上皮性卵巢癌中P53蛋白的表达及临床意义

目的　探讨抑癌基因P5 3蛋白在上皮性卵巢癌发生、发展中的作用。方法　对 74例上皮性卵巢癌应用免疫组化方法检测P5 3蛋白的表达。结果　上皮性卵巢癌中P5 3蛋白有一定的表达缺失 ,在G1、G2级组织表达率 (90 .6 2 % )高于G3级 (6 6、6 7% ) ,二者差异有显著性 (P <0 .0 5 ) ;不同的临床分期中 ,Ⅰ、Ⅱ期阳性表达为 2 2 / 2 4 (91、6 7% ) ,Ⅲ、Ⅳ期阳性表达为 35 / 5 0 (70 % ) ,二者差异有显著性 (P <0 .0 5 )。在浆液性和黏液性两种不同的组织类型间 ,表达率分别为 82 .98%和 6 6 .6 7% ,二者无明显差别。结论　P5 3蛋白的表达缺失在上皮性卵巢癌发生、发展过程有一定的作用 ,并且与病变进展和分化有关     

Correlation of expression of ER, PR and c-erbB-2 with ultrasonographic features in invasive ductal cancer of breast

Objective To analyze the relationship of the expression level of estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor-2 (HER-2, c-erbB-2) of breast invasive ductal carcinoma (IDC) with ultrasonographic characteristics. Methods Totally 104 patients with IDCs confirmed pathologically were involved in this study. ER, PR and c-erbB-2 expression in the IDC specimens was determined by immunohistochemical staining technique. The correlation between the ultrasonographic features and the positive expression of ER, PR or c-erbB-2 was analyzed. Results The positive expression rate of ER and PR in the group with tumor spiculation sign and posterior acoustic attenuation was higher than that in the group without. The positive expression rate of ER differed significantly (P<0.05) while that of PR did not (P>0.05). The over-expression rate of c-erbB-2 in the group of microcalcification, sufficient blood flow and axillary lymph node metastasis was higher than that in the group of non-microcalcification, deficient blood flow or without axillary lymph node metastasis (P<0.05). The expression of ER, PR and c-erbB-2 was not related to the size of tumor (P>0.05). Conclusion The expression of ER and c-erbB-2 is closely related to the ultrasonographic characteristics of IDC, which may, to some extent, reflect the expression level of ER and c-erbB-2.     

Reducing intimal hyperplasia in vein grafts harvested by a no-touch harvesting technique

Objective To investigate the effect of no-tonch harvesting technique in reducing vein graft intimal hyperplasin. A4othods This longitudinal trial compared graft ungiestenosis of two groups undergoing jugular vein to carotid artery interposition grafting in rabbit model. Conventional group: 12 rabbits had their veins stripped, distended, and stored in heparinized saline solution. No-touch group: 12 rabbits had veins removed with surrounding tissues, but were not distended, and stored in heparinized blood. The grafts were removed 4 weeks following grafting, and morphometry and immunohistochemistry assessment were performed. Results The intimal thickness, degree of anginstennsis and proliferation index of vascular smooth muscle cells of no-touch group were significantly reduced (P< 0.01) compared with those of the conventional group. The proliferating cell nuclear antigen pnsitive-staining cells were significantly increased (P<0.01) in the conventional group compared with whose in the no-touch group. Conclusion Harvesting the vein graft with no-touch harvesting technique could significantly reduce intimul hyperpinsin of the vein graft.     

EMT分子标志物在肝癌细胞系中的表达及其意义

目的探讨人肝癌细胞系EMT相关分子标志物的表达情况,为确定相关的肝癌细胞研究模型奠定基础。方法利用实时定量PCR方法检测5株人肝癌细胞系(SNU368、SNU739、HLF、Huh-1和MHCC97L)中E-cadherin、ZO-1、N-cadherin、Vimentin、Snail和Slug的mRNA表达,Western blot和免疫荧光检测E-cadherin、ZO-1、N-cadherin、Vimentin、Snail和Slug的蛋白表达。结果 E-cadherin、ZO-1、N-cadherin、Vimentin、Snail和Slug的mRNA在5种肝癌细胞中均有不同程度表达, E-cadherin、ZO-1、N-cadherin和Slug蛋白在5个细胞株中亦有表达,Vimentin蛋白主要在SNU368、SNU739、HLF和MHCC97L细胞中表达明显,Snail蛋白在SNU368,SNU739,Huh-1和MHCC97L细胞中表达较高。结论 HLF细胞系表现出更明显的间质细胞表型特点,Huh-1和SNU368则表现为较典型的上皮细胞表型特点。     

