S100A9和Hsp90β在大肠腺瘤和大肠癌中的表达及与临床病理相关性分析
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摘要
目的:研究S100A9、Hsp90β在大肠腺瘤和大肠癌组织中的表达及其临床病理意义,初步探讨二者之间的关系。
     方法:采用免疫组织化学染色SP方法和real time PCR方法检测53例正常大肠组织、31例大肠腺瘤组织、53例大肠癌组织中S100A9和Hsp90β的表达情况。所有数据用SPSS17.0分析。
     结果:1、免疫组化实验:s100A9蛋白在大肠癌组织中的阳性表达率为61.3%(19/31),明显高于大肠腺瘤组织29.0%(9/31)和正常大肠组织22.6%(7/31),并且均存在显著性差异(P<0.05);S100A9蛋白在大肠癌中的表达与组织分化程度有关,随着大肠腺癌分化程度的降低,S100A9的表达逐渐升高(P<0.05),与患者的年龄、性别、淋巴结转移、临床分期及肿瘤部位等因素无显著相关性。Hsp90β蛋白在大肠癌组织中的阳性表达率为45.2%(14/31),明显高于大肠腺瘤组织22.6%(7/31)和正常大肠组织19.4%(6/31),结果均存在显著性差异(P<0.05);Hsp90β蛋白在大肠癌中的表达与组织分化程度有关,随着大肠腺癌分化程度的降低,Hsp90β的表达逐渐升高(P<0.05),与患者的年龄、性别、淋巴结转移、临床分期及肿瘤部位等因素无显著相关性。2、Real time PCR实验:S100A9mRNA、Hsp90βmRNA在大肠癌中的相对表达量明显高于大肠腺瘤、正常大肠组织,具有统计学意义(P<0.05);在不同分化程度的大肠癌之间表达不同,随着大肠腺癌分化程度的降低,S100A9mRNA、Hsp90βmRNA的相对表达量逐渐升高(P<0.05)。3、在53例大肠癌组织中,S100A9与Hsp90β的表达呈正相关(P<0.05),而在大肠腺瘤和正常大肠组织中无明显相关性。
     结论:1、S100A9、Hsp90β在大肠“正常组织-腺瘤-腺癌序列”中表达逐渐升高,提示S100A9和Hsp90β可以作为反映细胞分化程度的重要指标,与大肠腺癌的发生发展密切相关。2、随着大肠腺癌分化程度的降低,S100A9、Hsp90β的表达逐渐升高,与患者的年龄、性别、淋巴结转移、临床分期及肿瘤部位等因素无显著相关性。3、S100A9与Hsp90β在大肠癌中的表达呈密切正相关。结合病理形态学观察,同时检测S100A9与Hsp90β的表达,可以更客观判断大肠癌的分化程度。
Objective:To study the expression, clinicopathologic significance and relationship of S100A9 and Hsp90 beta in colorectal carcinoma and adenoma.
     Methods:The expression of S100A9 and Hsp90 beta was determined in 53 cases of normal tissue samples,53 cases of colorectal carcinoma tissue samples,31 cases of colorectal adenoma tissue samples by SP immunohistochemical method and real time PCR. All data were analyzed by SPSS 17.0 statistic software.
     Results:1. Immunohistochemistry:The positive rate of expression of S100A9 was 61.3% (19/31) in colorectal carcinoma,29.0%(9/31) in colorectal adenoma, and 22.6%(7/31) in normal tissue. Contrasted to colorectal adenoma and normal tissues, the expression of S100A9 in colorectal carcinoma obviously increased (P<0.05). The expression of S100A9 was positively correlated with histopathobigical grads (P<0.05). As the degree of differentiation of colorectal adenocarcinoma lowered, the expression of S100A9 gradually increased, but unrelated to age, sexuality, location of tumors, lymphonode metastasis, and Duke's stage. The positive expression rate of Hsp90 beta was 45.2%(14/31) in colorectal carcinoma, 22.6%(7/31) in colorectal adenoma, and 19.4%(6/31) in normal tissue. Contrasted to colorectal adenoma and normal tissues, the expression of Hsp90 beta in colorectal carcinoma obviously increased (P<0.05). The expression of Hsp90βwas positively correlated with histopathobigical grads.As the degree of differentiation of colorectal adenocarcinoma lowered, the expression of Hsp90 beta gradually increased (P<0.05), but unrelated to age, sexuality, location of tumors, lymphonode metastasis, and Duke's stage.2. Real time PCR: The relative quantity of S100A9 mRNA and Hsp90 beta mRNA in colorectal carcinoma increased more than in colorectal adenoma and normal tissues (P<0.05), correlateing with histopathobigical grads (P<0.05).As the degree of differentiation of colorectal adenocarcinoma lowered, the relative quantity of S100A9 and Hsp90 beta gradually increased (P<0.05).3. The expression of S100A9 was identically correlated with the expression of Hsp90 beta in colorectal carcinoma (P<0.05), but not in normal tissue and colorectal adenoma.
     Conclusion:1. The positive rates of expression of S100A9 and Hsp90 beta gradually increased in the sequence from normal tissue, adenoma to adenocarcinoma, which might be involved in carcinogenesis and progression in colorectal carcinoma, suggesting both S100A9 and Hsp90 beta may be important markers of reflecting the state of cell differentiation.2. As the degree of differentiation of colorectal adenocarcinoma lowered, the expression of S100A9 and Hsp90 beta gradually increased (P<0.05), but unrelated to age, sexuality, location of tumors, lymphonode metastasis, and Duke's stage.3. In colorectal carcinoma the expression of S100A9 is strong correlation with Hsp90 beta.Combination with pathological observation, the expression of S100A9 and Hsp90 beta may help us to distinguish the degree of differentiation and bionomics of colorectal adenocarcinoma.
引文
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