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CADM1与DAL-1/4.1B在大肠癌中的表达及临床意义
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摘要
目的:研究CADM1和DAL-1/4.1B两种抑癌基因在大肠癌中的表达并分析两者之间及其与大肠癌各临床病理参数之间的关系,探讨CADM1和DAL-1/4.1B在大肠癌发生发展中的作用,为大肠癌的基因治疗提出新的思路。
     方法:应用免疫组织化学(SABC法)检测30例大肠癌组织,10例大肠腺瘤组织,30例正常大肠组织中CADM1和DAL-1/4.1B两种抑癌基因的表达;应用Western-Blot法检测30例大肠癌组织,10例大肠腺瘤组织,30例正常大肠组织中CADM1及DAL-1/4.1B的表达,以图象分析软件进行半定量测定。
     结果:大肠癌组织与大肠腺瘤组织、正常对照组织中CADM1和DAL-1/4.1B表达阳性率差异有统计学意义(23.33%/26.67%Vs70.00%/70.00%、23.33%/26.67%Vs 86.67%/83.33% P<0.05),Western-blot条带经图象分析软件测得大肠癌组织CADM1和DAL-1/4.1B吸光度与β-actin吸光度比值均显著低于大肠腺瘤、正常对照组织(0.229±0.053/0.223±0.052 Vs 0.299±0.068/0.291±0.066、0.229±0.053/0.223±0.052 Vs 0.418±0.081 /0.333±0.061, P<0.05)。CADM1和DAL-1/4.1B的表达部位和染色强度相似,半定量分析也显示两者呈正相关(r=0.710, P<0.05)。CADM1和DAL-1/4.1B的表达与大肠癌患者肿瘤分化程度、年龄、性别未见相关(P>0.05),而两者在Dukes分期C+D中的表达阳性率低于Dukes分期A+B差异有统计学意义(P<0.05)。
     结论:大肠癌中CADMl和DAL-1/4.1B基因均呈现失活和蛋白表达下调,CADM1与DAL-1/4.1B通过相互作用共同发挥其肿瘤抑制作用并参与大肠癌的发生、发展。
Aims:To investigate the expression and clinicpathological significance of CADM1 and DAL-1/4.1B proteins in colorectal carcinoma,colorectal adenoma and normal colorectal mucosa specimens and its possible implications.
     Methods: Immumohistochemical staining was performed to detect the expression of CADM1 and DAL-1/4.1B proteins in 30 cases of colorectal carcinoma tissues, 10 cases of colorectal adenoma tissues, and 30 cases of normal colorectal mucosa tissues.Western-blot was used to measure the protein expression of CADM1 and DAL-1/4.1B in 30 cases of colorectal cancer tissues, 10 cases of colorectal adenoma tissues, and 30 cases of normal colorectal mucosa tissues.Semi-determination was performed by image analysis software.
     Results:The positive rate of CADM1 and DAL-1/4.1B showed downward trends in cancer tissues, colorectal adenoma tissues and normal control. Positive rate of CADM1 and DAL-1/4.1B was 23.33%/26.67% in cancer tissues, and 70%/70% in colorectal adenoma tissues, 86.67%/83.33% in normal control. The Western-blot band shows that the gray level of CADM1 and DAL-1/4.1B in cancer tissues is significantly lower than in colorectal adenoma tissues and normal control(0.229±0.053/0.223±0.052 Vs 0.299±0.068/0.291±0.066、0.229±0.053/0.223±0.052 Vs 0.418±0.081 /0.333±0.061, P<0.05). Expression and location of CADM1 protein were parallel and relevant with the expression of DAL-1/4.1B , the immunoreactive intensity of the two proteins was similar. Semiquantitative analysis showed that there was a positive correlation between the expression of CADM1 and DAL-1/4.1B(r=0.710, P<0.05). No relationship was found between expression of CADM1 and DAL-1/4.1B in age or histological differentiation and gender(P>0.05). But expression of CADM1 in Dukes stage C+D group was much lowher than Dukes stage A+B group (P<0.05).
     Conclusions: Downregulation of CADM1 and DAL-1/4.1B proteins expression are exist in colorectal carcinoma. The inactivation of CADM1 and DAL-1/4.1B cause the growth and development of colorectal carcinoma. CADM1 and DAL-1/4.1B are interact with eachother through this progress.
引文
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