用户名: 密码: 验证码:
人FXYD6单克隆抗体库的制备及其在胆管癌诊断中的应用
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
第一部分人FXYD6抗原的表达与纯化
     目的:构建含人FXYD6胞内区-G4S-FXYD6胞外区-G4S-GST-His6TAG基因序列的原核表达质粒,并诱导其表达,并对表达出的蛋白进行纯化。方法:构建去除FXYD6跨膜区域的FXYD6胞内区-G4S-FXYD6胞外区-G4S基因片段,插入原核表达载体pET30a-GST中,以重组表达质粒转化感受态大肠杆菌BL21,SDS-PAGE检测蛋白表达情况,重组蛋白经镍柱纯化后,SDS-PAGE检测蛋白纯度,BCA法检测浓度。结果:成功构建了原核表达载体pET30a-GST-FXYD6,诱导后重组蛋白大小与预期相符在33kD-45kD之间,其纯度在90%以上。结论:成功制备出了FXYD6重组蛋白,为制备FXYD6胞外区和胞内区的单克隆抗体库奠定了基础。
     第二部分人FXYD6单克隆抗体库的制备与签定
     目的:研制抗人FXYD6功能区单克隆抗体库,并对其进行签定及筛选分泌胞内、胞外区单克隆抗体的杂交瘤细胞株。方法:以去除跨膜区域FXYD6功能区重组蛋白作为免疫原免疫BALB/c小鼠,取其脾细胞与SP2/0骨髓瘤细胞融合,经多次筛选及克隆化,建立可稳定分泌抗人FXYD6胞外区及胞内区的单克隆抗体杂交瘤。用间接ELISA、蛋白免疫印迹签定特异性及亚型,再用间接ELISA法通过合成的胞外区多肽筛选出分泌胞外区、胞内区的FXYD6单克隆抗体的杂交瘤细胞株,用免疫组化方法筛选可识别天然构象的胞外区单克隆抗体,用腹水诱导法对胞外区单克隆抗体进行制备、纯化并检测亲和常数。用真核表达质粒pcDNATM3.1/myc-His(-)B-FXYD6瞬转上调FXYD6蛋白表达的293T细胞在体外检测胞外区抗体功能。结果:成功制备了6株能持续分泌的胞内区抗体的杂交瘤,2株持续分泌胞外区抗体的杂交瘤,这8株杂交瘤分泌的抗体可特异性识别天然构象的人FXYD6蛋白,2种胞外区单克隆抗体的亲和常数均在1010以上,这两种抗体均属于阻断功能性单抗。结论:成功制备了分泌抗人FXYD6胞外区及胞内区单克隆抗体的杂交瘤细胞库和制备了两种具有阻断性功能的胞外区单抗,为进一步研究其组织分布及作用机制签定了基础。
     第三部分FXYD6在胆管癌中的表达及其生物学意义
     目的:探讨FXYD6蛋白在胆管癌组织及相应远端正常胆管组织的表达情况,同时分析其在胆管癌中的表达与临床病理学特征的关系。方法:我们应用链酶亲和素-生物素-过氧化物酶复合物(SABC)免疫组织化学法检测72例胆管癌和远端正常胆管中FXYD6蛋白的表达,分析FXYD6表达与胆管癌临床病理学特征的关系。结果:FXYD6在胆管癌组织中的阳性表达率明显高于相应胆管组织的阳性表达率(69%vs.33.3%;p=0.002),而且FXYD6在高、中分化的胆管癌中的阳性表达明显高于低分化及粘液癌中的阳性表达(85.7%vs.40%;p=0.000)。FXYD6在正常胆管中的表达与解剖部位无关(p=0.945)。其在胆管癌中的表达与性别(p=0.393)、年龄(p=0.174)、组织学类型(p=0.123)、T分期(p=0.164)、淋巴结转移(p=0.343)、神经浸润(p=0.088)及肿瘤位置(p=0.238)无关。结论:FXYD6是胆管癌的一种新型肿瘤生物标记物,与胆管癌分化程度相关,其在胆管癌中的高表达可能提示较好的临床预后。
Chapter I Prokaryotic expression and purification of FXYD6antigen
     Objective: To construct prokaryotic expression plasmids of FXYD6which dose not contain transmembrane region of the protein and to purify the proteinexpressed. Methods: The coding sequence of FXYD6which does not containtransmembrane region synthesized and cloned into the prokaryotic expression vectorpET-30a-GST. The6×His-tagged protein was induced by IPTG in E.coli BL-21and therecombinant protein was identified by SDS-PAGE. After the protein was purified by nickelcolumn, the purity of protein was tested by SDS-PAGE, the concentration was detected byBCA methods. Results: The FXYD6gene fragment was synthesized and thepET-30a-GST-FXYD6was successfully constructed. The recombinant protein FXYD6washighly expressed in E.coli with a molecule mass which conformed to the expected. Thepurity of the protein was more than90%. Conclusion: FXYD6antigen was successfullyexpressed by prokaryotic expression system and the proten with high purity was got.
     Chapter II Preparation and identification of monoclonal antibodylibrary against human FXYD6
     Objective:To prepare and identify the monoclonal antibody libraryagainst human FXYD6, and to screen the monoclonal antibodies against intracellular andextracellular region of human FXYD6. Methods: FXYD6recombinant protein was usedto immunize Balb/c mice, and splenocytes isolated from Balb/c mice were fused withmouse myeloma cells SP2/0. After several rounds of screening and cloning, established theantibodies against the extracellular domain and the intracelluar domain of human FXYD6.The FXYD6antibodies which only identifed the FXYD6recombinant protein, and the immunoglobulin subtype were screened with indirect ELISA. The specificity wasevaluated with Western blot. We employed extracellular region polypeptide todistinguished monoclonal antibodies against extracelluar and intracellular region withindirect ELISA. The antibodies which could identify the antigen with native conformationwas screened with immunohistochemistry. The antibodes againt extracelluar region wasprepared with ascites induced methods, and purificated with protein G sepharose affinitycolumn. And the affinity constants was examined with indirect ELISA. The293T cells, inwhich FXYD6were up-regulated with transient transfection by pcDNATM3.1/myc-His(-)B-FXYD6eukaryotic plasmid, were used to detect the function of the purificated mAb.Result: We obtained8cell lines of hybridoma, by6of which the antibodies secreted wereagainst intracelluar region and the rest were against extracelluar region. These8kinds ofhybridoma all secreted IgG antibodies, which could identify the FXYD6protein withnative conformation. And the affinity constants of antibodies which were againstextracelluar region were both1010above. The purified monoclonal antibodies wereinhibitory antibodes. Conclution: We had generated8cell lines of hybridoma by which theantibodies were secreted could identify the antigen with native conformation, and prepared2kinds of extracelluar and funtional antibodies, which provided the basis for further studyof the tissue distribution of FXYD6protein and its specific mechanism.
