Chinese Clinical Oncology

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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

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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