涎腺多形性腺瘤的倍体分布及与基因治疗的关系

The Relationship between the Gene Therapy and Ploid Distribution in Pleomorphic Adenomas of Salivary Gland

  • 摘要: 目的:探讨涎腺多形性腺瘤的DNA含量及倍体分布与HSV-tk基因治疗的关系。方法:采用流式细胞仪测定50例涎腺良性多形性腺瘤DNA含量和倍体分布并结合临床资料进行分析;应用腺病毒介导的HSV-tk基因分别转染培养中良性及交界性多形性腺瘤细胞;RT-PCR方法检测基因表达;四唑蓝比色(MTT)法测定HSV-tk系统对二倍体及异倍体肿瘤细胞的杀伤作用。结果:10例正常涎腺组织皆为二倍体;涎腺良性多形性腺瘤异倍体率20.0%;30岁以下年龄, 病程在2年以内及瘤体直径>5cm者异倍体率明显增高(P<0.05)。二倍体肿瘤细胞转染HSV-tk/GCV基因后3、5天, 细胞存活率分别为78.3%和37.7%。异倍体肿瘤细胞转染HSV-tk/GCV基因后3、5天, 细胞存活率分别为27.6%和27.2%, 二者细胞存活率有显著性差异(P<0.05)。结论:1)涎腺多形性腺瘤异倍体检出率与患者的年龄, 病程及瘤体直径有密切关系;2)HSV-tk/GCV在治疗后的3、5天对异倍体肿瘤细胞杀伤作用明显高于二倍体肿瘤。

     

    Abstract: Objective:To discuss the relationship between the DNA content, ploid distribution and the clinical significance and gene therapy for pleomorphic adenoma of salivary gland. Methods: Fifty cases of pleomorphic adenoma and 10 cases of salivary gland were determined by flow cytometry, the HSV一tk gene was transfected into human benign and adjacently malignant pleomorphic adenoma cells of salivary gland respectively using recombinant adenovirus vector. The efficiency of transfection and expression were detected by RT-PCR. The inhibition of cell proliferation was verified by MTT. Results: The aneuploid y rate of pleomorphic adenoma was obviously higher in young patients with large tumor or with the cause of disease shorter than 2 years (P<0.05). The proliferation of pleomorphic ade-noma cells infected by HSV一tk gene was inhibited and the survival rates of the diploid cells at day 3 and day 5 were 78.3% and 37.7%, respectively, but the aneuploidy cell survival rate decreased to 27.6% and 27.2% at day 3 and days 5, so the survival rate of the diploid cells was significantly higher(P<0.05). Conclusions: 1) To evaluate the DNA ploidy of pleomorphic adenoma is valuable for diagnosis and treatment. 2) The lethal effect of HSV一tk gene on the aneuploidy cells is obviously much more powerful compared to diploid cells.

     

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