     Chapter III FXYD6expression and biological significancein cholangiocarcinoma
     Objective: To investigate the expression of FXYD6protein incholangiocarcinoma tissues and distal normal bile duct matched with the tumors and therelationship of FXYD6protein expression with the clinical and pathological characteristicsof cholangiocarcinoma. Methods: We exmined the expression of FXYD6protein in72cholangiocarcinoma and distal normal duct matched with the tumors with Streptavidin-biotin complex (SABC) immunohistochemistry. And analysed the relationship ofFXYD6protein expression with the biological characteristics of cholangiocarcinoma wasalso analysed. Results: The positive expression rate of FXYD6was statistically higher incholangiocarcinoma than that in normal bile duct (69%vs33.3%, p=0.002). Furthermore,the positive expression rate of FXYD6in well and moderately differentiated cholangiocarcinoma was obvious higher than that in poorly differentiated and mucinouscholangiocarcinoma (85.7%vs40%, p=0.000). Its expression in normal bile duct was notrelated with the anatomic position (p=0.945). And there was no significant correlationbetween the expression of FXYD6in cholangiocarcinoma and gender (p=0.393), age(p=0.174), histological type (p=0.123), T stage (p=0.164), lymph node metastasis(p=0.343), perineural invasion (p=0.088), and tumor location (p=0.238). Conclustion:FXYD6might be a new biomarker of cholangiocarcinoma and associated with a favorableprognosis in the malignant disease.
引文
1. Nomoto K, Tsuneyama K, Cheng C, et al. Intrahepatic cholangiocarcinoma a rising incirrhotic liver frequently expressed p63-positive basal/stem-cell phenotype. Pathol ResPract,2006,202(2):71-76
    2. Komuta M, Spee B, Vander Borght S, et al. Clinicopathological study oncholan-giolocellular carcinoma suggesting hepatic progenitor cell origin. Hepatology,2008,47(5):1544-1556.
    3. Razumilava N, Gores GJ. Combination of gemcitabine and cisplatin for biliary tractcancer: a platform to build on[J]. J Hepatol,2011,54(3):577-578.
    4. DeOliveira ML, Cunningham SC, Cameron JL, et al. Cholangiocarcinoma:thirty-one-year experience with564patients at a single institution[J]. Ann Surg,2007,245(5):755-762.
    5. McLean L, Patel T. Racial and ethnic variations in the epidemiology of intrahepaticcholangiocarcinoma in the United States[J]. Liver Int,2006,26(9):1047-1053.
    6. Khan SA, Emadossadaty S, Ladep NG, et al. Rising trends in cholangiocarcinoma: isthe ICD classifi cation system misleading us?[J]. J Hepatol2012;56(4):848-854.
    7. Everhart JE, Ruhl CE. Burden of digestive diseases in the United States Part III: liver,biliary tract, and pancreas[J]. Gastroenterology,2009,136(4):1134-1144.
    8. Welzel TM, Mellemkjaer L, Gloria G, et al. Risk factors for intrahepaticcholangiocarcinoma in a low-risk population: a nationwide case-control study[J]. Int JCancer,2007,120(3):638-641.
    9. El-Serag HB, Engels EA, Landgren O, et al. Risk of hepatobiliary and pancreaticcancers after hepatitis C virus infection: a population-based study of U.S. veterans[J].Hepatology,2009,49(1):116-123.
    10. Lee TY, Lee SS, Jung SW, et al. Hepatitis B virus infection and intrahepaticcholangiocarcinoma in Korea: a case-control study[J]. Am J Gastroenterol2008,103(7):1716-1720.
    11. Zhou YM, Yin ZF, Yang JM, et al. Risk factors for intrahepatic cholangiocarcinoma: acase-control study in China[J]. World J Gastroenterol,2008,14(4):632-635.
    12. Chapman MH, Webster GJ, Bannoo S, et al. Cholangiocarcinoma and dominantstrictures in patients with primary sclerosing cholangitis: a25-year single-centreexperience[J]. Eur J Gastroenterol Hepatol,2012,24(9):1051-1058.
    13. Chapman R, Fevery J, Kalloo A, et al. Diagnosis and management of primarysclerosing cholangitis[J]. Hepatology,2010,51(2):660-678.
    14. Claessen MM, Vleggaar FP, Tytgat KM, et al. High lifetime risk of cancer in primarysclerosing cholangitis[J]. J Hepatol2009,50(1):158-164.
    15. Kaewpitoon N, Kaewpitoon SJ, Pengsaa P, et al. Opisthorchis viverrini: thecarcinogenic human liver fluke[J]. World J Gastroenterol,2008,14():666-674.
    16. Huang MH, Chen CH, Yen CM, et al. Relation of hepatolithiasis to helminthicinfestation[J]. J Gastroenterol Hepatol,2005,20(1):141-146.
    17. Tocchi A, Mazzoni G, Liotta G, et al. Late development of bile duct cancer in patientswho had biliary-enteric drainage for benign disease: a follow-up study of more than1000patients[J]. Ann Surg,2001,234(2):210-214.
    18. Kumagai S, Kurumatani N, Arimoto A, et al. Cholangiocarcinoma among offset colourproof printing workers exposed to1,2-dichloropropane and/or dichloromethane[J].Occup Environ Med,2013,70(7):508-510.
    19. Nakanuma Y, Sato Y, Harada K, et al. Pathological classification of intrahepaticcholangiocarcinoma based on a new concept[J]. World J Hepatol,2010,2(12):419-427.
    20. Blechacz B, Gores GJ. Cholangiocarcinoma: advances in pathogenesis, diagnosis, andtreatment[J]. Hepatology,2008,48(1):308-321.
