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目的:了解P-糖蛋白(Pgp)及多药耐药相关蛋白(MRP)在胃癌中的表达与意义.方法:采用免疫组化SABC法.结果:在43例胃癌中,Pgp及MRP阳性者分别为13例(30.2%),22例(51.2%);在43例相应癌旁组织中分别为8例(18.6%),17例(39.5%);而在30例胃炎组织中则分别为5例(16.7%),9例(30.0%).Pgp与MRP表达均阳性者,癌组织4例(9.3%),癌旁组织1例(2.3%),胃炎组织0例.Pgp在已发生淋巴或血行转移病例中表达者(11例),明显高于无淋巴或血行转移者(2例);Pgp或MRP的表达与患者年龄、性别、癌的病理类型等均无相关性.结论:Pgp及MRP在胃癌中的较高表达,而Pgp的阳性表达提示癌已进入晚期
Objective: To investigate the expression and significance of P-glycoprotein (Pgp) and multidrug resistance-related protein (MRP) in gastric cancer. Methods: immunohistochemical SABC method. Results: Among the 43 cases of gastric cancer, Pgp and MRP were positive in 13 (30.2%) and 22 (51.2%) patients, respectively, in 43 cases of paracancerous tissues (8 cases, 18.6% ), 17 cases (39.5%); while in 30 cases of gastritis were 5 cases (16.7%), 9 cases (30.0%). Pgp and MRP were positive in 4 cases (9.3%), paracancer tissue in 1 case (2.3%) and gastritis in 0 cases. The expression of Pgp in lymphatic or hematogenous metastasis cases (11 cases) was significantly higher than that in non-lymphatic or hematogenous metastasis cases (2 cases). The expression of Pgp or MRP was not related to the age, sex and pathological type of cancer Sex. Conclusion: Pgp and MRP are highly expressed in gastric cancer, while the positive expression of Pgp suggests that the cancer has entered advanced stage