结直肠腺癌、腺瘤组织及正常组织中黑色素瘤缺乏因子2表达差异的研究
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  • 英文篇名:The differences of AIM2 expression in normal colorectal tissue,adenoma and adenocarcinoma
  • 作者:陈名明 ; 漆家康 ; 罗斌 ; 李佶松 ; 王康
  • 英文作者:CHEN Ming-ming;QI Jia-kang;LUO Bing;LI Ji-song;WANG Kang;Southwest Medical University;Department of General surgery,Sichuan Academy of Medical Sciences & Sichuan Province People's Hospital;
  • 关键词:黑色素瘤缺乏因子2 ; 结直肠癌 ; 结直肠腺瘤 ; 临床病理
  • 英文关键词:Absent in melanoma2;;Colorectal cancer;;Colorectal adenoma;;Clinical pathology
  • 中文刊名:YYLC
  • 英文刊名:Practical Journal of Clinical Medicine
  • 机构:西南医科大学;四川医学科学院·四川省人民医院普外科;
  • 出版日期:2019-03-01
  • 出版单位:实用医院临床杂志
  • 年:2019
  • 期:v.16
  • 语种:中文;
  • 页:YYLC201902047
  • 页数:3
  • CN:02
  • ISSN:51-1669/R
  • 分类号:158-160
摘要
目的通过免疫组化方法比较结直肠癌患者的癌组织、腺瘤组织、癌旁正常组织及单纯结直肠腺瘤患者的腺瘤组织中黑色素瘤缺乏因子2(AIM2)基因的表达差异。方法收集结直肠癌合并肠道息肉的患者,每例患者手术切除标本中均同时有腺癌病灶及独立的腺瘤病灶。同时收集单纯结直肠腺瘤患者,均通过门诊内镜或外科手术获取腺瘤组织标本。对样本进行AIM2蛋白免疫组化染色(En Vision法),对比分析不同的样本组织间AIM2表达情况。结果研究纳入的52例腺癌合并腺瘤的结直肠癌患者,获取癌组织、腺瘤组织及癌旁正常组织标本各52份,纳入78例结直肠腺瘤患者,获取单纯腺瘤标本78例。秩和检验发现,AIM2基因的表达情况,结直肠癌患者的正常组织中最强(秩均值151. 37),单纯结直肠腺瘤患者的腺瘤组织次之(秩均值121. 88),结直肠癌患者的腺瘤组织再次之(秩均值103. 11),结直肠癌患者的癌组织中AIM2表达最弱(秩均值91. 45),差异有统计学意义(χ~2=26. 048,P <0. 01)。结论 AIM2在正常组织、腺瘤组织、腺癌组织中的表达逐步下调,提示AIM2可能是一种抑癌基因,它的缺失,可能导致结直肠肿瘤的发生及进展。
        Objective To compare the expression of absent in melanoma2( AIM2) gene in cancer tissues,adenoma tissues,adjacent normal tissues and colorectal adenomas by immunohistochemistry.Methods Patients with colorectal cancer and intestinal polyps were enrolled.Each patient had an adenocarcinoma lesion and an independent adenoma lesion in the surgical resection specimen.At the same time,patients with simple colorectal adenoma were collected,and adenoma tissue specimens were obtained by outpatient endoscopy or surgery.Immunohistochemical staining( En Vision method) of AIM2 protein was performed and the expression of AIM2 in different samples was compared and analyzed. Results A total of 52 patients with colorectal cancer with adenocarcinoma and adenoma were enrolled,and 52 specimens of cancer,adenoma and adjacent normal tissues were obtained. Seventy-eight patients with colorectal adenoma were enrolled and a simple adenoma specimen was obtained.The rank sum test found that the expression of AIM2 gene was the strongest in normal tissues of patients with colorectal cancer( rank average = 151. 37),followed by adenoma tissue in patients with colorectal adenoma( rank average = 121. 88),and adenoma tissue in patients with colorectal cancer( rank average = 103. 11) while AIM2 expression was the weakest in cancer tissues of patients with colorectal cancer( rank average = 91. 45)( χ~2= 26. 048,P < 0. 01).Conclusion The expression of AIM2 in normal tissues,adenoma tissues and adenocarcinoma tissues is gradually down-regulated.This suggests that AIM2 may be a tumor suppressor gene,and its deletion may lead to the occurrence and progression of colorectal tumors.
引文
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