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慢性血吸虫病并结直肠癌中hMSH2和hMLH1的表达
引用本文:罗惠莉,卢晓晔.慢性血吸虫病并结直肠癌中hMSH2和hMLH1的表达[J].实用医学杂志,2010,26(6).
作者姓名:罗惠莉  卢晓晔
作者单位:暨南大学医学院组织胚胎学教研室,广州市,510632
摘    要:目的:探讨hMSH2/hMLH1蛋白表达与慢性血吸虫病并结直肠癌之间的相关性及其可能的作用机制.方法:应用免疫组化SP法检测67例慢性血吸虫病并结直肠癌患者癌变组织及癌旁正常组织中hMSH2/hMLH1蛋白的表达情况.结果:慢性血吸虫病并结直肠癌患者癌变组织中hMSH2/hMLH1蛋白表达丢失率为28.4%,而癌旁正常结直肠组织中表达丢失率为1.5%(P=0.000);在黏液腺癌中hMSH2/hMLH1蛋白表达明显减低(P<0.05);逐步回归法进行Logistic多因素分析结果显示组织学分型是hMSH2/hMLH1表达缺失的唯一危险因素(OR=3.333,95%C 1.096~10.141,P=0.034).结论:hMSH2/hMLH1蛋白缺失与结直肠癌组织学分型有关;hMSH2/hMLH1蛋白缺失在慢性血吸虫病并结直肠癌中起重要作用,微卫星不稳定性可能参与了慢性血吸虫肠病发展为结直肠癌的恶性转化过程.

关 键 词:结直肠肿瘤  血吸虫病  免疫组织化学

Expression of hMLH1 and hMSH2 in colorectal carcinoma with chronic schistosomiasis and its significance
LUO Hui-li,LU Xiao-ye.Expression of hMLH1 and hMSH2 in colorectal carcinoma with chronic schistosomiasis and its significance[J].The Journal of Practical Medicine,2010,26(6).
Authors:LUO Hui-li  LU Xiao-ye
Institution:LUO Hui-li,LU Xiao-ye.Department of Histology , Embryology,Medical College of Jinan University,Guangzhou 510632,China
Abstract:Objective To study the relationship between expression of hMLH1 / hMSH2 proteins and colorectal carcinoma with chronic schistosomiasis,and its possible mechanism.Methods SP immunohistochemical method was used to detect hMLH1 / hMSH2 proteins expression in 67 cases of colorectal carcinoma with chronic schistosomiasis and 35 cases of chronic intestinal schistosomiasis.Results The absence rate of hMLH1 / hMSH2 proteins in colorectal carcinoma with chronic schistosomiasis was 28.4%;The absence rate of hMLH1 / h...
Keywords:hMLH1/hMSH2
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