Although the considerable progress against gastric cancer, it remains a complex lethal disease defined by peculiar histological and molecular features. The purpose of the present study was to investigate pRb2/p130, VEGF, EZH2, p53, p16(INK4A), p27(KIP1), p21(WAF1), Ki-67 expressions, and analyze their possible correlations with clinicopathological factors. The expression patterns were examined by immunohistochemistry in 47 patients, 27 evaluated of intestinal-type, and 20 of diffuse-type, with a mean follow up of 56 months and by Western blot in AGS, N87, KATO-III, and YCC-2, -3, -16 gastric cell lines. Overall, stomach cancer showed EZH2 correlated with high levels of p53, Ki-67, and cytoplasmic pRb2/p130 (P < 0.05, and P < 0.01, respectively). Increased expression of EZH2 was found in the intestinal-type and correlated with the risk of distant metastasis (P < 0.05 and P < 0.01, respectively), demonstrating that this protein may have a prognostic value in this type of cancer. Interestingly, a strong inverse correlation was observed between p27(KIP1) expression levels and the risk of advanced disease and metastasis (P < 0.05), and a positive correlation between the expression levels of p21(WAF1) and low-grade (G1) gastric tumors (P < 0.05), confirming the traditionally accepted role for these tumor-suppressor genes in gastric cancer. Finally, a direct correlation was found between the expression levels of nuclear pRb2/p130 and low-grade (G1) gastric tumors that was statistically significant (P < 0.05). Altogether, these data may help shed some additional light on the pathogenetic mechanisms related to the two main gastric cancer histotypes and their invasive potentials.

译文

尽管在抗胃癌方面取得了长足的进步,但它仍然是一种由特殊的组织学和分子特征定义的复杂致死疾病。本研究的目的是调查pRb2/p130,VEGF,EZH2,p53,p16(INK4A),p27(KIP1),p21(WAF1),Ki-67表达,并分析其与临床病理因素的可能相关性。通过免疫组织化学检查了47例患者的表达模式,其中27例被评估为肠型,20例被评估为弥漫型,平均随访56个月,并通过Western blot在AGS,N87,KATO-III和YCC-2中进行了检测,-3,-16胃细胞系。总体而言,胃癌显示EZH2与高水平的p53,Ki-67和细胞质pRb2/p130相关 (分别为P <0.05和P <0.01)。在肠型中发现EZH2的表达增加,并且与远处转移的风险相关 (分别为P <0.05和P <0.01),表明该蛋白可能在此类癌症中具有预后价值。有趣的是,p27(KIP1) 表达水平与晚期疾病和转移风险之间存在很强的负相关 (P <0.05),而p21(WAF1) 表达水平与低度 (G1) 胃肿瘤之间存在正相关 (P <0.05),证实了这些肿瘤抑制基因在胃癌中的传统作用。最后,发现核pRb2/p130的表达水平与低级别 (G1) 胃肿瘤之间存在直接相关性,具有统计学意义 (P <0.05)。总之,这些数据可能有助于进一步阐明与两种主要胃癌组织类型及其侵袭潜力有关的致病机制。

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