Id-1和MMP-9在结直肠癌中的表达及与临床病理因素的关系
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河北省卫计委医学科学研究重点课题计划(20150058);河北省科技支撑计划项目(152777237);张家口市科技局指令性计划(1311055D)


Expressions and clinicopathologic characteristics of Id-1 and MMP-9 in colorectal adenocarcinoma tissues
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    摘要:

    目的:通过研究DNA结合分化抑制蛋白1(inhibitors of DNA binding-1,Id-1)和基质金属蛋白酶9(matrix metalloproteinase-9,MMP-9)在结直肠腺癌中,分析Id-1和MMP-9与结直肠腺癌进展的关系。方法:采用免疫组织化学法-RT-PCR和Western blot检测Id-1和MMP-9在50例结直肠癌患者癌组织及50例正常组织中的表达情况,分析二者与各临床病理因素的相关性。结果:Id-1和MMP-9在结直肠癌组织中的阳性表达率分别为72.00%(36/50)和78.00%(39/50),而在正常结直肠组织中的阳性率为24.00%(12/50)和22.00%(11/50),差异均有统计学意义(P < 0.01)。Id-1和MMP-9在癌组织中的表达呈正相关(r=0.422,P=0.002)。Id-1和MMP-9的表达与结直肠腺癌的浸润深度-TNM分期-肝转移-淋巴结转移和脉管浸润具有相关性(P 均 < 0.05),而与患者的性别-年龄-肿瘤大小和分化程度无关(P均 > 0.05)。RT-PCR和Western blot检测结果与免疫组织化学检测结果基本一致。生存分析显示Id-1和MMP-9表达与结直肠癌患者预后关系密切,Id-1和MMP-9高表达提示预后不良。结论:Id-1和MMP-9在结直肠癌中高表达,其表达水平与结直肠腺癌的浸润-转移具有高度相关性,二者联合检测对判断结直肠癌的侵袭-转移及预后具有重要指导意义。

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    Objective:To explore the expressions of inhibitors of DNA binding 1 (Id-1)and matrix metalloproteinase-9(MMP-9)in human colorectal adenocarcinoma tissues and study their correlation with the progression of colorectal adenocarcinoma. Methods:The expressions of Id-1 and MMP-9 in 50 specimens of coloreetal adenocarcinoma tissues and 50 specimens of normal eolorectal tissues were detected by immunohistochemistry,reverse transcription polymerase chain reaction (RT-PCR),and Western blotting assay. Correlations between the expressions and clinicopathological features were analyzed. Results:The positive rates of Id-1 and MMP-9 in colorectal adenoeareinoma tissues were 72.00% and 78.00%,respectively,while in normal colorectal tissues were 24.00% and 22.00%,respectively. The differences were significant (all P < 0.01). Expression of Id-1 was positively related with expression of MMP-9 in colorectal adenocarcinoma tissues (r=0.469,P=0.000). Expression levels of Id-1 and MMP-9 were correlated with the depth of tumor invasion,TNM stage,lymph node metastasis,vessel invasion,and liver metastasis (all P < 0.05),but not with age,gender,tumor size,and differentiation degrees(all P > 0.05). The results of RT-PCR and Western blotting assay were consistent with those of immunohistochemistry. Cox multi-factor analysis showed that Id-1 and MMP-9 expressions were independent prognosis factors for colorectal adenocarcinoma. Conclusion:The expression levels of Id-1 and MMP-9 have a high correlation with the invasion and metastasis of colorectal adenocarcinoma,and joint detection of the above indicators to judge the invasion,metastasis and prognosis of colorectal cancer has important guiding significance.

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武雪亮,王立坤,薛 军,杨东东,屈 明,郭 飞,杨瑞敏,马鹏程,刘 博. Id-1和MMP-9在结直肠癌中的表达及与临床病理因素的关系[J].南京医科大学学报(自然科学版),2016,(9):1089-1094

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  • 收稿日期:2015-11-16
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  • 在线发布日期: 2016-09-18
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