Adenovirus expressing p27kip1 suppresses growth of established esophageal carcinoma xenograffs

AIM: To investigate the growth suppression of adenovirus expressing p27kip1 on established esophageal tumors in nude mice.METHODS: Esophageal carcinoma xenografts in nude mice were established by tumor tissue mass transplantation. The successfully constructed recombinant adenoviral vectors carrying p27kip1 gene (Adp27kip1) were directly injected into the esophageal tumors in nude mice. Compared to control group, the growth curve of tumor was drawn and the growth inhibition rate of tumor was calculated. The histology of tumors was examined by hematoxylin and eosin (H&E) staining. The expression of p27kip1 and survivin was detected in tumors by immunohistochemical technique.RESULTS: The growth of tumors in gene therapy group with Ad-p27kip1 was obviously suppressed compared to control group (0.42±0.08 g vs 1.17±0.30 g, t=6.39,P＜0.01), the inhibition rate of tumor growth reached 64.1%. Pathological detection showed that the tumors in nude mice were poorly differentiated esophageal squamous carcinoma. In addition, the expression of p27kip1 was increased, while the expression of survivin was decreased in tumors after being transfected with Ad-p27kip1.CONCLUSION: p27kip1 gene therapy mediated by adenovirus vector has a significant inhibitory effect on esophageal carcinoma in vivo. Up-regulated p27kip1expression and down-regulated survivin expression may be its important mechanisms.     

p27kip1基因诱导食管癌细胞凋亡实验研究

目的　探讨p2 7基因诱导人食管癌细胞凋亡的作用。方法　构建重组体腺病毒Ad p2 7kip1,转移到培养的人食管癌细胞EC 970 6 ,用流式细胞术、DNA片段分析法、TUNEL法观察Ad p2 7kip1诱导EC 970 6细胞凋亡的作用。 结果　成功构建重组体腺病毒Ad p2 7kip1,病毒滴度为 1.2 4× 10 12 CFU/ml,在感染倍数≥ 5 0感染强度时 ,即可达到 10 0 %的转导效率。Ad p2 7kip1转染食管癌细胞后 ,流式细胞术检测在G1期前出现亚倍体凋亡峰。细胞DNA抽提电泳后发现凋亡特征性梯度。TUNEL法检测凋亡指数分别为 37.3± 3.4 (Ad p2 7kip1组 )及 1.3± 0 .2 (空白对照组 ) ,差异有显著性(P <0 .0 1)。结论　p2 7可有效诱导食管癌细胞凋亡 ,这一发现将在探索食管癌的基因治疗方面具有重要意义     

p27kip1和p57kip2与CyclinD1在急性白血病的表达及其临床意义

目的:探讨p27kip1和p57kip2与CyclinD1在急性白血病中的表达情况及其临床意义.方法:采用免疫组化S-P法检测39例急性白血病及10例正常对照者骨髓中p27kip1和p57kip2与CyclinD1蛋白的表达情况,并结合临床病理资料进行分析.结果:p27kip1和p57kip2与CyclinD1蛋白在急性白血病患者的阳性表达率分别为31%、33%、54%,在对照组表达率为70%、40%、0.p27kip1与cyclinD1在白血病与对照组中的表达差异有统计学意义.在37例接受化疗的急性白血病中,p27kip1和p57kip2阳性表达组化疗后的缓解率(66%、69%)明显高于p27kip1和p57kip2表达阴性组的缓解率(32%、29%),其差异有统计学意义(P＜0.05).p57kip2与CyclinD1在白血病中的表达具有正相关性.结论:p27kip1和p57kip2与CyclinD1在急性白血病患者中存在异常表达其蛋白的表达水平可能会影响化疗疗效.     

p27kip1腺病毒重组体对人食管癌裸鼠移植瘤生长的抑制作用

D27kip1是新近发现的一种抑癌基因，研究表明p27kip1基因转移能显著抑制食管癌和胃癌细胞生长，该基因疗法在体内实验中是否同样有效值得进一步研究。目的：研究p27kip1腺病毒重组体对人食管癌裸鼠移植瘤生长的抑制作用。方法：将携带人p27kip1基因的重组腺病毒载体导人人食管癌裸鼠移植瘤中．测定肿瘤生长抑制率．免疫组化方法检测移植瘤中p27kip1和生存素(survivin)的表达。结果：经p27kip1基因治疗的裸鼠，肿瘤生长抑制率达64．1％，移植瘤中p27kip1呈高表达．生存素呈低表达。结论：p27kip1腺病毒重组体能显著抑制人食管癌裸鼠移植瘤的生长．上调p27kin1和下调生存素的表达可能是其雷要作用机制。     

