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论文摘要

生长抑素、环氧合酶-2在肝癌发生发展中的变化及意义

The Expressions of Somatostatin and Cycloxygenase-2 in Chronic Hepatitis, Hepatic Cirrhosis, Precancerous Lesion and

作者:谢咏梅, 李肖, 严律南等

Author:XIE Yong-mei, LI Xiao, YAN Lyu-nan. et al

收稿日期:          年卷(期)页码:2015,46(5):710-716

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:肝细胞癌 生长抑素 环氧合酶-2 门静脉高压

Key words:Hepatocellular carcinoma Somatostatin Cyclooxygenase-2 Portal hypertension

基金项目:

中文摘要

目的 探讨在肝癌发生发展过程中,生长抑素及其受体(SST/SSTR)和环氧合酶-2(COX-2)的表达演变规律,并分析门脉高压与SST/SSTR 表达之间的关联性。 方法 收集一系列肝脏手术标本:正常肝脏5例、慢性肝炎14例、肝硬化40例、癌前病变40例及肝癌组织40例,收集肝硬化经颈静脉肝内门体分流手术(TIPS)患者术前及术后外周血标本各20例。免疫组化法及RT-PCR 法分别检测肝组织中SSTR 1~5亚型的蛋白及mRNA 表达情况。放射免疫法检测外周血及肝组织中SST表达量。Western blot检测肝组织中COX-2 蛋白表达量。 结果 约90% 的癌前病变高表达SSTR 2、5, 且SSTR表达分布呈包绕门静脉特征。至少约60%的肝癌组织表达SSTR 2、5 亚型。SSTR 1~5表达量与SST表达量呈正相关。肝硬化患者TIPS术后,外周血SST水平较术前升高( P

英文摘要

Objective To investigate the expression difference of somatostatin (SST), SST receptors (SSTR) and COX-2 in chronic hepatitis, hepatic cirrhosis, precancerous lesion and hepatocellular Carcinoma, and explore the relationship between portal hypertension and SST/SSTR expressions. Methods A series of human liver tissues were obtained from surgery, including normal liver 4 cases, chronic hepatitis 14 cases, hepatic cirrhosis 40 cases, precancerous lesion 40 cases and HCC tissues 40 cases. Peripheral bloods were collected from 20 patients before and after the operation of transjugular intrahepatic portosystemic shunt (TIPS). SSTR 1-5 subtypes in hepatic tissues were detected by immunohistochemical study and RT-PCR. Levels of SST and COX-2 were quantified by radioimmunoassay and Western blot. Results 90% of precancerosis expressed high levels of SSTR 2,5 subtypes, and SSTR mainly distributed surrounding portal vein. At lest 60% of HCC expressed SSTR 2,5 subtypes, and there were positive correlations between levels of SSTR 1-5 and SST. Levels of SST in peripheral blood of cirrhotic patients significantly increased after TIPS( P

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