    21. Marsh Rde W, Alonzo M, Bajaj, S, et al. Comprehensive review of the diagnosis andtreatment of biliary tract cancer2012. Part II: multidisciplinary managementa)[J]. J Surg Oncol,2012,106(3):339-345.
    22. Sirica AE. The role of cancer-associated myofibroblasts in intrahepaticcholangiocarcinoma[J]. Nat Rev Gastroenterol Hepatol,2011,9(1):44-54.
    23. Fingas CD, Bronk SF, Werneburg NW, et al. Myofibroblast-derived PDGF-BBpromotes Hedgehog survival signaling in cholangiocarcinoma cells[J]. Hepatology,2011,54(6):2076-2088.
    24. Sia D, Hoshida Y, Villanueva A, et al. Integrative molecular analysis of intrahepaticcholangiocarcinoma reveals2classes that have different outcomes[J].Gastroenterology,2013,144(4):829-840.
    25. Andersen JB, Spee B, Blechacz BR, et al. Genomic and genetic characterization ofcholangiocarcinoma identifies therapeutic targets for tyrosine kinase inhibitors[J].Gastroenterology,2012,142(4):1021-1031.
    26. Ong CK, Subimerb C, Pairojkul C, et al. Exome sequencing of liver fluke-associatedcholangiocarcinoma[J]. Nat Genet,2012,44(6):690-693.
    27. Chung JY, Hong SM, Choi BY, et al. The expression of phospho-AKT,phosphor-mTOR, and PTEN in extrahepatic cholangiocarcinoma[J]. Clin Cancer Res,2009,15(2):660-667.
    28. Gruenberger B, Schueller J, Heubrandtner U, et al. Cetuximab, gemcitabine, andoxaliplatin in patients with unresectable advanced or metastatic biliary tract cancer: aphase2study[J]. Lancet Oncol,2010,11(12):1142-1148.
    29. Shindo Y, Morishita K, Kotake E, et al. FXYD6, a Na,K-ATPase regulator, isexpressed in type II taste cells[J]. Biosci Biotechnol Biochem,2011,75(6):1061-1066.
    30.宋晓妍,李蔚,张景慧,等. FXYD6蛋白与口腔鳞癌关系的研究进展[J].中国冶金工业医学杂志,2012,29(6):643-644.
    31.张效东,周宁新,卢柏松,等.不同分化胆管癌差异表达基因的分离、克隆和功能研究[J].中华外科杂志,2002,40(5):399.
    32.肖梅,周宁新,高丽杰,等. RT-PCR法检测人fxyd6基因在胆管癌良恶性肿瘤的表达.肝胆外科杂志,2007,15(3):223-225.
    33.刘军桂,周宁新,夏洪天,等.胰腺癌中FXYD6蛋白的表达及临床意义.世界华人消化杂志,2008,16(5):540-543.
    34.李征,何剪太. FXYD6蛋白在鼻咽癌组织中的表达[J].中国耳鼻喉颅底外科杂志,2011,17(4):252-254,258.
    35.窦春青.人FXYD6蛋白多克隆抗体制备及FXYD6与胆管癌细胞增殖、侵袭关系的研究[D].中国人民解放军军医进修学院,2007.
    36. Liu J, Zhou NX, Zhang XD. A monoclonal antibody against human FXYD6.Hybridoma (Larchmt)[J].2011,30(5):487-490.
    1.陈雄飞,周宁新.离子通道相关蛋白FXYD6功能区的原核表达及纯化[J].山东医药,2010,50(51):4-6.
    2. Delprat B, Schaer D, Roy S, et al. FXYD6is a novel regulator of Na,K-ATPaseexpressed in the inner ear[J]. J Biol Chem,2007,282(10):7450-7456.
    3. Delprat B, Puel J L, Geering K. Dynamic expression of FXYD6in the inner earsuggests a role of the protein in endolymph homeostasis and neuronal activity [J]. DevDyn,2007,236(9):2534-2540.
    4. Pestov NB, Korneenko TV, Shakhparonov MI, et al. Postnatal regulation ofX,K-ATPases in rat skin and conserved lateroapical polarization of Na,K-ATPase invertebrate epidermis[J]. Exp Dermatol,2013,22(6):423-425.
    5. Yamaguchi F, Yamaguchi K, Tai Y, et al. Moleeular cloning and Charaterization of anovel phospholemman-like Protein from rat hippocampus[J]. Brain Res Mol Brain Res,2001,86(1-2):189-192.
    6. Tipsmark C K. Identification of FXYD protein genes in a teleost: tissue-specificexpression and response to salinity change[J]. Am J Physiol Regul Integr CompPhysiol,2008,294(4): R1367-R1378.
    7. Kadowaki K, Sugimoto K, Yamaguchi F, et al. Phosphohippolin expression in the ratcentral nervous system[J]. Mol Brain Res,2004,125:105-112.
    8. Shiina N, Yamaguchi K, Tokunaga M. RNG105deficiency impairs the dendriticlocalilocalization of mRNAs for Na+/K+ATPase subunit isoforms and leads to thedegeneration of neuronal networks [J]. J Neurosci,2010,30(38):12816-30.
    9. Biesemann C, Gronborg M, Luquet E, et al. Proteomic screening of glutamatergicmouse brain synaptosomes isolated by fluorescence activated sorting[J]. EMBO J,2014,33(2):157-170.
    10. Chen X, Sun M, Hu Y, et al. FXYD6is a new biomarker of cholangiocarcinoma[J].Oncol Lett,2014,7(2):393-398.
    11.刘军桂,周宁新,夏洪天,等.胰腺癌中FXYD6蛋白的表达及临床意义[J].世界华人消化杂志,2008,16(5):540-543.
    12.李征,何剪太. FXYD6蛋白在鼻咽癌组织中的表达[J].中国耳鼻喉颅底外科杂志,2011,17(4):252-254,258.
    13. Sweadner KJ, Rael, E. The FXYD gene family of small ion transport regulators orchannels: cDNA sequence, protein signature sequence, and expression[J]. Genomics,2000,68(1):41-56.
