兰州大学机构库 >学院待认领
IGF-1、CD34在结直肠癌中的表达与临床病理及血管生成的关系
Alternative TitleRelationship between expression of IGF-1, CD34 in colorectal cancer and the clinical pathology and blood vessel formation
余瑞金
Thesis Advisor吴静
2013-05-24
Degree Grantor兰州大学
Place of Conferral兰州
Degree Name硕士
Keyword胰岛素样生长因子1(IGF-1) CD34 微血管密度(MVD) 结直肠肿瘤 免疫组织化学
Abstract背景与目的 观察胰岛素样生长因子1(insulin-like growth factor 1 IGF-1)、CD34(标记肿瘤血管内皮细胞,反映微血管密度)蛋白在正常大肠粘膜、大肠腺瘤、大肠腺癌组织中的表达情况,并探讨IGF-1、CD34的表达与结直肠癌临床病理参数之间的关系,进一步探讨与肿瘤血管生成的关系。 方法 采用免疫组织化学二步法(EnVision System)检测经病理证实的20例正常大肠粘膜组织,54例大肠腺瘤组织,56例散发性大肠腺癌组织中IGF-1、CD34的表达情况,其中以CD34标记血管内皮细胞, 计数微血管密度(microvessel density MVD)。 结果 1、IGF-1蛋白在正常大肠粘膜组织中呈弱表达,在大肠腺瘤组织中呈中等强度的表达,主要表达于细胞质,而在大肠腺癌组织中呈高等强度的表达,主要表达于细胞浆。IGF-1在正常大肠粘膜组织、大肠腺瘤组织及大肠腺癌组织中表达的阳性率分别是35.00 %、 64.81%、 85.71%,3种组织中阳性率比较,腺瘤组织高于正常粘膜组织,腺癌组织高于腺瘤组织,腺癌组织明显高于正常粘膜组织,差异分别有有统计学意义(P﹤0.05)。IGF-1与患者性别、年龄、大小、部位、DUCKE′s分期、有无癌栓均无明显相关性(P>0.05),而与浸润深度、分化程度、淋巴结转移有明显的相关性(P﹤0.05)。 2、CD34在正常大肠粘膜组织中呈低程度的表达,其MVD值为8.7665±2.66732 ;CD34在大肠腺瘤组织中主要呈中等程度的表达,其MVD值为22.5320±5.69328;CD34在大肠腺癌中主要呈高等程度的表达,其MVD值为35.5534±7.77696 。腺瘤组的MVD值显著高于正常大肠粘膜组,结直肠癌组织的MVD值显著高于腺瘤组,结直肠癌组织的MVD值显著高于正常粘膜组,各组有统计学意义(P<0.05)。CD34标记的MVD值与患者性别、大小、部位、有无癌栓均无明显相关性(P>0.05),而与年龄、分化程度、肿瘤浸润深度、DUCKE′s分期、淋巴结转移有明显的相关性(P﹤0.05)。 结论 IGF-1在大肠腺瘤及大肠腺癌组织中均有表达,其可能参与大肠腺瘤的发生、发展癌变,并参与调控肿瘤的血管生成。MVD联合IGF-1的强表达可以作为一个评价结直肠癌侵袭能力和恶性程度的重要指标。
Other AbstractBackground and Objective Observation of insulin-like growth factor 1 ( insulin-like growth factor 1 IGF-1 ), CD34 ( marker of tumor vascular endothelial cells, to reflect microvessel density ) protein expression in normal colorectal mucosa, adenoma, colorectal carcinoma, And to explore the relationship between the expression and clinicopathological parameters in colorectal cancer IGF-1, CD34, to further explore the relationship with tumor angiogenesis. Methods The expression of IGF-1 and CD34 was detected, Using immunohistochemical method ( two EnVision System ), in 20 cases of nomal tissue,54 cases of colorectal adenoma,56 cases of colorectal carcinoma. All cases are Proved by pathology. The vascular endothelial cells were marked by CD34, which it counts microvessel ( microvessel density MVD ). Results 1, IGF-1 protein was weakly expressed in normal colorectal mucosa. IGF-1 protein expression was moderate in colorectal adenoma tissues, and mainly expressed in the cytoplasm. The IGF-1 protein expression was higher intensity in colorectal adenocarcinoma, and expressed mainly in the cytoplasm. The positive expression rate of IGF-1 in normal colorectal mucosa, colorectal adenoma and colorectal carcinoma were 35%, 64.81%, 85.71%. Comparison of the positive rate of 3 kinds of tissues, adenoma was higher than that of normal mucosa, adenocarcinoma is higher than that of adenoma, adenocarcinoma was significantly higher than that in normal mucosa. They differences were statistically significant (P < 0.05). The expression of IGF-1 protein in patients with gender, age, size, site, DUCKE ′ S staging, there is no thrombi showed no significant correlation (P>0.05). The expression of IGF-1 protein in patients with degree of differentiation, depth of tumor invasion, lymph node metastasis were significantly correlated (P < 0.05). 2, CD34 protein expression was low in normal colon tissue, the MVD value was 8.7665 ± 2.66732; The CD34 protein expression was moderate in colorectal adenoma tissues, the MVD value was 22.5320 ± 5.69328; The CD34 protein expression was higher in the colorectal carcinoma, the MVD value was 35.5534 ± 7.77696. Adenoma group MVD value was significantly higher than that in normal colorectal mucosa, colorectal cancer tissues was significantly higher than that adenoma in group MVD, colorectal cancer tissues was significantly higher than that in normal mucosa group MVD, the groups was statistically significant (P<0.05). CD34 marker MVD value...
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Language中文
Document Type学位论文
Identifierhttps://ir.lzu.edu.cn/handle/262010/224085
Collection学院待认领
Affiliation临床医学院
Recommended Citation
GB/T 7714
余瑞金. IGF-1、CD34在结直肠癌中的表达与临床病理及血管生成的关系[D]. 兰州. 兰州大学,2013.
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