P27kip1在糖尿病肾病中的作用

细胞周期激酶抑制剂p27kip1是一种细胞周期调节蛋白,对细胞生长具有重要的调控作用.实验证实,糖尿病肾病动物肾小球和体外高糖培养的肾脏固有细胞内,p27kip1水平明显增加.P27kip1通过调控肾脏固有细胞的增殖、肥大、凋亡等,参与糖尿病肾病的发生和发展,因此调控p27kip1的水平将有助于改善早期糖尿病肾病.     

胰腺癌p27kip1、视网膜母细胞瘤基因蛋白和增殖细胞核抗原表达及与临床病理关系的研究

目的　探讨细胞周期负性调控因子p2 7kip1,视网膜母细胞瘤 (Rb)基因蛋白和增殖细胞核抗原 (PC NA)在胰腺癌发生、发展中的作用。方法　应用免疫组织化学技术 (SP法 ) ,对 32例胰腺癌及癌旁组织中p2 7kip1、Rb蛋白和PCNA表达进行检测。结果　p2 7kip1蛋白阳性表达率在胰腺癌组织中为 5 6 2 5 %,显著低于癌旁胰腺组织 (84 37%) (P <0 0 5 ) ,并与胰腺癌组织分化程度及淋巴结转移相关 (P <0 0 5 ) ;Rb基因蛋白阳性表达率在胰腺癌组织中为 5 0 0 0 %,显著低于癌旁胰腺组织 (78 13%) (P <0 0 5 ) ;PCNA阳性表达率在胰腺癌组织中为 71 87%,显著高于癌旁胰腺组织 (4 3 75 %) (P <0 0 5 ) ,并与胰腺癌组织分化程度和淋巴结转移均相关(P <0 .0 5 )。结论　p2 7kip1、Rb基因蛋白和PCNA与胰腺癌发生、发展密切相关。     

曲古菌素A对血管平滑肌细胞p27kip1表达的调控机制研究

目的探讨组蛋白去乙酰化酶抑制剂曲古菌素A（Trichostatin A，TSA）对血管平滑肌细胞（VSMC）的p27kip1表达的影响和调控机制。方法半定量逆转录聚合酶链反应（RT—PCR）检测p27kip1的mRNA水平，蛋白印迹测定p27kip1和S-phase kinase—associated protein-2（skp2）蛋白表达，荧光分光光度法测定20S蛋白酶体活性。结果100ng／ml TSA不影响VSMC中p27kip1的mRNA水平。100ng／ml TSA显著抑制血清诱导的p27kip1蛋白下调，并延长p27kip1蛋白的半衰期。100ng／mlTSA抑制血清诱导的skp2表达上调，且skp2表达与相应时点p27kip1蛋白呈负相关。100ng／ml TSA对20S蛋白酶体活性物影响。结论TSA对VSMC的p27kip1表达调控不是在转录水平上，而是通过翻译后机制抑制血清诱导VSMC的p27kip1蛋白降解，其机制可能与TSA抑制泛素连接酶亚单侍skp2表达有关．     

Prognostic value of p27 kip1 expression in adenocarcinoma of the pancreatic head region