    14. Geering K. FXYD proteins: new regulators of Na-K-ATPase[J]. Am J Physiol RenalPhysiol,2006,290: F241-F250.
    15. Nam JS, Hirohashi S, Wakefield LM. Dysadherin: a new player in cancerprogression[J]. Cancer Lett,2007,255(2):161-169.
    16.朱振龙,张钰,杨艳红,等. FXYD3蛋白在胃腺癌中的表达及意义[J].肿瘤防治研究,2010,39(1):60-63.
    17. Maehata Y, Hirahashi M, Aishima S, et al. Significance of dysadherin and E-cadherinexpression in differentiated-type gastric carcinoma with submucosal invasion[J]. HumPathol,2011,42(4):558-667.
    18.马焕先,高丽杰,李崇辉,等. FXYD3蛋白在肝门部胆管癌组织的表达及临床意义[J].中华实验外科杂志,2012,29(4):669-670.
    19. Yamamoto H, Okumura K, Toshima S, et al. FXYD3protein involved in tumor cellproliferation is overproduced in human breast cancer tissues[J]. Biol Pharm Bull,2009,32(7):1148-1154.
    20. Lee YK, Lee SY, Park JR, et a1. Dysadherin expression promotes the motility andsurvival of human breast cancer cells by Akt activation[J]. Cancer Sci,2012,21(1):56-58.
    21. Schuler Y, Lee-Thedieck C, Geiger K, et al. Osteoblast-secreted factors enhance theexpression of dysadherin and CCL2-dependent migration of renal carcinoma cells[J].Int J Cancer,2012,130(2):288-299.
    22.吴艳,傅芬. FXYD5(dysadherin)蛋白与肿瘤研究进展[J].重庆医学,2013,42(17):2022-2024.
    23. Nam JS, Hirohashi S, Wakefield LM. Dysadherin: a new player in cancerprogression[J]. Cancer Lett,2007,255(2):161-169.
    24.万涛,周宁新,徐东刚.胆管癌相关FXYD6基因功能区在大肠埃希菌表达的初步研究[J].东南国防医学,2010,12(4):289-292.
    25. Jin L, Zhao W, Ma L, Prokaryotic expression, purification, and production ofglutathione S-transferase-tagged neural stem cell specific peptides from phage displayscreening. Protein Pep Lett,2013,20(2):165-172.
    26.李晓娟.肝片吸虫重组GST、CatL蛋白及DNA核酸联合免疫初步研究:[硕士学位论文].黑龙江八一农业大学,2009.
    27.江松敏,李军,孙庆文.蛋白质组学[M].军事医学科学出版社.2010,250-292.
    28.华子春,等.蛋白质高效表达技术[M].化学工业出版社.2011,2-4.
    1. Delprat B, Schaer D, Roy S,et al. FXYD6is a novel regulator of Na,K-ATPaseexpressed in the inner ear[J]. J Biol Chem,2007,282(10):7450-7456.
    2. Li C, Grosdidier A, Crambert G, et al. Structural and functional interaction sitesbetween Na+-K+-ATPase and FXYD proteins[J]. J Bio Chem,2004,279(37):38895-38902.
    3. Kadowaki K, Sugimoto K, Yamaguchi F, et al. Phosphohippolin expression in the ratcentral nervous system[J]. Mol Brain Res,2004,125(1-2):105-112.
    4. Shiina N, Yamaguchi K, Tokunaga M. RNG105deficiency impairs thedendriticlocalilocalization of mRNAs for Na+/K+ATPase subunit isoforms and leadsto the degeneration of neuronal networks [J]. J Neurosci,2010,30(38):12816-12830.
    5. Biesemann C, Gronborg M, Luquet E, et al. Proteomic screening of glutamatergicmouse brain synaptosomes isolated by fluorescence activated sorting[J]. EMBO J,2014,33(2):157-170.
    6.窦春青,岳鑫,周宁新. hFXYD6反义核酸对胆管癌细胞体外增殖和侵袭能力的影响.世界华人消化杂志[J],2007,15(10):929-935.
    7.刘军桂,周宁新,张效东. FXYD6shRNA表达载体的构建及其在体外对胰腺癌细胞增殖的影响[J].生物技术通迅,2009,20(4):458-461.
    8.任师颜. hFXYD6蛋白在肝癌组织中的表达及hFXYD6抗体对HepG2细胞生长的影响机制:[博士学位论文].中国人民解放军军医进修学院,2009.
    9.李征,何剪太. FXYD6蛋白在鼻咽癌组织中的表达[J].中国耳鼻喉颅底外科杂志,2011,17(4):252-254,258.
    10.窦春青.人FXYD6蛋白多克隆抗体制备及FXYD6与胆管癌细胞增殖、侵袭关系的研究:[博士学位论文].中国人民解放军军医进修学院,2007.
    11. Liu J, Zhou NX, Zhang XD. A monoclonal antibody against human FXYD6.Hybridoma (Larchmt)[J].2011,30(5):487-490.
    12.陈雄飞.离子通道相关蛋白FXYD6的真核表达和功能区的原核表达及纯化:[硕士学位论文].辽宁医学院.2011.
    13.武楠,周丹秋,等.小鼠脾内免疫法制备重组弓形虫SAGI抗原单克隆抗体[J].复旦学报:医学版,2010,37(2):184-188.
    14. Kohler G, Milstein C. Continuous cultures of fused cells secreting antibody ofpredefined specificity[J]. Nature,1975,256(5517):495-497.
    15.许慧,倪安平.单克隆抗体及基因工程抗体在医学诊断上的应用[J].中华检验医学杂志,2005,28(6):669-672.
    16.任瑞敏,王云龙,张怡青,等.利用改良后的脾内免疫和半固体培养基法制备单克隆抗体[J].生物技术通报,2013,8:166-169.
    17. Wognum B, Lee T. Simulataneous cloning and selection of hybridomas and transfectedcell lines in semisolid media[J]. Methods Mol Bio,2013,946:133-149.
    18. Xing JZ, Yang X, Xu P, et al. Ultrasound-enhanced monoclonal antibody production[J].Ultrasound Med Biol,2012,38(11):1949-1957.
    19.马焕先.抗人FXYD3单克隆抗体的制备应用及蓖麻麻素细胞毒作用的实验研究:[博士学位论文].中国人民解放军军医进修学院,2008.
