实用肿瘤学杂志 ›› 2016, Vol. 30 ›› Issue (5): 430-435.doi: 10.11904/j.issn.1002-3070.2016.05.009

• 论著 • 上一篇    下一篇

TACE后残余肝癌细胞β-catenin和p28GANK的表达及意义的研究

李世杰1, 杨 奕1, 田玉龙1, 侯继野2, 刘瑞宝1   

  1. 1.哈尔滨医科大学附属肿瘤医院介入科(哈尔滨 150081);
    2.齐齐哈尔市第一医院介入科
  • 收稿日期:2016-07-28 出版日期:2016-10-28 发布日期:2016-11-02
  • 通讯作者: 刘瑞宝,E-mail:ruibaoliu@hotmail.com
  • 作者简介:李世杰,男,(1985-),硕士,住院医师,从事腹部肿瘤的影像诊断与介入治疗的研究

The expression and significance of β-catenin and p28GANK in residual hepatocellular carcinoma cells after transcatheter arterial chemoembolization

LI Shijie1, YANG Yi1, TIAN Yulong1, HOU Jiye2, LIU Ruibao1   

  1. 1.Department of Interventional Radiology,The Affiliated Tumor Hospital of Harbin Medical University,Harbin 150081,China;
    2.Department of Interventional Radiology,The First Hospital of Qiqihaer City
  • Received:2016-07-28 Online:2016-10-28 Published:2016-11-02

摘要: 目的 探讨经导管动脉化疗栓塞术(Transcatheter arterial chemoembolization,TACE)后残余肝癌细胞β-连环蛋白(β-catenin)和p28GANK的表达及意义。方法 收集TACE后手术切除的肝细胞癌组织标本45例(TACE组)和未经任何治疗直接手术切除的肝细胞癌组织标本30例(单纯手术组)。采用免疫组化SP法检测残余肝细胞癌中β-catenin、p28GANK的表达水平。结果 TACE组组织标本β-catenin和p28GANK的表达阳性率分别为77.78%和75.56%,单纯手术组肝癌组织标本β-catenin和p28GANK的表达阳性率分别为46.67%和53.33%,两组差异具有统计学意义(P<0.05)。TACE组残余肝细胞癌中β-catenin和p28GANK的阳性表达存在相关性(Φ=0.318,P=0.033)。TACE组β-catenin和p28GANK的高表达与患者门静脉癌栓形成和肿瘤远处转移有关(P<0.05)。结论 原发性肝癌TACE后残余肝细胞癌β-catenin和p28GANK的表达明显升高,β-catenin和p28GANK的高表达与患者存在门静脉癌栓和肿瘤的远处转移有关。β-catenin和p28GANK的高表达可能是TACE后肿瘤侵袭、转移的原因之一。

关键词: 肝细胞癌, 经导管动脉化疗栓塞术, β-catenin, p28GANK

Abstract: Objective To investigate the expression and significance of β-catenin and p28GANK in residual hepatocellular carcinoma(HCC)cells after transcatheter arterial chemoembolization(TACE).Methods We collected forty-five cases of surgical specimens of hepatocellular carcinoma after TACE(TACE group)and thirty cases of surgery without any treatment(pure surgery group).The expression of β-catenin and p28GANK were detected by using immunohistochemical SP method and compared between the two groups.Results The positive expression of β-catenin and p28GANK in TACE group were 77.78% and 75.56% respectively,which were significantly higher than those in pure surgery group(46.67% and 53.33% respectively,P<0.05).In the residual hepatocellular carcinoma cells of TACE group,the positive expression of β-catenin showed correlation with the positive expression of p28GANK(Φ=0.318,P=0.033).The high expression of β-catenin and p28GANK were closely related to portal vein thrombosis and distant metastasis(P<0.05).Conclusion The expression of β-catenin and p28GANK in the residual hepatocellular carcinoma cells were increased significantly after TACE.The high expression of β-catenin and p28GANK were closely related to portal vein thrombosis and distant metastasis.The high expression of β-catenin and p28GANK may be one of the reasons of hepatocellular carcinoma invasiveness and metastasis.

Key words: Hepatocellular carcinoma, Transcatheter arterial chemoembolization, β-catenin, p28GANK

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