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骨桥蛋白与垂体腺瘤侵袭性的相关性研究
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摘要
背景 垂体腺瘤是临床常见的肿瘤,约占颅内肿瘤的10%左右。组织病理学表明,垂体腺瘤是良性肿瘤。但是,部分的垂体腺瘤呈现出恶性的生物学行为,即侵袭性垂体腺瘤。侵袭性垂体腺瘤指腺瘤生长突破包膜并侵犯邻近结构,如硬膜、颅骨、神经、海绵窦或者包绕颈内动脉。垂体腺瘤的侵袭性导致很高的术后肿瘤残余和复发。垂体腺瘤的侵袭性是目前针对垂体腺瘤研究的热点和难点。OPN(osteopontin,骨桥蛋白)是一种磷酸化的分泌蛋白。OPN的受体包括整合素以及CD44。近年来研究表明,OPN与很多肿瘤的浸润、转移、瘤体大小等有关,是一种新的肿瘤标志物。关于OPN在垂体腺瘤侵袭过程中的作用目前尚无研究报道。本研究试图阐明OPNmRNA在垂体腺瘤的表达情况,OPN及其主要受体整合素α_vβ_3的表达,OPNmRNA与垂体腺瘤生长速度的关系,整合素α_v β_3的表达与OPN的关系。
     方法 自2004年3月至2005年11月共收集78例患者的垂体腺瘤手术标本及临床资料,其中侵袭性垂体腺瘤37例,非侵袭性腺瘤41例。FQ-PCR(Fluorescence quantitative polymerase chain reaction,荧光定量PCR)技术检测垂体腺瘤OPN mRNA,免疫组织化学S-P法检测OPN及整合素α_v β_3的表达,观察OPN mRNA及其蛋白的表达与垂体腺瘤侵袭性的关
Backgroud Pituitary adenomas is a common tumor in clinical works, and is about 10% of intracranial tumors. Histopathology proved pituitary adenomas is a benign tumor. But some of the tumor appearing aggressive biological behavior, is so called invasive pituitary adenomas. Invasive pituitary adenomas tend to break through the capsule and invase into the neighbour structure such as dura, nerve, bone, cavernous sinus and even internal carotid. The invasiveness of pituitary adenomas lead to high recurrency and residucy. Now the invasiveness is the hot topic and nodus on pituitary adenomas. Osteopontin ( OPN ) is a secreted phosphate-protein. Its' receptor including integrin and CD44 . Study shows that OPN is related to many tumors on invasion, metastasis, and even the tumor volume. We find no report and study about OPN on the invasiveness of pituitary adenomas. In this study we have investigated the expression of OPN mRNA and OPN protein in pituitary adenomas, the relationship
引文
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