    1. Nakanuma Y, Sato Y, Harada K, et al. Pathological classification of intrahepaticcholangiocarcinoma based on a new concept[J]. World J Hepatol,2010,2(12):419-427.
    2. Blechacz B, Gores GJ. Cholangiocarcinoma: advances in pathogenesis, diagnosis, andtreatment[J]. Hepatology,2008,48(1):308-321.
    3. Ramírez-Merino N, Aix SP, Cortés-Funes H. Chemotherapy for cholangiocarcinoma[J]. World J Gastrointest Oncol,2013,5(7):171-176.
    4.肖梅,周宁新,高丽杰,等.RT-PCR法检测人fxyd6基因在胆管癌良恶性肿瘤的表达.肝胆外科杂志[J],2007,15(3):223-225.
    5.肖梅,周宁新,高丽杰,等.半定量检测胆管癌组织中人fxyd6基因的表达[J].中国普外基础与临床杂志,2008,15(2):83-87.
    6. Khan SA, Davidson BR, Goldin RD, et al: Guidelines for the diagnosis and treatmentof cholangiocarcinoma: an update [J]. Gut,2012,61(12):1657-1669.
    7. Briggs CD, Neal CP, Mann CD, et al: Prognostic molecular markers incholangiocarcinoma: a systematic review [J]. Eur J Cancer,2009,45(1):33-47.
    8. Sweadner KJ, Rael E. The FXYD gene family of small ion transport regulators orchannels: cDNA sequence, protein signature sequence, and expression[J]. Genomics,2000,68(1):41-56.
    9. Yamamoto H, Okumura K, Toshima S, et al. FXYD3Protein Involved in Tumor CellProliferation Is Overproduced in Human Breast Cancer Tissues[J]. Biol Pharm Bull,2009,32(7):1148-1154.
    10. Kayed H, Kleeff J, Kolb A, et al. FXYD3is over-expressed in pancreatic ductaladenocarcinoma and influences pancreatic cancer cell growth[J]. Int J Cancer,118(1):43-54.
    11. Zhu ZL, Zhao ZR, Zhang Y, et al. Expression and significance of FXYD-3protein ingastric adenocarcinoma [J]. Dis Markers,2010,28(2):63-69.
    12. Wang MW, GuP, Zhang ZY, et al. FXYD3expression in gliomas and itsclinicopathological significance[J]. Oncol Res,2009,18(4):133-139.
    13. Zhang Z, Pang ST, Kasper KA, et al. FXYD3: A Promising Biomarker for UrothelialCarcinoma[J]. Biomark Insights,2011,6:17-26.
    14. Okudela K, Yazawa T, Ishii J, et al. Down-regulation of FXYD3expression in humanlung cancers: its mechanism and potential role in carcinogenesis[J]. Am J Pathol,2009,175(6):2646-2656.
    15. Meding S, Balluff B, Elsner M, et al. Tissue-based proteomics reveals FXYD3,S100A11and GSTM3as novel markers for regional lymph node metastasis in coloncancer[J]. J Pathol,2012.[Epub ahead of print].
    16. Maehata Y, Hirahashi M, Aishima S, et al. Significance of dysadherin and E-cadherinexpression in differentiated-type gastric carcinoma with submucosal invasion. HumPathol[J].2011,42(4):558-667.
    17. Liang JF, Zheng HX, Xiao H, et al. Dysadherin expression in gastrointestinal stromaltumors (GISTs)[J]. Pathol Res Pract,2009,205(7):445-450.
    18. Muramatsu H, Akimoto T, Maebayashi K, et al. Prognostic significance of dysadherinand E-cadherin expression in patients with head and neck cancer treated by radiationtherapy[J]. Anticancer Res,2008,28(6B):3859-3864.
    19. Olstad OK, Gautvik VT, Reppe S, et al. Molecular heterogeneity in humanosteosarcoma demonstrated by enriched mRNAs isolated by directional tag PCRsubtraction cloning[J]. Anticancer Res,2003,23(3B):2201-2216.
    20.张效东,周宁新,卢柏松,等.不同分化胆管癌差异表达基因的分离、克隆和功能研究.中华外科杂志[J].2002,40(5):399.
    21.窦春青,岳鑫,周宁新. hFXYD6反义核酸对胆管癌细胞体外增殖和侵袭能力的影响.世界华人消化杂志[J].2007,15(10):929-935.
    22.刘军桂,周宁新,夏洪天,等.胰腺癌中FXYD6蛋白的表达及临床意义[J].世界华人消化杂志,2008,16(5):540-543.
    23.李征,何剪太. FXYD6蛋白在鼻咽癌组织中的表达[J].中国耳鼻喉颅底外科杂志,2011,17(4):252-254,258.
    24. DeOliveira ML, Cunningham SC, Cameron JL, et a1. Cholangiocarcinoma: thirty-one-year experience with564patients at a single institution[J]. Ann Surg,2007,245(5):755-762.
    25.帕尔哈提·阿布都热衣木,热合曼·衣明,莫提瓦尔·艾买尔,等.58例肝外胆管癌的临床治疗及预后因素分析[J].中国现代手术学杂志,2013,17(3):171-176.
    26. Nakanuma Y, Sato Y, Harada K, et al. Pathological classification of intrahepatic cho-langiocarcinoma based on a new concept[J]. World J Hepatol2010,2(12):419-27.
    27. Lu X, Pan J, Li S, et al. Establishment of a predictive genetic model for estimatingchemotherapy sensitivity of colorectal cancer with synchronous liver metastasis[J].Cancer Biother Radiopharm,2013,28(7):552-558.
    28. Liebig, C, Ayala G, Wilks JA, et al. Perineural invasion in cancer: a review of theliterature. Cancer,2009,115(15):3379-3391.
    29. Marchesi, F, Piemonti, L, Mantovani, A, et al. Molecular mechanisms of perineuralinvasion, a forgotten pathway of dissemination and metastasis[J]. Cytokine GrowthFactor Rev,2010,21(1):77-82.
    30. Shirai, K, Ebata T, Oda K,et al. Perineural invasion is a prognostic factor inintrahepatic cholangiocarcinoma. World J Surg,2008,32(11):2395-2402.
