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TACE对肝癌细胞P-GP表达的影响
引用本文:熊志刚,邬林泉.TACE对肝癌细胞P-GP表达的影响[J].实用临床医学(江西),2011,12(5):4-7.
作者姓名:熊志刚  邬林泉
作者单位:熊志刚,XIONG Zhi-gang(丰城市人民医院外科,江西,丰城,331100);邬林泉,WU Lin-quan(南昌大学第二附属医院肝胆外科,南昌,330006)
摘    要:目的 分析肝动脉栓塞化疗(TACE)对肝癌细胞多药耐药基因表达产物P糖蛋白(P-GP)的表达影响,P-GP和肝癌预后的关系,从耐药基因角度评价TACE对肝癌治疗的价值.方法 采用免疫组织化学S-P法检测30例肝动脉栓塞化疗后二期切除的原发性肝癌(HCC)及癌旁组织中P-GP的表达情况,并以本课题前期研究的30例未经TACE治疗的HCC及癌旁组织中P-GP表达情况作对照.结果 TACE后P-GP在HCC和癌旁组织中阳性率分别为93.3%(28/30)、56.7%(17/30),与未做TACE的阳性率83.3%(25/30)、30.0%(9/30)]相比,差异均有统计学意义(P<0.05).P-GP阳性病例比P-GP阴性病例生存时间短,P-GP表达不同的肝细胞肝癌病人的生存时间有差别(P<0.05).结论 P-GP参与介导HCC的多药耐药,TACE后肝癌细胞P-GP表达阳性率明显增高,TACE后导致继发性多药耐率增高.P-GP的表达有一定的预后判断意义.

关 键 词:肝细胞肝癌  肝动脉栓塞化疗  P糖蛋白  多药耐药  免疫组织化学

Effect of Transcatheter Arterial Chemoembolization on P-glycoprotein Expression in Hepatocellular Carcinoma
XIONG Zhi-gang,WU Lin-quan.Effect of Transcatheter Arterial Chemoembolization on P-glycoprotein Expression in Hepatocellular Carcinoma[J].Practical Clinical Medicine,2011,12(5):4-7.
Authors:XIONG Zhi-gang  WU Lin-quan
Institution:XIONG Zhi-gang1,WU Lin-quan2(1.Department of Surgery,the People's Hospital of Fengcheng,Fengcheng 331100,China,(2.Department of Hepatobiliany Surgery,the Second Affiliated Hospital of NanchangUniversity,Nanchang 330006,China)
Abstract:Objective To investigate the effect of transcatheter arterial chemoembolization(TACE)on p-glycoprotein(P-GP) expression in hepatocellular carcinoma(HCC),and to explore the relationship between P-GP and HCC prognosis and the value of TACE in the treatment of HCC.Methods The expression of P-GP in 30 cases of secondarily resected HCC and adjacent tissues after TACE(TACE group) was measured by immunohistochemistry(S-P) method and was compared with 30 cases of resected HCC and adjacent tissues managed without TA...
Keywords:hepatocellular carcinoma  transcatheter arterial chemoembolization  P-GP  multidrug resistance  immunohistochemistry  
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