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目的探讨TGFβ1与TGFβI受体(RⅠ)在胃癌发生发展中的作用.方法采用免疫组化SP法检测基本正常胃粘膜(30例)、肠化生(30例)、不典型增生(22例)及胃癌(25例)中TGFβ1与TGFβRⅠ的表达.结果肠化生、不典型增生及胃癌中TGFβ1的表达增强而TGFβRⅠ表达递减(P<005);不典型增生组与胃癌组间TGFβ1表达无显著差异(P>005);19例胃癌(76%)TGFβRⅠ表达缺失;TGFβ1与TGFβRⅠ表达与胃癌的浸润深度及淋巴结转移无关,在癌周正常组织与正常粘膜组间亦无显著差异(P<005).结论TGFβRⅠ表达缺失与TGFβ1过度表达可能参与胃癌的发生
Objective To investigate the role of TGFβ1 and TGFβI receptor (RI) in the development of gastric cancer. Methods Immunohistochemical SP method was used to detect the expression of TGFβ1 and TGFβRI in normal gastric mucosa (30 cases), intestinal metaplasia (30 cases), atypical hyperplasia (22 cases) and gastric cancer (25 cases). Results The expression of TGFβ1 was increased in intestinal metaplasia, atypical hyperplasia and gastric cancer, while the expression of TGFβRI was decreased (P<005). There was no significant difference in the expression of TGFβ1 between the atypical hyperplasia group and the gastric cancer group (P>0). 05); 19 cases of gastric cancer (76%) lack of expression of TGF βRI; TGF β1 and TGF β RI expression was not related to the depth of invasion and lymph node metastasis in gastric cancer, nor was there a significant difference between normal tissue and normal mucosa in the peripheral tissue ( P<005). Conclusion The lack of TGFβRI expression and overexpression of TGFβ1 may be involved in the development of gastric cancer