    31. Su CH, Tsay SH, Wu CC, et al. Factors influencing postoperative morbidity, mortality,and survival after resection for hilar cholangiocarcinoma[J]. Ann Surg,1996,223(4):384-394.
    32. Nagakawa T, Kayahara M, Ueno K, et al. A clinicopathologic study on neural invasionin cancer of the pancreatic head[J]. Cancer,1992,69(4):930-935.
    33. Murakawa K, Tada M, Takada M, et al. Prediction of lymph node metastasis andperineural invasion of biliary tract cancer by selected features from cDNA array data. JSurg Res2004,122(2):184-194.
    34. Liu XF, Zhou XT, Zou SQ. An analysis of680cases of cholangiocarcinoma from8hospitals[J]. Hepatobiliary Pancreat Dis Int,2005,4(4):585-588.
    35. Kadowaki K, Sugimoto K, Yamaguchi F, et al. Phosphohippolin expression in the ratcentral nervous system[J]. Mol Brain Res,2004,125(1-2):105-112.
    36. Biesemann C, Gronborg M, Luquet E, et al. Proteomic screening of glutamatergicmouse brain synaptosomes isolated by fluorescence activated sorting[J]. EMBO J,2014,33(2):157-170.
    37. Iwata Y, Yamada K, Iwayama Y, et al. Failure to confirm genetic association of theFXYD6gene with schizophrenia: the Japanese population and meta-analysis[J]. Am JMed Genet B Neuropsychiatr Genet,2010,153B(6):1221-1227.
    38. Zhang J, Che R, Li X, et al. No association between the FXYD6gene andschizophrenia in the Chinese Han population[J]. J Psychiatr Res,2010,44(6):409-412.
    39. Zhong N, Zhang R, Qiu C, et al. A novel replicated association between FXYD6geneand schizophrenia [J]. Biochem Biophys Res Commun,2011,405(1):118-121.
    40.焦李子,王彬,牛晓蓉,等. FXYD6基因遗传多态性在精神分裂症患者核心家系中的传递不平衡检验[J].中华医学遗传学杂志,2011,28(5):539-542.
    41. Delprat B, Schaer D, Roy S, et al. FXYD6is a novel regulator of Na,K-ATPaseexpressed in the inner ear. J Biol Chem[J],2007,282(10):7450-7456.
    42. Shindo Y, Morishita K, Kotake E, et al. FXYD6, a Na,K-ATPase regulator, isexpressed in type II taste cells[J]. Biosci Biotechnol Biochem,2011,75(6):1061-1066.
    43. Tummala R, Wolle D, Barwe SP, et al. Expression of Na,K-ATPase-beta(1) subunitincreases uptake and sensitizes carcinoma cells to oxaliplatin[J]. Cancer ChemotherPharmacol,2009,64(6):1187-1194.
    44. Rajasekaran A, Huynh TP, Wolle DG, et al. Na,K-ATPase subunits as markers forepithelial-mesenchymal transition in cancer and fibrosis[J]. Mol Cancer Ther,2010,9(6):1515-1524.
    1. Geering K. FXYD proteins: new regulators of Na-K-ATPase[J]. Am J PhysiolRenalPhysiol.2006,290: F241-F250.
    2. Yamaguchi F, Yamaguchi K, Tai Y, et al. Moleeular cloning and Charaterization of anovel phospholemman-like Protein from rat hippocampus[J]. Brain Res Mol BrainRes,2001,86(1-2):189-192.
    3. Kadowaki K, Sugimoto K, Yamaguchi F, et al. Phosphohippolin expression in the ratcentral nervous system[J]. Brain Res Mol Brain Res,2004,125(1-2):105-112.
    4. Maeda N, Onimura M, Ohmoto M, et al. Spatial differences in molecularcharacteristics of the pontine parabrachial nucleus[J]. Brain Res,2009,1296:24-34.
    5. Delprat B, Schaer D, Roy S, Wang J, et al. FXYD6is a novel regulator ofNa,K-ATPase expressed in the inner ear[J]. J Biol Chem,2007,282(10):7450-7456.
    6. Delprat B, Puel JL, Geering K. Dynamic expression of FXYD6in the inner earsuggests a role of the protein in endolymph homeostasis and neuronal activity[J]. DevDyn,2007,236(9):2534-2540.
    7. Miyashita T, Akiyama K, Inamoto R, et al. Presence of FXYD6in the endolymphaticsac epithelia[J]. Neurosci Lett,2012,513(1):47-50.
    8. Shindo Y, Morishita K, Kotake E, et al. FXYD6, a Na,K-ATPase regulator, isexpressed in type II taste cells[J]. Biosci Biotechnol Biochem,2011,75(6):1061-1066.
    9. Tipsmark C K. Identification of FXYD protein genes in a teleost: tissue-specificexpression and response to salinity change[J]. Am J Physiol Regul Integr CompPhysiol,2008,294(4): R1367-R1378.
    10. Mallick B N, Singh S, Singh A. Mechanism of noradrenaline-induced stimulation ofNa-K ATPase activity in the brain: implications on REM sleep deprivation-indu-cedincrease in brain excitability[J]. Mol Cell Biochem,2010,336(1-2):13-16.
    11. Vandenbeuch A, Kinnamon SC. Why do taste cells generate action potentials?[J]. JBiol,2009,8(4):42.
    12. Lewis C M, Levinson D F, Wise L H, et al. Genome scan meta-analysis ofshizophrenia and bipolar disorder, part II: schizophrenia[J]. Am J Hum Genet,2003,73(1):34-48.
    13. Choudhury K, McQuillin A, Puri V, et al. A genetic association study of chromosome11q22-24in two different samples implicates the FXYD6gene, encodingphosphohippolin, in susceptibility to schizophrenia[J]. Am J Hum Genet,2007,80(4):664-672.
    14. Ito Y, Nakamura Y, Takahashi N, et al. A genetic association study of the FXYDdomain containing ion transport regulator6(FXYD6) gene, encodingphosphohippolin, in susceptibility to schizophrenia in a Japanese population[J].Neurosci Lett,2008,438(1):70-75.
    15. Iwata Y, Yamada K, Iwayama Y, et al. Failure to confirm genetic association of theFXYD6gene with schizophrenia: the Japanese population and meta-analysis[J]. Am JMed Genet B Neuropsychiatr Genet,2010,153B(6):1221-1227.
