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EGFR、Ras蛋白在大肠癌及其癌前组织中的表达及临床意义[J]. 肿瘤防治研究, 2012, 39(06): 701-704. DOI: 10.3971/j.issn.1000-8578.2012.06.022
引用本文: EGFR、Ras蛋白在大肠癌及其癌前组织中的表达及临床意义[J]. 肿瘤防治研究, 2012, 39(06): 701-704. DOI: 10.3971/j.issn.1000-8578.2012.06.022
Expression of EGFR and Ras Protein in Colorectal Carcinoma and Precancerous Tissues and Its Clinical Significance[J]. Cancer Research on Prevention and Treatment, 2012, 39(06): 701-704. DOI: 10.3971/j.issn.1000-8578.2012.06.022
Citation: Expression of EGFR and Ras Protein in Colorectal Carcinoma and Precancerous Tissues and Its Clinical Significance[J]. Cancer Research on Prevention and Treatment, 2012, 39(06): 701-704. DOI: 10.3971/j.issn.1000-8578.2012.06.022

EGFR、Ras蛋白在大肠癌及其癌前组织中的表达及临床意义

Expression of EGFR and Ras Protein in Colorectal Carcinoma and Precancerous Tissues and Its Clinical Significance

  • 摘要: 目的 探讨在大肠癌发生过程中EGFR、Ras蛋白表达及其与大肠癌临床病理特征的关系。方法应用免疫组织化学SP法检测115例大肠癌、36例大肠腺瘤、43例正常大肠黏膜中EGFR和Ras的蛋白表达,并分析两者与大肠癌临床病理特征的关系。结果大肠癌、大肠腺瘤与正常大肠黏膜组EGFR蛋白的阳性表达率分别为62.61%(72/115)、30.56%(11/36)与12.77%(6/47),三组间差异有统计学意义(P<0.05);Ras蛋白的阳性表达率分别为46.09%(53/115)、38.89%(14/36)与10.63%(5/47),前两者明显高于后者(P<0.05)。其中在大肠癌浸润深度达黏膜下层和肌层、浆膜下层及侵透浆膜层组EGFR蛋白阳性表达率分别为36.84%(7/19)、67.09%(53/79)与70.59%(12/17),后两者明显高于前者(P<0.05);在低分化癌与高中分化癌组中Ras蛋白的阳性表达率分别为59.52%(25/42)与38.36%(28/73),两者差异有统计学意义(P<0.05)。相关性分析显示EGFR与Ras在大肠癌组织中表达呈正相关(r=0.354,P<0.05)。结论EGFR蛋白表达与大肠癌组织浸润深度相关,而Ras蛋白表达与肿瘤的分化程度相关,联合检测两基因有助于大肠癌的诊断及预后评估。

     

    Abstract: Objective To investigate the expression and clinical significance of EGFR and Ras protein in the carcinogenesis of colorectal carcinoma. Methods By immunohistochemical SP method,EGFR and Ras protein expressions in 115 cases of colorectal cancer,36 cases of colorectal adenoma,43 cases of normal colorectal mucosa were detected.The relationship of between the clinical and pathological featwres was analysized. ResultsIn carcinoma group,adenoma group and adjacent normal mucosa group,the positive expression rates of EGFR were 62.61%(72/115),30.56%(11/36)and 12.77%(6/47) respectively,with statistic difference(P<0.05).The positive rates of Ras expressions were 46.09%(53/115),38.89%(14/36) and 10.63%(5/47) respectively.The positive rates of the two former groups were obviously lower than those of the last group (P<0.05).In carcinoma patients that infiltrated to submucosa and muscular layers,subserous layer or penetrated subserous layer,the positive expression rates of EGFR were 36.84%(7/19),65.82%(52/79) and 70.59%(12/17) respectively,the latter two was higher than the former(P<0.05).The positive rate of Ras protein expression in well- moderate differentiation was higher than that in poor differentiation 59.52%(25/42) vs.38.36%(28/73)(P<0.05). Conclusion The expression of EGFR protein had positive correlation to the depth of invasion.The expression of Ras protein had negative correlation to the cell differentiation.A test combined EGFR and RAS will help to improve evaluation in the diagnosis and prognosis of colorectal carcinoma.

     

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