吉林大学学报(医学版) ›› 2015, Vol. 41 ›› Issue (04): 830-835.doi: 10.13481/j.1671-587x.20150431

• 临床研究 • 上一篇    下一篇

S100钙结合蛋白P在胃癌患者胃癌组织和血清中的表达及其临床意义

乔晓娟1, 苏秀兰2, 师永红3, 杜华3, 张树才4, 李云霞1   

  1. 1. 内蒙古医科大学附属医院保健中心, 内蒙古 呼和浩特 010050;
    2. 内蒙古医科大学附属医院临床医学 研究中心, 内蒙古 呼和浩特 010050;
    3. 内蒙古医科大学附属医院病理科, 内蒙古 呼和浩特 010050;
    4. 首都医科大学附属北京胸科医院 北京市结核病胸部肿瘤研究所肿瘤内科, 北京 101149
  • 收稿日期:2014-12-10 发布日期:2015-08-01
  • 通讯作者: 张树才,主任医师,博士研究生导师(Tel:010-89509304,E-mail:sczhang6304@163.com);李云霞,主任医师,硕士研究生导师(Tel:0471-6636432,E-mail:yunxia728@163.com) E-mail:sczhang6304@163.comyunxia728@163.com
  • 作者简介:乔晓娟(1981-),女,内蒙古自治区锡林郭勒盟人,主治医师,在读医学博士,主要从事恶性肿瘤内科治疗方面的研究。
  • 基金资助:

    内蒙古自治区高等学校科学研究项目资助课题(NJZY12148)

Expressions of S100 calcium-binding protein P in gastric cancer tissue and serum of patients with gastric cancer and their clinical significances

QIAO Xiaojuan1, SU Xiulan2, SHI Yonghong3, DU Hua3, ZHANG Shucai4, LI Yunxia1   

  1. 1. Health Care Center, Affiliated Hospital, Inner Mongolia Medical University, Hohhot 010050, China;
    2. Clinical Medical Research Center, Affiliated Hospital, Inner Mongolia Medical University, Hohhot 010050, China;
    3. Department of Pathology, Affiliated Hospital, Inner Mongolia Medical University, Hohhot 010050, China;
    4. Department of Medical Oncology, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing 101149, China
  • Received:2014-12-10 Published:2015-08-01

摘要:

目的: 研究胃癌患者胃癌组织和血清中S100钙结合蛋白P(S100P)表达及其与临床病理参数的关系,监测原发肿瘤切除前后血清S100P蛋白水平,探讨其与预后的关系。 方法: 选取手术切除并经病理检查确诊的胃癌患者50例作为研究对象,所有患者均可获取术后石蜡组织标本及术前血清,其中20例患者可获取新鲜胃癌组织及配对癌旁组织,另30例患者可获取术后动态血清。半定量RT-PCR法检测组织中S100PmRNA水平;免疫组织化学法及ELISA法分别检测组织和血清中S100P蛋白水平。选择同期30名体检者为正常对照组,ELISA法检测血清S100P蛋白水平。结果: 胃癌组织S100P mRNA表达水平明显低于癌旁组织(P<0.05);胃癌组织S100P蛋白阳性表达率低于癌旁组织(P<0.05),S100P表达下调与脉管癌栓有关联(P<0.05)。胃癌患者术前血清S100P水平低于正常对照组,但差异无统计学意义(P>0.05);无淋巴结转移胃癌患者血清S100P水平高于有淋巴结转移患者,但差异无统计学意义(P> 0.05);胃癌患者手术后2周血清S100P水平明显低于手术前(P<0.05)。结论: S100P在胃癌患者胃癌组织和血清中表达水平下调,其表达水平与预后有关联。持续动态监测血清S100P水平变化可能预测复发及判断预后。

关键词: S100钙结合蛋白P, 胃肿瘤, 预后

Abstract:

Objective To investigate the relationship between the expressions of S100 calcium-binding protein P (S100P) in gastric cancer tissue and serum of the patients with gastric cancer and their clinicopathological parameters and monitor the serum S100P protein levels before and after tumor resection,and to explore its correlation with the prognosis of gastric cancer. Methods 50 patients with gastric cancer confirmed by surgical resection and pathological examination were selected.The pre-operative serum and post-operative gastric cancer tissue paraffin samples were collected.The fresh tissue samples and adjacent tissue were adopted from 20 patients with gastric cancer,and the postoperative dynamic serum samples were obtained from the other 30 patients with gastric cancer.Meanwhile,30 health volunteers were selected as normal control group.The expression level of S100P mRNA in gastric cancer tissue was detected by semi-quantitative RT-PCR.Immunohistochemistry and enzyme linked immunosorbent assay (ELISA) were used to detect the expression levels of S100P protein both in gastric cancer tissue and serum. Results The expression level of S100P mRNA in gastric cancer tissue was significantly lower than that in adjacent normal tissue (P<0.05);the positive expression rate of S100P protein in gastric cancer tissue was significantly lower than that in adjacent tissue (P<0.05);the down-regulation of the expression of S100P protein in gastric cancer tissue was positively correlated with vascular cancer embolus (P<0.05).The serum S100P level in the patients with gastric cancer before operation was lower than that in normal control group,but there was no significant difference (P> 0.05).The serum S100P level in the gastric cancer patients without lymph node metastasis was higher than that in the patients with lymph node metastasis,but there was no significant difference (P> 0.05).The serum S100P level in the patients with gastric cancer 2 weeks after operation was significantly lower than before operation. Conclusion The expression levels of S100P in gastric cancer tissue and serum of the patients with gastric cancer are decreased,and its expression level is correlated with the prognosis. The continuous dynamic monitoring of serum S100P level may predict the recurrence and prognosis.

Key words: S100 calcium-binding protein P, stomachneoplasms, prognosis

中图分类号: 

  • R735.2