许华, 李胜水, 李秀清, 李丽, 李翠萍, 李双标, 张凤梅, 刘岩. 原发性胆囊癌中ILK和E-cad的表达及意义[J]. 中国肿瘤临床, 2013, 40(19): 1170-1173. DOI: 10.3969/j.issn.1000-8179.20130622
引用本文: 许华, 李胜水, 李秀清, 李丽, 李翠萍, 李双标, 张凤梅, 刘岩. 原发性胆囊癌中ILK和E-cad的表达及意义[J]. 中国肿瘤临床, 2013, 40(19): 1170-1173. DOI: 10.3969/j.issn.1000-8179.20130622
Hua XU, Shengshui LI, Xiuqing LI, Li LI, Cuiping LI, Shuangbiao LI, Fengmei ZHANG, Yan LIU. Expression of integrin-linked kinase and E-cadherin in primary gallbladder cancer and its significance[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2013, 40(19): 1170-1173. DOI: 10.3969/j.issn.1000-8179.20130622
Citation: Hua XU, Shengshui LI, Xiuqing LI, Li LI, Cuiping LI, Shuangbiao LI, Fengmei ZHANG, Yan LIU. Expression of integrin-linked kinase and E-cadherin in primary gallbladder cancer and its significance[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2013, 40(19): 1170-1173. DOI: 10.3969/j.issn.1000-8179.20130622

原发性胆囊癌中ILK和E-cad的表达及意义

Expression of integrin-linked kinase and E-cadherin in primary gallbladder cancer and its significance

  • 摘要:
      目的  研究整合素连接激酶(integrin-linked kinase,ILK)和E-钙黏蛋白(E-cadherin,E-cad)在原发性胆囊癌中的表达及相互关系,探讨二者表达与胆囊癌临床生物学行为的关系。
      方法  应用免疫组织化学S-P法检测48例胆囊腺癌、25例胆囊腺瘤和25例慢性胆囊炎组织中ILK和E-cad的表达情况,结合患者临床病理资料进行分析,并探讨二者间表达的相关性。
      结果  胆囊癌组织中ILK阳性表达率为66.7%(32/48)明显高于胆囊腺瘤组36.0%(9/25)和慢性胆囊炎组24.0%(6/25);而E-cad阳性表达率为45.8%(22/48)则明显降低(均P < 0.05);随着胆囊癌的浸润深度增加和淋巴结转移发生,ILK阳性表达显著升高,而E-cad则显著降低(均P < 0.05);胆囊癌组织中ILK与E-cad表达呈负相关(r= -0.411,P < 0.05)。
      结论  ILK、E-cad与胆囊癌侵袭、转移等生物学行为密切相关,二者表达呈负相关。联合检测二者有助于判断胆囊癌的发展趋势及评估预后。

     

    Abstract:
      Objective   To detect the protein expression and relationship between integrin-linked kinase (ILK) and E-cadherin (E-cad) in primary gallbladder cancer (PGC), as well as to evaluate their clinical significance.
      Methods   ILK and E-cad were examined in 48 cases with PGC, 25 with gallbladder adenoma and 25 with chronic cholecystitis tissues by immunohistochemistry. Then, the correlation between clinical and pathological features, as well as their relationship, was investigated.
      Results   The positive rate of ILK was significantly higher in the gallbladder cancer group (66.7%; 32/48) than in the gallbladder adenoma (36.0%; 9/25) and chronic cholecystitis groups (24.0%; 6/25) (P < 0.05). However, the positive rate of E-cad, namely, 45.8% (22/48), was significantly lower than those of the benign groups (P < 0.05). When the depth of invasion was aggravated and lymph node metastasis had occurred, the ILK expression level became significantly higher. Nevertheless, negative E-cad results were produced (P < 0.05). A negative correlation between the expression of ILK and E-cad in gallbladder cancer existed (r= -0.411, P < 0.05).
      Conclusion   The expression of ILK and E-cad is significantly correlated with tumor invasion and metastasis. A negative correlation exists between these expressions. Detection of these two indexes is useful in predicting tumor progression and prognosis.

     

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