    16. Zhang J, Che R, Li X, et al. No association between the FXYD6gene andschizophrenia in the Chinese Han population[J]. J Psychiatr Res,2010,44(6):409-412.
    17. Zhong N, Zhang R, Qiu C, et al. A novel replicated association between FXYD6geneand schizophrenia[J]. Biochem Biophys Res Commun,2011,405(1):118-121.
    18.焦李子,王彬,牛晓蓉,等. FXYD6基因遗传多态性在精神分裂症患者核心家系中的传递不平衡检验[J].中华医学遗传学杂志,2011,28(5):539-542.
    19. Yamamoto H, Okumura K, Toshima S, et al. FXYD3protein involved in tumor cellproliferation is overproduced in human breast cancer tissues[J]. Biol Pharm Bull,2009,32(7):1148-1154.
    20. Zhang Z, Pang ST, Kasper KA, et al. FXYD3: A promising biomarker for urothelialcarcinoma[J]. Biomark Insights,2011,6:17-26.
    21. Zhu ZL, Zhao ZR, Zhang Y, et al. Expression and significance of FXYD3protein ingastric adenocarcinoma[J]. Dis Markers,2010,28(2):63-69.
    22. Okudela K, Yazawa T, Ishii J, et al. Down-regulation of FXYD3expression in humanlung cancers: its mechanism and potential role in carcinogenesis[J]. Am J Pathol,175(6):2009,2646-2656.
    23. Maehata Y, Hirahashi M, Aishima S, et al. Significance of dysadherin and E-cadherinexpression in differentiated-type gastric carcinoma with submucosal invasion. HumPathol[J],2011,42(4):558-667.
    24. Liang J F, Zheng HX, Xiao H, et al. Dysadherin expression in gastrointestinal stromaltumors (GISTs)[J]. Pathol Res Pract,2009,205(7):445-450.
    25. Muramatsu H, Akimoto T, Maebayashi K, et al. Prognostic significance of dysadherinand E-cadherin expression in patients with head and neck cancer treated by radiationtherapy[J]. Anticancer Res,2008,28(6B):3859-3864.
    26.肖梅,周宁新,高丽杰,等.半定量检测胆管癌组织中人fxyd6基因的表达[J].中国普外基础与临床杂志,2008,15(2):83-87.
    27.肖梅,周宁新,高丽杰,等. RT-PCR法检测人fxyd6基因在胆管癌良恶性肿瘤的表达[J].肝胆外科杂志,2007,15(3):223-225.
    28.窦春青,岳鑫,周宁新. hFXYD6反义核酸对胆管癌细胞体外增殖和侵袭能力的影响[J].世界华人消化杂志,2007,15(10):929-935.
    29. Liu, J, Zhou N, Zhang X. A Monoclonal Antibody Against Human FXYD6[J].Hybridoma (Larchmt),2011,30(5):487-90.
    30.刘军桂,周宁新,夏洪天,等.胰腺癌中FXYD6蛋白的表达及临床意义[J].世界华人消化杂志,2008,16(5):540-543.
    31.刘军桂,周宁新,张效东. FXYD6shRNA表达载体的构建及其在体外对胰腺癌细胞增殖的影响[J].生物技术通迅,2009,20(4):458-461.
    32.李征,何剪太. FXYD6蛋白在鼻咽癌组织中的表达[J].中国耳鼻喉颅底外科杂志,2011,17(4):252-254,258.
    33. Rajasekaran A, Huynh TP, Wolle DG, et al. Na,K-ATPase subunits as markers forepithelial-mesenchymal transition in cancer and fibrosis[J]. Mol Cancer Ther,2010,9(6):1515-1524.
    34. Tummala R, Wolle D, Barwe SP, et al. Expression of Na,K-ATPase-beta(1) subunitincreases uptake and sensitizes carcinoma cells to oxaliplatin[J]. Cancer ChemotherPharmacol,2009,64(6):1187-1194.
    35. Shen FZ, Zhang BY, Feng YJ, et al. Current research in perineural invasion ofcholangiocarcinoma[J]. J Exp Clin Cancer Res.2010,29:24.
    36. Bapat AA, Hostetter G, Von Hoff DD, et al. Perineural invasion and associated pain inpancreatic cancer[J]. Nat Rev Cancer,2011,11(10):695-707.
    37. Shiina N, Yamaguchi K, Tokunaga M. RNG105deficiency impairs the dendriticlocalilocalization of mRNAs for Na+/K+ATPase subunit isoforms and leads to thedegeneration of neuronal networks[J]. J Neurosci,2010,30(38):12816-12830.
    38. Biesemann C, Gronborg M, Luquet E, et al. Proteomic screening of glutamatergicmouse brain synaptosomes isolated by fluorescence activated sorting[J]. EMBO J,2014,33(2):157-170.
    1. Everhart JE, Ruhl CE. Burden of digestive diseases in the United States Part III: liver,biliary tract, and pancreas[J]. Gastroenterology,2009,136(4):1134-1144.
    2. Marsh Rde W, Alonzo M, Bajaj S, et al. Comprehensive review of the diagnosis andtreatment of biliary tract cancer2012. Part II: multidisciplinary management[J].J SurgOncol,106(3):339-345.
    3. LaFemina J, Jarnagin WR. Surgical management of proximal bile duct cancers[J].Langenbecks Arch Surg,2012,397(6):869-879.
    4. Pitt HA, Nakeeb A, Abrams RA, et al. Perihilar cholangiocarcinoma postoperativeradiotherapy does not improve survival[J]. Ann Surg,1995,221(6):788-97.
    5. Vern-Gross TZ, Shivnani AT, Chen K, et al. Survival outcomes in resectedextrahepatic cholangiocarcinoma: effect of adjuvant radiotherapy in a surveillance,epidemiology, and end results analysis[J]. Int J Radiat Oncol Biol Phys,2011,81(1):189-198.
    6. Heron DE, Stein DE, Eschelman DJ, et al. Cholangiocarcinoma: the impact of tumorlocation and treatment strategy on outcome[J]. Am J Clin Oncol,2003,26(4):422-428.
