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胰腺癌组织中表皮生长因子受体、基质金属蛋白酶9的表达及其意义

Expression and Significance of Epidermal Growth Factor Receptor and Matrix Metalloproteinase-9 in Pancreatic Carcinoma Tissues

  • 摘要: 目的 探讨胰腺癌组织中表皮生长因子受体(EGFR)、基质金属蛋白酶9(MMP-9)的表达及其与胰腺癌临床病理特征的关系。方法 应用免疫组织化学SP法检测44例胰腺癌、相应癌旁胰腺组织、13例慢性胰腺炎和7例正常胰腺组织中EGFR、MMP-9的表达,并分析其与临床病理特征的相关性。结果 正常胰腺组织中均无EGFR及MMP-9的表达。慢性胰腺炎组织中EGFR、MMP-9的阳性表达率分别为23.1%(3/13)和15.4%(2/13)。胰腺癌组织中EGFR、MMP-9的阳性表达率分别为61.4%(27/44) 和54.5%(24/44);相应癌旁组织中的阳性表达率分别为34.1%(15/44)和29.5%(13/44)。胰腺癌组织中的EGFR及MMP-9阳性表达率均显著高于相应癌旁组织(P<0.05);胰腺癌组织及癌旁组织中EGFR及MMP-9的表达均显著高于慢性胰腺炎组织和正常胰腺组织(P均<0.05)。EGFR和MMP-9的表达与胰腺癌临床分期、分化程度、血管侵犯及淋巴结转移相关。结论 胰腺癌组织中EGFR的表达与MMP-9表达密切相关,EGFR的表达与MMP-9的表达水平可作为了解胰腺癌生物学行为和判断预后的指标。

     

    Abstract: Objective To discuss the expression of epidermal growth factor receptor (EGFR) and matrix metalloproteinase-9(MMP-9) in pancreatic carcinoma tissues, and its relationship with clinicopathologic features of pancreatic carcinoma. Methods Expression of EGFR and MMP-9 were detected by immunohistochemistry in surgically resected specimens(cancer tissues,cancer adjacent tissues and normal tissues)from 44 pancreatic carcinoma patients,13 chronic pancreatitis patients and 7 normal patients. The results were analyzed combined with clinicopathologic characteristics. Results There was no expression of EGFR or MMP-9 in normal pancreatic tissues.The expression of EGFR and MMP-9 in chronic pancreatitis tissues were 23.1%(3/13) and 15.4%(2/13).The expression of EGFR and MMP-9 in cancer tissues were higher than those in cancer adjacent tissues(61.4% vs. 34.1%,54.5% vs. 29.5%, P<0.05).Both expression of EGFR, MMP-9 in cancer tissues and adjacent tissues were significantly higher than those in tissues of normal pancreas and chronic pancreatitis(all P<0.05). There were positive correlation between EGFR,MMP-9 expression and superior mesenteric vessels invasion, lymph node metastasis, clinical stage, differentiation of tumor. Conclusion The expression of EGFR and MMP-9 are closely correlated in pancreatic carcinoma tissues, and could be the index for learning biological behavior and prognosis of pancreatic carcinoma.

     

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