下调miR-21通过PTEN/PI3K/Akt信号转导抑制人增生性瘢痕成纤维细胞增殖的实验研究

目的探讨miR-21与PTEN相互作用关系及对PI3K/Akt信号通路和增生性瘢痕成纤维细胞增殖的影响,以期为临床诊断治疗增生性瘢痕提供新靶点。方法分别用qPCR和Western blot检测增生性瘢痕组织和细胞中miR-21和PTEN表达;双荧光素酶报告基因检测实验验证miR-21与PTEN调控关系;Western blot检测miR-21对HSF细胞中PTEN蛋白表达的影响;MTT检测细胞增殖能力的变化。结果在增生性瘢痕组织和细胞中miR-21普遍高表达,PTEN普遍低表达;双荧光素酶报告实验和Western blot证实了miR-21对PTEN的靶向调控作用;下调miR-21可通过上调PTEN表达来抑制PI3K/Akt通路活性进而抑制HSF细胞增殖。结论下调miR-21可通过PTEN/PI3K/Akt信号转导抑制人增生性瘢痕成纤维细胞增殖,显示出其诊断治疗增生性瘢痕的潜能,并可能为临床治疗提供新靶点。     

趋化因子CXCL11激活NF-κB信号通路促进胰腺癌的侵袭转移及上皮间质转换

目的探讨NF-κB信号通路在趋化因子CXCL11诱导胰腺癌Panc-1细胞侵袭及上皮间质转换(EMT)中的作用。方法通过外源性CXCL11干预胰腺癌Panc-1细胞,以未干预组作为对照,Transwell小室侵袭实验检测各组Panc-1细胞的侵袭能力,Western blot检测p65、P-p65、E-cadherin、N-cadherin和Vimentin的蛋白表达,免疫荧光检测p65的细胞内定位。使用NF-κB抑制剂BAY 11-7082联合外源性CXCL11干预Panc-1细胞,再次通过Transwell小室侵袭实验检测各组Panc-1细胞的侵袭能力。结果外源性CXCL11可明显诱导Panc-1细胞侵袭(t=12.424,P<0.01),促进p65入核,并上调P-p65、N-cadherin和Vimentin,下调E-cadherin蛋白。抑制NF-κB通路后,外源性CXCL11失去了对胰腺癌细胞侵袭(P<0.01)和EMT的诱导作用。结论趋化因子CXCL11通过激活NF-κB信号通路,诱导胰腺癌细胞侵袭和EMT过程。     

应变弹性与剪切波弹性成像判断乳腺肿块良恶性的价值比较

目的比较应变弹性、剪切波弹性成像(SWE)单独应用及二者联合应用时对乳腺肿块良恶性诊断的价值。方法对186例患者的190个乳腺肿块,术前行应变弹性和剪切波弹性检查。应变弹性用弹性应变率比值(SR)、SWE用最大弹性模量值(Emax)进行评估。以病理结果为金标准,比较两种技术单独应用及联合应用对诊断乳腺病变良恶性的效能。结果恶性肿块的SR和Emax均比良性肿块高(P均<0.05);SR诊断乳腺恶性肿块的灵敏度为76.9%,特异度为77.9%,准确度为77.3%,Emax诊断乳腺恶性肿块的灵敏度为77.8%,特异度为77.9%,准确度为77.9%,二者诊断乳腺肿块良恶性的灵敏度、特异度、准确度的差异均无统计学意义(P>0.05);应变弹性联合剪切波弹性诊断乳腺恶性肿块的灵敏度为86.5%,特异度为88%,准确度为87.3%,两种方法联合应用后诊断的敏感度、特异度、准确度均较二者单独应用明显提高(P<0.05)。结论应变弹性与剪切波弹性的诊断效能相似,二者联合应用对乳腺肿块良恶性的诊断效能优于二者单独应用。