    7. Shinohara ET, Mitra N, Guo M, et al. Radiotherapy is associated with improvedsurvival in adjuvant and palliative treatment of extrahepatic cholangiocarcinomas[J].Int J Radiat Oncol Biol Phys,2009,74(4):1191-1198.
    8. Schoenthaler R, Phillips TL, Castro J, et al. Carcinoma of the extrahepatic bile ducts.The University of California at San Francisco experience[J]. Ann Surg1994,219(3):267-274.
    9. Cheng Q, Luo X, Zhang B, et al. Predictive factors for prognosis of hilarcholangiocarcinoma: post-resection radiotherapy improves survival[J]. Eur J SurgOncol,2007,33(2):202-207.
    10. Gwak HK, Kim WC, Kim HJ, et al. Extrahepatic bile duct cancer surgery alone versussurgery plus postoperative radiation therapy[J].2010,78(1):194-198.
    11. Goethals L, Haustermans K, Perneel C, et al. Chemo-radiotherapy versus radiotherapyalone in the pre-operative treatment of resectable rectal cancer[J]. Eur J, Surg, Oncol,2005,31(9):969-976.
    12. An HJ, Yu CS, Yun SC, et al. Adiuvant chemotherapy with or without pelvicradiotherapy after simultaneous surgical resection of rectal cancer with livermetastases: analysis of prognosis and patterns of recurrence[J]. Int J Radiat Oncol,2012,84(1):73-80.
    13.李宁,金晶,李晔雄,等.局部不可手术切除或复发直肠癌放疗同步羟基树碱I期临床研究[J].中华放射肿瘤学杂志,2012,21(4):348-351.
    14. Nakeeb A, Tran KQ, Black MJ, et al. Improved survival in resected biliarymalignancies[J]. Surgery,2002,132(4):555–563.
    15. Kim K, Chie EK, Jang JY, et al. Adjuvant chemoradiotherapy after curative resectionfor extrahepatic bile duct cancer: a long-term single center experience[J]. Am J ClinOncol,2012,35(2):136-140.
    16. Hughes MA, Frassica DA,Yeo CJ, et al. Adjuvant concurrent chemo-radiation foradenocarcinoma of the distal common bile duct[J]. Int J Radiat Oncol Biol Phys2007,68(1):178–182.
    17. Borghero Y, Crane CH, Szklaruk J, et al. Extrahepatic bile duct adenocarcinoma:patients at high-risk for local recurrence treated with surgery and adjuvantchemoradiation have an equivalent overall survival to patients with standard-risktreated with surgery alone[J]. Ann Surg Oncol,2008,15(11):3137-3156.
    18. Kim TH, Han SS, Park SJ, et al. Role of adjuvant chemoradiotherapy for resectedextrahepatic biliary tract cancer[J]. Int J Radiat Oncol Biol Phys,2011,81(5):853-859.
    19. Gores GJ, Murad SD, Heimbach JK, et al. Liver transplantation for perihilarcholangiocarcinoma[J]. Dig Dis,2013,31(1):126-129.
    20. Rea DJ, Heimbach JK, Rosen CB, et al. Liver transplantation with neoadjuvantchemoradiation is more effective than resection for hilar cholangiocarcinoma[J]. AnnSurg,2005,242(3):451–458.
    21.郑爱青,于金明,徐瑾,等.立体定向适形放疗剂量对晚期胆管癌的治疗疗效分析的影响[J].中国癌症杂志,2004,14(4):339-441.
    22. Czito BG, Anscher MS, Wilett CG. Radiation therapy in the treatment ofcholangiocarcinoma[J]. Oncology(Williston Park),2006,20(8):873-884.
    23. Shin HS, Seong J, Kim WC, et al. Combination of external beam irradiation andhigh-dose rate intraluminal brachytherapy for inoperable carcinoma of the extrahepaticbile ducts[J]. Int J Radiat Oncol Biol Phys,2003,57(1):105-112.
    24. Ghafoori AP, Nelson JW, Willett CG, et al. Radiotherapy in the treatment of patientswith unresectable extrahepatic cholangiocarcinoma[J]. Int J Radiat Oncol Biol Phys,2011,81(3):654-659.
    25. Chan SY, Poon RT, Ng KK, et al. Long-term survival after intraluminal brachytherapyfor inoperable hilar cholangiocarcinoma: a case report[J]. World J Gastroenterol.2005,11(20):3161-3164.
    26. Isayama H, Tsujino T, Nakai Y, et al. Clinical benefit of radiation therapy and metallicstenting for unresectable hilar cholangiocarcinoma[J]. World J Gastroenterol,2012,18(19):2364-2370.
    27. Sangchan A, Kongkasame W, Pugkhem A, et al. efficacy of metal and plastic stents inunresectable complex hilar cholangiocarcinoma: a randomized controlled trial[J].Gastrointest Endosc,2012,76(1):93-99.
    28. Kose F, Oguzkurt L, Besen A, et al. Effectiveness of percutaneous metal stentplacement in cholangiocarcinoma patients with midterm follow-up: single centerexperience[J]. Eur J Radiol,2012,81(8):1724-1727.
    29.王刚,钟红姗,王洪新,等. PTCD联合胆道支架置入术治疗恶性梗阻性黄疸39例临床疗效分析[J].中国普外基础与临床,2013,20(12):1417-1420.
    30. Bruha R, Petrtyl J, Kubecova M, et al. Intraluminal brachytherapy and self-expandablestents in non-resectable biliary malignancies-the question of long-term palliation[J].Hepatogastroenterology,2001,48(39):631–637.
    31. Chen Y, Wang XL, Yan ZP, et al. HDR-192Ir intraluminal brachytherapy in treatment ofmalignant obstructive jaundice[J]. World J Gastroenterol,2004,10(23):3506–3510.
    32. Valek V, Kysela P, Kala Z, Kiss I, et al. Brachytherapy and percutaneous stenting inthe treatment of cholangiocarcinoma: a prospective randomised study[J]. Eur J Radiol,2007,62(2):175-179.
    33. Zhu HD, Guo JH, Zhu GY, et al. A novel biliary stent loaded with125I seeds inpatients with malignant biliary obstruction: Preliminary results versus a conventionalbiliary stent[J]. J Hepotal,2012,56(5):1104-1111.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700