Background. p27^kip1 is a tumour suppressor gene, functioning as a cyclin-dependent kinase inhibitor, and an independent prognostic factor in breast, colon, and prostate adenocarcinomas. Conflicting data are reported for adenocarcinoma of the pancreas. The aim of this study was to establish the prognostic value of p27^kip1 expression in adenocarcinoma of the pancreatic head region. Patients and methods. The study included 45 patients (male/female ratio 2:1; mean age 59, range 38–82 years) with adenocarcinomas of the pancreatic head region: 24 – pancreatic head, 18 – periampullary and 3 – uncinate process. The patients underwent the Kausch-Whipple pancreatoduodenectomy (n=39), pylorus-preserving pancreatoduodenectomy (n=5), or nearly total pancreatectomy (n=1). Eight patients received adjuvant chemotherapy postoperatively. Follow-up time ranged from 3 to 60 months. Tumours were staged according to the pTNM classification (UICC 1997). Immunohistochemistry was done on paraffin-embedded blocks from tumour sections. Quantitative determination of p27^kip1 expression was based on the proportion of p27^kip1 -positive cells (< 5% = negative). Survival analysis was carried out using the Kaplan-Meier method and Cox regression model. Results. Positive p27^kip1 expression was detected in 22 tumours (49%), whereas 23 tumours (51%) were p27^kip1-negative. There were no significant correlations between p27^kip1 index and stage or lymph node involvement. Median survival time in patients with p27^kip1-positive tumours was 19 months, whereas in patients with p27^kip1-negative tumours it was 18 months (p=0.53). A significant relationship was found between p27^kip1-negative tumours and radical resection (p=0.04). Multivariate survival analysis revealed that the localization of the tumour (pancreatic head/uncinate process vs periampullary) was the only significant and independent prognosticator (p = 0.01, Cox regression model). Resection margins involvement and grade remained nearly significant prognostic factors (p=0.07 and p=0.09, respectively). Conclusion. We conclude that p27^kip1 has limited overall prognostic utility in resected carcinoma of the pancreatic head region, but its potential role as a marker of residual disease needs to be further assessed.     

胶质瘤组织中EGFR、p27^kip1的表达变化及意义

目的观察胶质瘤组织中表皮生长因子受体（EGFR）和p27kip1的表达变化,并探讨其临床意义。方法采用免疫组化SP法检测60例胶质瘤组织、5例正常脑组织中EGFR和p27kip1。结果 60例胶质瘤患者中有39例表达EGFR,20例表达p27kip1。EGFR在正常脑组织中无表达,在Ⅱ、Ⅲ、Ⅳ级胶质瘤中阳性表达率分别为52.4%、60.9%、87.5%（P〈0.05）;p27kip1在正常脑组织中表达率为80.0%,在Ⅱ、Ⅲ、Ⅳ级胶质瘤中阳性表达率分别为57.1%、26.1%、12.5%（P〈0.05）。EGFR表达与胶质瘤病理分级呈正相关（r=0.426,P〈0.05）,p27kip1表达与胶质瘤病理分级呈负相关（r=-0.325,P〈0.05）。结论 EGFR、p27kip1表达与胶质瘤的恶性程度有关,其表达异常可能在肿瘤形成中起促进作用。     

人类端粒酶逆转录酶hTERT Ki-67及p27kip1在嗜铬细胞瘤组织的表达及意义研究

目的研究人端粒酶逆转录酶(hTERT)、Ki-67及p27kip1的表达在嗜铬细胞瘤发生与发展中的作用和作为预测生物学行为标志物的价值。方法采用免疫组织化学方法检测hTERT、Ki-67及p27kip1在2000—2004年广西医科大学第一附属医院病理科的45例嗜铬细胞瘤和神经节细胞瘤及9例正常肾上腺组织中的表达。结果hTERT蛋白的表达在良性(3/31例)和可疑恶性(6/7例)以及良性与恶性肿瘤(5/7例)间的差异均有统计学意义(P<0.01)。31例良性肿瘤中26例未检测到Ki-67,而恶性肿瘤和可疑恶性肿瘤均为阳性;Ki-67与hTERT的表达呈正相关性(r=0.544,P<0.01)。恶性和可疑恶性肿瘤中未检测到p27kip1,5例良性肿瘤为阳性,所有正常肾上腺髓质标本均可检测到p27kip1的表达。p27kip1与hTERT的表达无相关性。结论端粒酶的激活在恶性嗜铬细胞瘤和神经节细胞瘤的发生发展中起着重要作用,在细胞周期调控中端粒酶可能存在不同的激活途径。hTERT和Ki-67的检测可作为鉴别良恶性嗜铬细胞瘤的手段。     

