临床肿瘤学杂志

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胰腺癌组织HIF-1α和MIC A/B的表达及意义

陆晔斌,孙维佳,胡娟娟,王志明   

  1. 410008 长沙 中南大学湘雅医院普通外科
  • 收稿日期:2012-01-11 修回日期:2012-02-17 出版日期:2012-07-31 发布日期:2012-07-31
  • 通讯作者: 孙维佳

The action on immunity of hypoxia in pancreatic carcinoma:the expression and significance of HIF-1α and MIC A/B

LU Ye-bin,SUN Wei-jia,HU Juan-juan,WANG Zhi-ming   

  1. Department of General Surgery,Xiangya Hospital,Central South University, Changsha 410008,China
  • Received:2012-01-11 Revised:2012-02-17 Online:2012-07-31 Published:2012-07-31

摘要: 目的 探讨胰腺癌组织中低氧诱导因子1α(HIF-1α)与主要组织相容性复合物Ⅰ类相关蛋白(MIC A/B)表达的相关性及其临床意义。方法 采用免疫组织化学法检测42例胰腺癌组织(胰腺癌组)及9例慢性胰腺炎组织(胰腺炎组)和8例正常胰腺组织(正常胰腺组)中HIF-1α和MIC A/B的表达,分析两者之间的关系及其与临床病理特征之间的关系。结果 HIF-1α蛋白在胰腺癌组、胰腺炎组和正常胰腺组中的阳性表达率分别为76.2%、22.2%和0,MIC A/B蛋白的阳性表达率分别为90.5%、22.2%和12.5%。在胰腺癌组中,Ⅲ、Ⅳ期HIF-1α和MIC A/B蛋白的阳性表达率明显高于Ⅰ、Ⅱ期(P<0.05),有淋巴结转移者的HIF-1α阳性表达率明显高于无淋巴结转移者(P<0.05);而MIC A/B在分化程度不同的胰腺癌组织中表达程度亦有差异(P<0.05)。HIF-1α和MIC A/B在胰腺癌中的表达呈负相关(r=-0.552,P<0.001)。结论 HIF-1α可能对MIC A/B在胰腺癌中的表达起负调控作用,从而参与低氧对胰腺癌免疫抑制的诸多调控机制。改善胰腺癌中的低氧微环境可能为从免疫方向治疗胰腺癌提供新的思路。

Abstract: Objective To investigate the expressions of the hypoxia induced factor 1(HIF-1α)and the major histocompability complex class Ⅰ chain-related molecule(MIC A/B) in pancreatic carcinoma,and to detect their clinico-pathologic characteristics and the correlation of them. Methods The expressions of HIF-1α and MIC A/B were tested by immunohistochemical method in 42 pancreatic carcinoma,9 chronic pancreatitis and 8 normal pancreas tissues. Then we analyzed the correlation between HIF-1α and MIC A/B as well as the relationship with the clinical pathological factors. Results IHC showed that the positive rate of HIF-1α and MIC A/B in pancreatic carcinoma tissue were 76.2% and 90.5%,higher than chronic pancreatitis tissue (22.2%,22.2%)or normal pancreatic tissue(0,12.5%).The positive rates of HIF-1α and MIC A/B in samples of Ⅰ-Ⅱ stage were less than those in samples of Ⅲ-Ⅳ stage. The positive rate of HIF-1α in pancreatic carcinoma with lymphnode metastasis was 91.3%,higher than that in samples without lymphnode metastasis. In samples of different pathology and clinical stages,the expression level of MIC A/B was significant different(P<0.05).There was inverse correlation between MIC A/B and HIF-1α(r=.0.522,P<0.001). Conclusion The MIC A/B may be down-regulated by HIF-1αin pancreatic carcinoma and it may be one of the mechanism that immune escape is induced by hypoxia in carcinoma.How to improve the hypoxia microenvironment will give us a new idea to treat pancreatic carcionoma by immune therapy.

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