诱导性一氧化氮合酶的表达与胃癌肿瘤血管形成及预后的关系

目的　探讨诱导性一氧化氮合酶 (iNOS)在胃癌组织中的表达及其与胃癌肿瘤血管形成及预后的关系。方法　应用免疫组化方法检测 4 6例人胃癌组织中iNOS、血管内皮生长因子 (VEGF)的表达情况 ;测量肿瘤微血管密度(MVD)。结果　胃癌组织中iNOS阳性表达率为 5 8.70 % ,而正常胃组织不表达。Ⅳ期胃癌患者的iNOS阳性表达率高于I～Ⅲ期 ;37例伴有淋巴结转移者iNOS阳性表达率高于无淋巴结转移者 ;iNOS阳性 2 7例胃癌组织的MVD(5 9.88± 18.0 2 )明显高于阴性组 (49.6 4± 12 .0 6 ,P <0 .0 5 ) ;VEGF阳性者的MVD(5 5 .5 9± 19.39)明显高于阴性者(45 .4 3± 18.2 1,P <0 .0 5 )。iNOS和VEGF表达阳性的患者的 5年存活率明显低于iNOS和VEGF表达阴性的患者。结论　iNOS表达与肿瘤血管形成密切相关 ,与胃癌的病情进展、淋巴结转移和预后呈正相关。

Relationship between the expression of iNOS and tumor angiogenesis and prognosis of gastric carcinoma

Objective To investigate the expression of indu ci ble initric oxide synthase(iNOS) in gastric carcinoma and its relationship with angiogenesis and the prognosis. Methods Immunohistochemical staining method was used to det ect the expression of iNOS, VEGF CD34 in gastric carcinoma. Results The positive expression of iNOS in gastric carcinom a was 58.70% and iNOS was not detected in normal gastric tissue. The rate of the positive expression of iNOS in stage Ⅳ was higher than that in stageⅠ～Ⅲ. Th e positive expression of iNOS in gastric carcinoma with lymph node metastasis wa s higher than those with no metastasis. The MVD was 59.88± 18.02/HP and 55.5 9+ 19.39/HP in gastric carcinoma positive for iNOS and VEGF, repectively, obviou sly higher than those with negative expression of iNOS and VEGF, repectively ( P<0.05).The 5-year survival rate of the patients with iNOS-or VEGF-positive tumors was significantly lower than that of the patients with iNOS-or VEGF-ne gative tumors. Conclusion The expression of iNOS and VEGF is closely assoc iated with tumor angiogenesis, and involves in the progress, the lymph node meta stasis and prognosis of gastric carcinoma.