p27kip1基因转移对食管癌细胞生存素表达和端粒酶活性的影响

背景：p27kip1是新近发现的一种抑癌基因，早期研究表明p27kip1基因转移能显著抑制食管癌细胞和人食管癌裸鼠移植瘤的生长，表明该基因疗法可能是食管癌治疗的新途径，但其抑癌机制尚未完全阐明。目的：研究p27kip1基因转移对食管癌细胞生存素（survivin）表达和端粒酶活性的影响。从而阐明p27kip1的抑癌机制，为p27kip1基因治疗食管癌提供理论依据。方法：将携带p27kip1基因的重组腺病毒（Ad—p27kip1）和LacZ重组腺病毒（Ad—LacZ）分别转染食管癌细胞系Eca9706，观察细胞形态变化。以免疫细胞化学染色和蛋白质印迹法检测p27kip1和生存素的表达．以端粒重复序列扩增程序（TRAP）聚合酶链反应（PCR）-酶联免疫吸附测定（ELISA）检测端粒酶活性。结果：经Ad—p27kip1转染后，Eta9706细胞变圆，呈葡萄串样聚集以致脱落。细胞p27kip1表达明显增强，生存素表达降低，端粒酶活性显著受抑制。结论：p27kip1基因抑制食管癌细胞生长的作用机制可能与下调生存素表达和抑制端粒酶活性有关。     

雷帕霉素支架对小型猪冠状动脉p27kip表达及内膜增殖的影响

目的　观察小型猪冠状动脉置入支架后p2 7kip表达变化及含 10 0 μg雷帕霉素可降解涂层支架释放的雷帕霉素对p2 7kip表达的影响。方法　球囊 血管以 1 3∶1比例置入过大的裸支架 (n =14 )、单高分子可降解多聚羟基丙酸乙酸 (PLGA)涂层支架 (n =16 )或雷帕霉素支架 (n =16 )并形成冠状动脉损伤模型 ,术后第 1、2、4和 12周时间段处死部分猪。测定 12周时 3组支架血管段的内膜厚度和面积。免疫组化法测定支架置入后 4个时段冠状动脉的p2 7kip表达水平及动态变化。结果　在 12周的随访组 ,裸支架、PLGA支架和雷帕霉素支架的新生内膜平均厚度分别为 (0 38± 0 2 0 )mm、(0 96± 0 5 8)mm和 (0 14± 0 12 )mm(P =0 0 0 4 ) ,3组的新生内膜面积分别为 (3 38± 0 31)mm2 、(6 4 6±2 0 1)mm2 和 (2 0 7± 0 82 )mm2 (P =0 0 0 0 )。置入裸支架 1周后 ,冠状动脉p2 7kip表达处于低水平状态 ,但在第 4周达到最高水平 ,在第 12周时 ,其表达水平恢复至第 1周时水平 ;雷帕霉素支架使整个随访期的p2 7kip表达水平无明显变化 ,均处于高水平表达状态。结论　含 10 0 μg雷帕霉素支架在 12周内有抑制小型猪冠状动脉内膜增殖的明显疗效。裸支架置入后 12周内 ,p2 7kip表达水平在第 4周最高 ;涂层支架释放的     

重组腺病毒介导的人p27kip1基因高表达对体外培养的大鼠主动脉血管平滑肌细胞迁移的影响

目的　探讨重组腺病毒介导的p2 7kip1基因及其蛋白产物高表达对血管平滑肌细胞 (VSMCs)迁移的抑制作用。方法　将含人p2 7kip1cDNA的重组腺病毒 (Adhp2 7kip1)及含 β 半乳糖苷酶基因的重组腺病毒 (AdLacZ)在体外转染原代大鼠主动脉VSMCs,用Westernblot及Boyden趋化小室检测外源性p2 7kip1蛋白在细胞内的表达及对VSM Cs迁移的影响。结果　转染后 2 4h ,Adhp2 7kip1转染的VSMCs内p2 7kip1蛋白高表达 ,而AdLacZ转染的VSMCs内仅显示极低水平的内源性p2 7kip1蛋白表达 ;Boyden趋化小室检测显示未转染的VSMCs、AdLacZ及Adhp2 7kip1转染的VSMCs血清诱导后的迁移细胞数分别为 139± 2 6、10 6± 16及 6 8± 14。结论　外源性p2 7kip1基因及蛋白产物在VSMCs内高表达可显著抑制VSMCs的迁移     

Impact of p27mt gene on transplantation model of human colorectal cancer in nude mice

