文章摘要
王宁宋述安赵志威姜涛朴大勋△.Survivin 与VEGF在良、恶性胃溃疡组织中的表达及研究*[J].,2014,14(17):3269-3272
Survivin 与VEGF在良、恶性胃溃疡组织中的表达及研究*
Expression and Investigation of Survivin and VEGFin Benign and Malignant Gastric Ulcer*
  
DOI:
中文关键词: Survivin  VEGF  胃溃疡  溃疡型胃癌  免疫组化
英文关键词: Survivin  VEGF  Gastric ulcer  Ulcerative gastric cancer  Immunohistochemistry
基金项目:黑龙江省科学技术项目(LC02C15)
作者单位
王宁宋述安赵志威姜涛朴大勋△ 哈尔滨医科大学附属第一医院结肠直肠外科黑龙江哈尔滨150001 
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中文摘要:
      摘要目的:研究凋亡基因生存素(Survivin)及血管内皮生长因子(VEGF)在良、恶性胃溃疡中的表达及二者在溃疡型胃癌中的表 达与临床病理特征之间的关系,分析二者在胃癌发生发展中的作用和在胃癌中表达的相关性。方法:应用免疫组化S-P 染色检测 Survivin 及VEGF在良性胃溃疡,胃溃疡伴中-重度不典型增生和溃疡性胃癌中的表达,结合临床病理特征进行相关分析。结果: Survivin 及VEGF 在良性胃溃疡中的表达率分别为16.2 %、24.3 %,在胃溃疡伴中- 重度不典型中的表达率分别为52.3 %、45.5 %,在溃疡型胃癌中的表达率分别为71.4 %、55.4 %,差异具有显著性(P<0.01);Survivin 和VEGF的表达与溃疡型胃癌的浸润深 度、淋巴结转移、TNM 分期具有相关性。Survivin 和VEGF的表达亦呈正相关。结论:Survivin 基因在溃疡型胃癌组织中的表达显 著增高,是胃癌演变进程中的重要步骤,过表达Survivin 可能提示预后不良。Survivin 对胃癌的诊断及预后有潜在的应用价值。 Survivin 和VEGF在溃疡型胃癌的发生发展中起协同作用,动态随访二者对胃溃疡的演变可能有一定的价值,可作为判断肿瘤进 程和浸润转移的生物学指标。Survivin 及VEGF的联合检测可能对胃癌的综合治疗提供理论依据,对其进行深入研究有望为胃癌 的诊疗开辟新的天地。
英文摘要:
      ABSTRACT Objective;This study aimed to investigate the expression of Survivin and VEGF in benign gastric ulcer, malignant gastric ulcer, as well as the correlation between the expression in ulcerative gastric cancer and clinicopathological characteristics, and to analyze their roles in the development of gastric cancer and the relationship of expression in gastric cancer. Methods:S-P Immunohistochemical staining examinations were performed to detect different expressions of Survivin and VEGF in benign gastric ulcer, gastric ulcer with moderate to severe dysplasia and ulcerative gastric cancer. Combining with correlative clinicopathological characteristics, subsequent experimental data analysis was carried out.Results: Expression rates of Survivin and VEGF, which are significantly different (P<0.01), are respectively 16.2 % and 24.3 % in benign gastric ulcers, 52.3 % and 45.5 % in gastric ulcer with moderate to severe dysplasia,71.4 % and 55.3 % in ulcerative gastric cancer. Different expressions of Survivin and VEGF are related to the depth of infiltration, lymphatic metastasis and TNMstaging, In addition, the expression of Survivin has positive correlations with that of VEGF.Conclusion: Survivin in ulcerative gastric cancer is highly expressed, which are the key of gastric cancer progression and indicates poor prognosis. Survivin has potential application value in the diagnosis and prognosis of gastric cancer. It may be valuable to take dynamic expression monitoring of Survivin and VEGF in gastric ulcers, for Survivin and VEGF have synergistic action in the development and progression of ulcerative gastric cancer. Survivin and VEGF can be considered indices for invasion, metastasis and progression. Furthermore, combined detection of Survivin and VEGF may provide a new theoretical basis for comprehensive reatment of gastric cancer. Further research is expected to create a new era for the diagnosis and treatment of gastric cancer.
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