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  • 高富存,钟明安,刘斌,等.EGFR和COX-2在PBM患者胆囊黏膜上皮中的表达及意义[J].同济大学学报(医学版),2011,32(2):31-34.    [点击复制]
  • GAO Fu-cun,ZHONG Ming-an,LIU Bin,et al.The expression and the significance of epidermal growth factor receptor and cyclooxygenase-2 in gallbladder epithelial cells with pancreaticobiliary maljunction[J].同济大学学报(医学版),2011,32(2):31-34.   [点击复制]
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EGFR和COX-2在PBM患者胆囊黏膜上皮中的表达及意义
高富存,钟明安,刘斌,周主青,赵中辛
0
(同济大学附属东方医院普外科,上海 200120)
摘要:
目的 探讨表皮生长因子受体(epidermal growth factor receptor,EGFR)和环氧合酶-2(cyclooxygenase-2,COX-2)在胰胆管汇合异常(pancreaticobiliary maljunction,PBM)患者胆囊黏膜上皮中表达及临床意义。方法应用免疫组化S-P法检测PBM和非PBM慢性胆囊炎患者胆囊黏膜上皮中COX-2和EGFR蛋白的表达。结果 22例PBM患者胆囊黏膜上皮中,COX-2表达为(-)2例,(+)3例、(++)6、(+++)11例,对照组(-)4例、(+)9例、(++)8例、(+++)1例;PBM患者胆囊黏膜上皮中EGFR表达为(-)2例,(+)2例、(++)9例、(+++)9例,对照组为(-)6例、(+)4例、(++)10例、(+++)2例。两者均较对照组表达增高,差异有统计学意义(P<0.05),且PBM患者胆囊黏膜上皮中COX-2和EGFR表达有相关性(r=0.584,P<0.05)。结论 COX-2和EGFR在胰胆管汇合异常患者胆囊黏膜上皮中表达升高,且有相关性,可能对PMB患者胆囊上皮过度增生-不典型增生-癌变过程有促进作用。
关键词:  胰胆管汇合异常  表皮生长因子受体  环氧合酶-2  癌变机制
DOI:10.3969/j.issnl008-0392.2011.02.007
基金项目:上海市浦东新区社会发展局项目(PW2007-A6)
The expression and the significance of epidermal growth factor receptor and cyclooxygenase-2 in gallbladder epithelial cells with pancreaticobiliary maljunction
GAO Fu-cun,ZHONG Ming-an,LIU Bin,ZHOU Zhu-qing,ZHAO Zhong-xin
(Dept.General Surgery,East Hospital,Tongji University,Shanghai 200120,China)
Abstract:
Objective To investigate the expression and the significance of epidermal growth factor receptor and cyclooxygenase-2 in gallbladder epithelial cells with pancreaticobiliary maljunction (PBM).Methods The expressions of epidermal growth factor receptor and cyclooxygenase-2 in gallbladder epithelial cells with or without PBM were detected by using S-P immunohistochemical staining.Results The expressions of COX-2 in gallbladder epithelial cells of 22 patients with PBM were 2 cases of score(-),3 score(+),6 score(+ +),and 11 score(+ + +),respectively.They were significantly higher than those in the control group with the same number of patients.They were: 4 cases of score(-),9 score(+),8 score(+ +),and 1 score(+ + +).The expressions of EGFR in gallbladder epithelial cells of 22 patients with PBM were:2 cases of score(-),2 score(+),9 score(+ +),and 9 score(+ + +),respectively.They were significantly higher than those in me control group with the same number of patients.They were:6 cases of score(-),4 score(+),10 score (+ +),and 2 score(+ + +).There was also significant correlation between EGFR and COX-2 in gallbladder epithelial cells with PBM(r=0.584,P<0.05).Conclusions The expressions of EGFR and COX-2 were significantly higher and positively correlated in gallbladder epitheUal cells with PBM,and this may play an important role in the hyperplasia-dysplasia-adenocarcinoma sequence of gallbladder epithelial cells with PBM.
Key words:  pancreaticobiliary maljuntion  epidermal growth factor receptor  cyclooxygenase-2  carcinogenesis

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