摘要
目的探讨转录抑制因子Zeb1、Zeb2、转录辅抑制因子CtBP1及其靶基因E-cadherin在胆管细胞癌中的表达及CtBP1、Ecadherin的临床意义。方法采用免疫组化法检测胆管细胞癌及癌旁组织芯片中CtBP1、Zeb1、Zeb2和E-cadherin的表达。结果CtBP1在胆管细胞癌及癌旁组织中的阳性率分别为44.44%和17.86%,Zeb2分别为34.92%和10.71%,E-cadherin分别为50.79%和100%,组间差异均有统计学意义(P均<0.05)。Zeb1在胆管细胞癌仅1例表达,而在癌旁组织中不表达。CtBP1与胆管细胞癌的分化程度相关(P<0.05),E-cadherin与胆管细胞癌的分化程度及远处转移有关(P均<0.05)。E-cadherin和CtBP1及Zeb2表达呈负相关(r=-0.034、-0.029,P均<0.001),CtBP1和Zeb2表达呈正相关(r=0.228,P=0.005)。结论胆管细胞癌中CtBP1、Zeb2与E-cadherin均表达异常,CtBP1、Zeb2可能共同参与E-cadherin表达调控。联合检测CtBP1和E-cadherin有望成为评估胆管细胞癌恶性生物学行为的参考指标。
Purpose To investigate the expression of transcriptional suppressor CtBP1,Zeb1,Zeb2 and their target gene E-cadherin, and their significance in cholangiocarcinoma.Methods The expression of CtBP1,Zeb1,Zeb2 and E-cadherin proteins in cholangiocarcinoma and the paired non-neoplastic tissue array were detected by the immunohistohemical staining. Results The positive rates of CtBP1 expression in cholangiocarcinoma and the paired non-neoplastic tissue were44. 44% and 17. 86%, these of Zeb2 were 34. 92% and10. 71%,and these of E-cadherin were 50. 79% and 100%,respectively. The differences between the groups were statistically significant(all P < 0. 05). There was only one case with expression of Zeb1 in cholangiocarcinoma,but no expression in the paired non-neoplastic tissue. CtBP1 was correlated with the degree of differentiation of cholangiocarcinoma(P < 0. 05). Ecadherin was related to the differentiation degree,and distant metastasis of cholangiocarcinoma(all P < 0. 05). The E-cadherin expression was negatively correlated with CtBP1 and Zeb2(r=-0. 034,-0. 029,all P < 0. 05). The Zeb2 expression was positively correlated with CtBP1(r = 0. 228,P = 0. 005). Conclusion CtBP1,Zeb2 and E-cadherin express abnormally in cholangiocarcinoma. CtBP1,Zeb2 may be involved in the regulation of E-cadherin expression. Joint detection of CtBP1 and Ecadherin is expected to be a reference index to evaluate the malignant biological behavior of cholangiocarcinoma.
引文
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