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胃癌及其淋巴转移灶α4、β1、β4亚单位整合素表达的临床意义

Clinicalsubunitssignificance of α4,β1 and β4 integrinexpression in stomach carcinomas its lymph metastases

  • 摘要: 应用免疫组化方法检测29例胃癌患者原发灶、淋巴结转移灶及邻近正常胃粘膜等不同组织的α4、β1、β4亚单位整合素表达状况。结果发现原发灶和淋巴结转移灶中α4、β1、β4三亚单位整合素的分布极性发生明显改变,且其原发灶组和/或淋巴结组的表达程度分别明显强于邻近正常胃粘膜组;在原发灶组中,三亚单位尤其是α4、β4的表达强度与胃癌生长方式、分化程度、浸润深度、淋巴结、肝胆转移状况、Borrmann分型等临床病理因素密切相关。结果提示原发灶和淋巴结转移灶中胃癌细胞表面α4、β1、β4三亚单位整合素的极性分布明显紊乱,它们表达的增强或减强可能在胃癌浸润、转移过程中发挥着非常重要的作用。

     

    Abstract: By immunohistochemical staining,expression of α4、β1、β4 and integrin subunits was detected in different tissue from patients with gastric cancer (GC),whichinclude primary GC,lymph nodes with or without metastasis and normal gastric membrane near to the umour. Results showed that these three subunits not only were disorderally distributed in GC and its ymph metastases,but also were dramat-ically expressed in primary GC and/or lymph nodes,especially with metastasis,than that of normal gastric membrane.To staining of primary GC on the sub-units,especially there were significant differences between different clin-ical pathological factors such as growth patterns,differentiation,infiltration depth,liver metastasis and Borrmann types,respectively·Results suggested thatcharacterastics of distribution of α4、β1、β4 integrin subunits are significantly changed on the surface of GC cells in the primaries and its metastases,both of their increasing expression and their decreasing expression may be play an impor-tant role on the invasive and metastatic progression of GC.

     

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