临床肿瘤学杂志

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胃癌中幽门螺杆菌感染与VEGF-C、VEGFR-3表达的关系

苗莹莹1,仇玮2,王建宁1,朱祖明1,翟启智1   

  1. 1 211100 南京 南京医科大学附属江宁医院消化科 2 211100 南京医科大学附属江宁医院病理科
  • 收稿日期:2016-04-07 修回日期:2016-06-21 出版日期:2016-08-31 发布日期:2016-08-31

Department of Gastroenterology,the Affiliated Jiangning Hospital of Nanjing Medical University,Nanjing 211100,China

MIAO Yingying,QIU Wei, WANG Jianning, ZHU Zuming, ZHAI Qizhi   

  1. Department of Gastroenterology,the Affiliated Jiangning Hospital of Nanjing Medical University,Nanjing 211100,China
  • Received:2016-04-07 Revised:2016-06-21 Online:2016-08-31 Published:2016-08-31

摘要: 目的 探讨胃癌组织中血管内皮生长因子C(VEGF-C)、血管内皮生长因子受体3(VEGFR-3)的表达与幽门螺杆菌(Hp)感染及临床病理特征的关系。方法 采用13C呼气试验及改良Giemsa法检测40例胃癌患者的Hp感染情况,采用免疫组化SP法检测40例胃癌及配对癌旁组织中VEGF-C、VEGFR-3蛋白的表达。结果 胃癌患者Hp感染率为65.0%。VEGF-C、VEGFR-3蛋白在胃癌组织中的表达量分别为(8.74±0.84)×10-2和(3.64±1.96)×10-2,在癌旁组织中为(1.23±0.38)×10-2和(0.90±0.18)×10-2,差异均有统计学意义(P<0.05)。VEGF-C与VEGFR-3蛋白表达呈正相关(r=0.51,P<0.05)。VEGF-C、VEGFR-3蛋白的表达与肿瘤浸润深度、分化程度、淋巴结转移、TNM分期有关(P<0.05),与肿瘤大小无关(P>0.05)。VEGF-C、VEGFR-3蛋白在Hp感染阳性胃癌组织中的表达量分别为(11.72±3.07)×10-2和(8.71±2.15)×10-2,在Hp感染阴性胃癌组织中分别为(8.48±1.11)×10-2、(5.37±1.05)×10-2,差异均有统计学意义(P<0.05)。结论 VEGF-C、VEGFR-3表达与Hp感染和胃癌的发生、发展有关,且Hp感染可能与胃癌淋巴管生成有关。

Abstract: Objective To investigate the correlation of vascular endothelial growth factor C(VEGF-C),and vascular endothelial growth factor receptor 3(VEGFR-3)with the infection of helicobacter pylori(Hp)and clinicopathological characteristics in gastric carcinoma. Methods The infection with Hp in 40 patients with gastric carcinoma was detected by 13C breath test and improved Giemsa. The expression of VEGF-C,VEGFR-3 in 40 cases of gastric carcinoma and their adjacent tissues were detected by immunohistochemical SP method. Results The infection of Hp in 40 gastric carcinoma patients was 65.0%. The expressions of VEGF-C,VEGFR-3 in gastric carcinoma tissues were(8.74±0.84)×10-2 and(3.64±1.96)×10-2,and in adjacent tissues they were(1.23±0.38)×10-2 and(0.90±0.18)×10-2. The expressions of VEGF-C,VEGFR-3 in gastric carcinoma were significantly higher than those of adjacent tissues(P<0.05). There was a positive correlation between VEGF-C and VEGFR-3(r=0.51,P<0.05). The expressions of VEGF-C,VEGFR-3 were related to the depth of invasion,differentiation,lymph node metastasis and TNM stage(P<0.05), but not with tumor size(P>0.05). The expression of VEGF-C,VEGFR-3 in Hp-positive gastric carcinoma tissues were(11.72±3.07)×10-2 and(8.71±2.15)×10-2,which were higher than (8.48±1.11)×10-2and(5.37±1.05)×10-2 in Hp-negative gastric carcinoma tissues,with significant differences(P<0.05). Conclusion Infection of Hp and the expressions of VEGF-C,VEGFR-3 are associated with the ooccurrence and progression of gastric carcinoma. The infection of Hp may be correlated with lymphangiogenesis.

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