AIM： To investigate the inhibitory and anti-metastatic effect of mutant p27 gene （p27mt） on the growth of colorectal cancer xenografts in nude mice and its underlying mechanism. METHODS： Inhibitory effect of p27mt gene on the growth of colorectal cancer xenografts was determined by measurement of tumor size before and after direct intra-tumoral injection of Ad-p27mt in a pre-established transplantation model of human colorectal cancer in nude mice. Cell cycle and apoptosis were detected by flow cytometry performed on single-cell suspension from an isolated tumor. Expression of MMP-9 in tumor tissue was detected by immunohistochemistry. RESULTS： The average sizes of transplantation tumors were 1.94 ± 0.67 cm^3, 2.75 ± 0.83 cm^3 and 3.01 ± 0.76 cm^3 in the Ad-p27mt, Ad-LacZ and control groups, respectively （P 〈 0.05）. The average proliferation rates were 37.34% ± 1.45%, 53.16% ± 3.27% and 54.48% ± 2.43%, in the Ad-p27mt, Ad-LacZ and control groups, respectively （P 〈 0.05）. The average apoptosis rates were 19.79% ± 3.32%, 6.38% ± 4.91% and 7.25% ± 5.20% in the Ad-p27mt, Ad-LacZ and control groups, respectively （P 〈 0.01）. The average MMP-9 expression rates were 20%, 75% and 66.7% in the Ad-p27mt, Ad-LacZ and control groups, respectively （P 〈 0.01）. CONCLUSION： p27mt inhibits the growth of transplanted tumor by blocking the proliferation of cancer xenografts and by promoting apoptosis of transplantated tumor cells, as well as decrease transplanted tumor metastasis.     

CyclinD1和p27kipl在胰腺癌中的表达与意义

目的　探讨CyclinD1和p2 7kipl在胰腺癌组织中的异常表达及其与临床和病理特征的关系。方法　应用免疫组化技术(SABC法 )检测 42例胰腺癌、2 0例正常胰腺及 15例急慢性胰腺炎组织CyclinD1和p2 7kipl的表达。结果　CyclinD1阳性表达率在胰腺癌组织中为 71 43 % ,显著高于正常胰腺 (0 )和胰腺炎组织 (40 % ) (P <0 0 5)。CyclinD1过表达与病人年龄、性别、肿瘤发生部位、组织分化程度、临床分期及淋巴结转移无关 (P >0 0 5)。p2 7kipl蛋白阳性表达在胰腺癌组织为 45 2 4% ,显著低于胰腺炎组织 (86 67% )(P <0 0 5) ,并与胰腺癌组织分化程度、临床分期及淋巴结转移相关 (P <0 0 5) ,与年龄、性别和肿瘤发生部位无关。两种蛋白之间无明显相关 (P >0 0 5)。结论　胰腺癌组织中CyclinD1过表达 ,p2 7kipl表达下降。CyclinD1和p2 7kipl与胰腺癌发生、发展密切相关     

Immunohistochemical expression of Cyclin D1, Cyclin E,p21/waf1 and p27/kip1 in inflammatory bowel disease: correlation with other cell-cycle-related proteins (Rb,p53, ki-67 and PCNA) and clinicopathological features

Background and aims The expression patterns of cyclins D1 and E as well as cyclin-dependent kinase inhibitors p21/waf1 and p27/kip1 and their correlation with clinical parameters and other cell cycle regulators was investigated in inflammatory bowel disease (IBD).Patients and methods These molecular markers were localized immunohistochemically using the monoclonal antibodies anti-cyclin D1 (DCS-6), anti-cyclin E (13A3), anti-p21 (4D10) and anti-p27 (1B4) in 70 patients with IBD, 30 patients with colorectal cancer and eight healthy subjects. Data were analyzed statistically using the software program.Results Cyclin D1 expression was higher in both UC and CD compared with the healthy control group. In addition, CD cyclin D1 expression was higher compared with UC cases and colorectal carcinomas. Cyclin D1 expression was correlated with disease activity and cell proliferation in UC cases. A positive relationship of cyclin D1 with p27/kip1 in both UC and CD was detected. Cyclin E expression was higher in UC, CD and carcinomas compared with healthy control group and its expression correlated with proliferative activity in both UC and CD cases. p21/waf1 expression was higher in IBD cases compared with that of the control group, while a decreased p21/waf1 expression in the group of carcinomas was noted. This expression was correlated with disease activity in UC and the proliferative activity in both UC and CD. The expression of cyclins D1 and E as well as p21/waf1 was also correlated with the existence of dysplastic lesions. A lower p27/kip1 expression in the group of carcinomas compared with IBD cases and healthy controls was found.Conclusions The expression patterns of cyclin D1, cyclin E, p21/waf1 and p27/kip1 in IBD may indicate their contribution in epithelial cell turnover and their possible implication in IBD-related dysplasia-carcinoma.