p apkc ι和e cadherin在胆管癌中表达及意义的初步研究-preliminary study on expression and significance of p apkc ι and e cadherin in cholangiocarcinoma.docxVIP
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p apkc ι和e cadherin在胆管癌中表达及意义的初步研究-preliminary study on expression and significance of p apkc ι and e cadherin in cholangiocarcinoma
二者的表达与胆管癌组织表达比较,差异有统计学意义(P=0.004,P0.001)。E-cadherin表达与胆管癌TNM分期及分化程度呈明显负相关(P=0.035,P=0.017)。3、P-aPKC-ι和E-cadherin的表达相关,在胆总管囊肿中P-aPKC-ι低表达,而E-cadherin高表达;在胆管癌中P-aPKC-ι高表达,而E-cadherin低表达或表达缺失,提示二者可能在胆管癌发生发展中共同起作用。结论:1、P-aPKC-ι在胆管癌中高表达,在胆总管囊肿低表达;E-cadherin胆总管囊肿高表达,在胆管癌组织中低表达。提示aPKC-ι的活化可能与胆管癌的发生相关,并可能与E-cadherin起协同作用。2、P-aPKC-ι的高表达和E-cadherin的低表达与胆管癌的病理分型和TNM分期相关,提示aPKC-ι的活化可能与胆管癌的进展相关,并可能与E-cadherin起协同作用。关键词:胆管癌;E-cadherin;P-aPKC-ι。(本研究受王剑明教授国家自然基金项目资助,基金项目编PreliminaryStudyofP-aPKC-ιandE-cadherinExpressedinCholangiocarcinomaandItsSignificancePostgraduate:DuJitaoTutor:Prof.WangJianmingBiliaryandpancreaticsurgeryandEndoscopicSurgeryCenter,TongjiHospital,TongjiMedicalCollege,HuazhongUniversityofScienceandTechnologyABSTRACTObjective:ToinvestigatetheexpressionofP-aPKC-ιandE-cadherinincholangiocarcinoma,comparetoitsadjacenttissuesandcongenitalcholedochalcyst,andanalyzetheroleofP-aPKC-ιandE-cadherininthetumorigenesisanddevelopmentofcholangiocarcinoma.ProvideapreliminarybasisforfurtherstudyofthemechanismofaPKC-ιinthecholangiocarcinoma.Methods:Collectthesurgicalremovalandpathologicallyconfirmedcasesofcholangiocarcinoma,recordthehospitalizationnumber,pathologynumber,sex,age,pathologicalresults,differentiation,TNMstage,andgatherbenignlesionscholedochalcystascontrol.Accessto37casesofcholangiocarcinomaand10casesofcongenitalcholedochalcystwithcompletedata.TheexpressionofP-aPKC-ιandE-cadherinweredetectedbySABCimmunohistochemistryincholangiocarcinomatissue,cancertissue(fromcancer2cm)andcongenitalcholedochalcysttissue.ReadtheSlicesinsemi-quantitativewayanduseSPSS13.0softwareforstatisticalanalysis.Results:1,P-aPKC-ιwasloworevennoexpressedinbiliarycysttissue(8/10,80%)andadjacenttissueofcancer(29/37,78.38%),highlyinbileductcarcinoma(24/37,64.86%),sitedinthecytoplasmandnucleus.TheexpressionofP-aPKC-ιbetweencholedochalcystandadjacenttissuewasnosignificantdifference(P=1.0000),butcomparedwithcholangiocarcinoma,wasstatisticallysignificant(P=0.030,P0.001).TheexpressionofP-aPKC-ιandTNM
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