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BMP-2 、OPN 、VEGF 的表达在骨肉瘤肺转移中的意义

Expression of BMP-2, OPN and VEGF and Their Clinical Significance in Osteosarcoma with Lung Metastasis

  • 摘要: 目的 研究BMP-2、OPN、VEGF在骨肉瘤组织中的表达,探讨其与骨肉瘤肺转移的关系。方法 运用免疫组织化学SABC法,检测53例有完整随访资料的骨肉瘤病例中BMP-2、OPN、VEGF的表达。结果 ①BMP-2、OPN和VEGF的阳性表达均定位于细胞胞浆,BMP-2、OPN和VEGF在53例骨肉瘤组织中的阳性表达率分别为62.26%(33/53)、50.94%(27/53)和67.92%(36/53)。②在已发生肺转移的骨肉瘤组织中BMP-2、OPN和VEGF的阳性表达率分别为92.3%(12/13)、76.92%(10/13)和92.3%(12/13),明显高于无肺转移的骨肉瘤组织中BMP-2(52.5oA,21/40)、OPN(42.5%,17/40)和VEGF(60%,24/40)的阳性表达率,差异有统计学意义(P〈0.05)。③三者在骨肉瘤组织中的阳性表达与患者的性别、年龄、肿瘤的大小、肿瘤部位、组织学类型、发病时间等因素差异无统计学意义(P〉0.05),但与是否肺转移显著相关。结论 BMP-2、OPN及VEGF在骨肉瘤中有着不同程度的高表达,与骨肉瘤的发生发展,并与骨肉瘤肺转移密切相关,BMP-2的表达分别和OPN、VEGF的表达密切相关。

     

    Abstract: Objective  To investigate the expression of BMP-2, Of osteopontin (OPN) and VEGF in osteosarcoma and its association with lung metastasis. Methods  Immunohistochemical staining (SABC method) was used to investigate BMP-2, OPN and VEGF expression in 53 cases of osteosarcoma which had complete follow up data. Results  BMP-2, OPN and VEGF expression was all located in the cytoplasm of osteosarcoma cell. The positive rates of BMP-2, OPN and VEGF in osteosarcoma tissue were 62. 26 %, 50. 94 % and 67. 92 %, respectively. The positive rates of BMP22, OPN and VEGF in osteosarcoma tissue with lung metastasis were 92. 3 %(12/ 13), 76. 92 %(10/ 13) and 92. 3 %(12/ 13), respectively, which were much higher than that in osteosarcoma tissue without lung metastasis. BMP-2, OPN and VEGF positive was remarkably correlated the and lung metastasis in osteosarcoma. ( P < 0. 05) . The intensity signal of BMP-2, OPN and VEGF weren't related to gender, age, size and location of tumor, time of illness, osteosarcoma classification, while they were correlated with lung metastasis. Conclusion BMP-2, OPN and VEGF are express in osteosarcoma cell. The high expression involve in the carcinogenesis and the development of osteosarcoma and correlated closely to the lung metastasis of osteosarcoma. The expression of BMP-2 is closely correlated to that of OPN and VEGF.

     

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