VEGF-C及其受体flt-4在宫颈癌淋巴管生成及转移中的作用

The Roles of VEGF-C and Its Receptor flt-4 in Lymphangiogenesis and Metastasis of Cervical Cancer

  • 摘要: 目的 :检测VEGF-C及其受体VEGFR-3(flt-4)在宫颈病变组织中的表达,探讨二者在宫颈癌淋巴管生成及淋巴结转移中的作用。 方法 :收集本院1998年1月~2003年12月手术切除的宫颈病变组织标本78例,应用VEGF-C和flt-4多克隆抗体进行SP法免疫组化染色。 结果: 78例中,VEGF-C表达范围为0~71%,其中阴性(-)16例(20.5%),弱阳性(+)21例(26.9%),中等阳性(++)26例(33.4%),强阳性(+++)15例(19.2%)。随着病变由慢性宫颈炎到非典型增生再到宫颈原位癌和浸润癌的进展VEGF-C表达逐级增强。VEGF-C与flt-4之间及二者表达与淋巴结转移之间均呈明显正相关。 结论: VEGF-C可能在宫颈癌癌变过程中起一定的促进作用,VEGF-C/flt-4调控系统与宫颈癌组织的淋巴管生成及肿瘤细胞的淋巴结转移密切相关。

     

    Abstract: Objective : To detect the expression of vascular endothelial growth factor-C (VEGF-C) and its receptor VEGFR-3 (flt-4) in cervical diseases and inquire into the function of VEGF-C and flt-4 to the lymphangiogenesis and lymph node metastasis of cervical cancer. Methods : Seventy-eight cases of surgical speciments of cervical cancer in the hospital, in the period from 1998 to 2003, were collected and immunostained with VEGF-C and flt-4 polyclonal antibody by means of the streptavidin peroxidase method. Results : Of the 78 patients, the percentage of VEGF-C positive cells in cervical diseases ranged from 0~71%, 16 (20.5%) were negative, 21 (26.9%) weak positive, 26(33.4%) moderate positive and15 (19.2%) strong positive. The expression of VEGF-C became stronger and stronger with the progression of cervical diseases from chronical inflammation to cervical intraepithelial neoplasia(CIN) and to invasive carcinoma of cervix uteri. There was a direct correlation between the expression of VEGF-C and flt-4, both of VEGF-C and flt-4 were related to lymph node metastasis. Conclusion : VEGF-C may promote the canceration of cervical cancer. The VEGF-C/flt-4 system is closely related to the lymphangiogenesis and lymph node metastasis of cervical cancer.

     

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