrointestinal tumors, the expression of P-glycoprotein and resistance to chemotherapeutic drugs. In this study, 126 cases of patients with gastrointestinal tumors admitted to hospital from February 2013 to February 2015 were selected. The expression levels of gene were obsreved in the control population and patients before and after treatment by fluoresecent quantitative PCR. The protein expression level of P-glycoprotein was determined using western blotting and enzyme-linked immunosorbent assay. In addition, drug resistance was assessed by ATP-TCA chemosensitivity experiments. The results showed that before treatment, the expression of mRNA in MDR1 of tissues of gastrointestinal tract of the 126 cases was 108-fold larger than that of the gastrointestinal tract of the controls (p<0.05), P-glycoprotein was 87-fold larger than the expression level of the controls (p<0.05). The sensitivity of 126 tumor tissues to different chemotherapeutic drugs was determined, and the results showed that most of the tumor tissues were sensitive to chemotherapeutic drugs, and the sensitivity rate reached 96.4%. Following chemotherapy, the expression of mRNA in MDR1 of tumor tissues and the expression of P-glycoprotein decreased (p<0.05). In conclusion, the gene and P-glycoprotein have a positive correlation with the occurrence of gastrointestinal tumors, and a negative correlation between the gene and P-glycoprotein with resistance of chemotherapeutic drugs. Therefore, the gene and P-glycoprotein can be used as references in the identification and diagnosis of gastrointestinal tumors.
本研究旨在探讨和讨论胃肠道肿瘤多药耐药1基因()、P-糖蛋白表达与化疗药物耐药之间的关联。本研究选取了2013年2月至2015年2月期间收治的126例胃肠道肿瘤患者。采用荧光定量PCR观察对照组及患者治疗前后基因的表达水平。采用蛋白质印迹法和酶联免疫吸附测定法测定P-糖蛋白的蛋白表达水平。此外,通过ATP-TCA化学敏感性实验评估药物耐药性。结果显示,治疗前,126例患者胃肠道组织中MDR1的mRNA表达较对照组胃肠道组织高108倍(p<0.05),P-糖蛋白表达较对照组高87倍(p<0.05)。测定了126例肿瘤组织对不同化疗药物的敏感性,结果显示大部分肿瘤组织对化疗药物敏感,敏感率达96.4%。化疗后,肿瘤组织中MDR1的mRNA表达及P-糖蛋白表达均下降(p<0.05)。综上所述,基因和P-糖蛋白与胃肠道肿瘤的发生呈正相关,基因和P-糖蛋白与化疗药物耐药呈负相关。因此,基因和P-糖蛋白可作为胃肠道肿瘤鉴别诊断的参考指标。