上皮间质转化在食管鳞状细胞癌转移中的作用
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1.福建医科大学 附属第二医院病理科,泉州362000;
2.日本山梨大学医学部生化学第2,日本山梨4093898;
3.泉州医学高等专科学校 病理教研室,泉州362021

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R341.3

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收稿日期: 2014-05-19
基金项目: 泉州市科技计划重点项目(2011Z42)
作者单位: 1.福建医科大学 附属第二医院病理科,泉州362000;2.日本山梨大学医学部生化学第2,日本山梨409-3898;3.泉州医学高等专科学校 病理教研室,泉州362021
作者简介: 吴春林(1962-),男,主任医师,副教授. Email: wuchunlin120@sina.com


Epithelial Mesenchymal Transition in Esophageal Squamous Cell Carcinoma Metastasis
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1.Department of Pathology, The Second Affiliated Hospital of Fujian Medicinal University, Quanzhou 362000, China;
2.Department Biochem. 2nd, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi, 4093898, Japan;
3.Department of Pathology, Quanzhou Medical College, Quanzhou 362021, China

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    摘要:

    目的观察上皮间质转化相关标记物E钙黏蛋白(Ecadherin)和Vimentin基因及其蛋白在食管鳞状细胞癌淋巴结转移组和非转移组中的表达,并分析Ecadherin和Vimentin表达的相关性。方法采用免疫组织化学SP法和实时定量逆转录聚合酶链反应(qRTPCR)检测47例有淋巴结转移、30例无淋巴结转移的食管癌和20例正常食管组织中Ecadherin和Vimentin基因及其蛋白的表达情况。结果对照组、非转移组与转移组Ecadherin蛋白表达分别为20/20(100%)、29/30(96.67%)和44/47(93.62%),组间比较差别有统计学意义(P<0.05)。转移组的高表达率22/47(46.8%)低于非转移组18/30(60%),但差别无统计学意义(P>0.05)。Vimentin蛋白在对照组、非转移组、转移组阳性表达率逐渐增高,分别为0/20(0)、11/30(36.67%)、37/47(78.72%),组间比较差别有统计学意义(P<0.05),转移组与非转移组间比较差别有统计学意义(P<0.05)。Vimentin和Ecadherin表达呈显著负相关,相关系数(r=-0.377)。qRTPCR检测显示非转移组和转移组中Ecadherin和Vimentin mRNA表达量与对照组比较差别有统计学意义(P<0.05)。Ecadherin基因的表达在转移组(0.43±0.23)与非转移组(0.51±0.54)间的差别无统计学意义(P>0.05),而转移组Vimentin表达(4.05±1.88)明显高于非转移组(2.70±1.73),差别有统计学意义(P<0.05)。结论上皮间质转化相关基因Ecadherin和Vimentin与食管鳞癌的转移密切相关,可作为预测食管癌转移复发及评估临床预后的有效标记物。

    Abstract:

    ObjectiveTo identify the differences of epithelial mesenchymal transition (EMT) related biomarkers of Ecadherin and Vimentin in mRNA and protein expression levels between esophageal squamous cell carcinoma (ESCC) with lymph node metastasis and no lymph node metastasis.MethodsImmunohistochemistry SP method and quantitative reverse transcriptase realtime polymerase chain reaction (qRTPCR) array were applied to detect mRNA and protein expression levels of Ecadherin and Vimentin on 47 cases of ESCC with lymph node metastasis and 30 cases of ESCC without lymph node metastasis, and 20 cases of normal esophageal mucous membrane tissues.ResultsThe percentage of expressing Ecadherin in normal control group, non metastasis and metastasis group of ESCC were 20/20 (100%), 29/30 (96.67%), and 44/47 (93.62%) respectively, there was a statistically significant difference among three groups (P<0.05), but the percentage of high Ecadherin expression of metastasis group (22/47,46.8%) and non metastasis group (18/30, 60%) had no significant difference (P>0.05).The number of cases with the positive Vimentin protein expression increased in order of normal control group, no metastasis group and metastasis group, the percentage was (0/20,0), (11/30,36.67%), (37/47,78.72%) respectively, showing a significant difference between two groups (P<0.05).The rate with high expression level of Vimentin between the two groups of metastasis group (11/47,23.4%) and no metastasis (2/19,10.53%) had statistical significance (P<0.05).There was a significant negative correlation between Vimentin and Ecadherin, the correlation coefficient was r=-0.377.qRTPCR analysis showed that there was a obvious difference in mRNA expression levels of Ecadherin and Vimentin in the normal group, no metastasis group and metastasis group of ESCC (P<0.05).Ecadherin mRNA expression level showed no significant difference between metastasis group (0.43±0.23) and non metastasis group (0.51±0.54)(P>0.05), while that of Vimentin had a significant difference between metastasis group (4.05±1.88) and non metastasis group (2.70±1.73) (P<0.05).ConclusionsThe expressions of EMT related genes Ecadherin and Vimentin were closely correlated with metastasis of ESCC, and therefore could be used for predictors of the metastasis and recurrence of ESCC as well as useful biomarkers to prognosis.

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吴春林, 刘秀华, 庄雪瑜, 吴佩琴, 许昭俊, 许海刚, 杨维群.上皮间质转化在食管鳞状细胞癌转移中的作用[J].福建医科大学学报自然版,2014,(4):227-231

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