J4 ›› 2012, Vol. 38 ›› Issue (4): 770-774.

• 临床研究 • 上一篇    下一篇

胶质瘤浸润组织中MMP-2、MMP-9、VEGF、Flk-1和P16的表达及其临床意义

刘 伟1|王长坤2|只达石1   

  1. 1.天津市环湖医院神经外科|天津300060;2.吉林大学第一医院神经外科|吉林 长春 130021
  • 收稿日期:2012-02-28 出版日期:2012-07-28 发布日期:2012-07-16
  • 通讯作者: 刘 伟(Tel:022-60367788,E-mail:liuweilw@yahoo.cn) E-mail:liuweilw@yahoo.cn
  • 作者简介:刘 伟(1965-)|男|吉林省辽源市人|副主任医师|医学博士|博士后|主要从事胶质瘤的基础与临床研究。
  • 基金资助:

     天津市卫生局重点项目资助课题(09KR06)

Expressions of |MMP-2,MMP-9,VEGF,Flk-1 and P16 in glioma invasive tissues and their clinical significances

LIU Wei1,WANG Chang-kun2,ZHI Da-shi1   

  1. 1.Department of Neurosurgery,Tianjin Huanhu Hospital,Tianjin 300060,China;2.Department of Neurosurgery,First Hospital,Jilin University,Changchun 130021,China
  • Received:2012-02-28 Online:2012-07-28 Published:2012-07-16

摘要:

目的:检测人脑胶质瘤浸润组织中基质金属蛋白酶2(MMP-2)、基质金属蛋白酶9(MMP-9)、血管内皮生长因子(VEGF)、血管内皮生长因子受体Flk-1和多种肿瘤抑制基因1 (multiple tumor suppressor 1,P16)的表达,
阐述其与胶质瘤浸润的相关性。方法:用原位杂交和免疫组织化学方法检测33例胶质瘤浸润组织中MMP-2、
MMP-9、VEGF、Flk-1和P16的表达,并比较不同分组胶质瘤间表达率及P16的缺失率。结果:在Ⅰ-Ⅱ级与Ⅲ-Ⅳ级胶质瘤的浸润组织中,MMP-2和MMP-9的阳性表达率分别为20.00%、61.11%和13.33%、55.56%(P<0.01);VEGF和Flk-1阳性表达率分别为26.67%、66.67%和20.00%、72.22%(P<0.01);P16缺失率分别为13.33%和77.78%,两者之间比较差异有统计学意义(P<0.01)。结论:基质金属蛋白酶降解构成血脑屏障的基底膜和血管内皮细胞的过度
增殖是胶质瘤浸润发生的必要条件。P16的缺失反映了恶性胶质瘤浸润组织具有增殖性生物学行为。

关键词: 胶质瘤浸润性;金属蛋白酶;血管内皮生长因子及受体;多种肿瘤抑制基因1

Abstract:

Objective To detect the expressions of the matrix metalloproteinase 2(MMP-2) matrix metalloproteinase 9(MMP-9) vascular endothelial growth factor(VEGF),Flms like tyrosine kinase (Flk-1) and multiple tumor suppressor 1 (P16) in human glioma invasive tissues,and to  elaborate the correlation of the MMP-2,MMP-9,VEGF,Flk-1 and P16 with the glioma invasion.Methods The expressions of MMP-2,MMP-9,VEGF,Flk-1 and P16 were detected through in situ hybridization and immunohistochemistry in 33  cases of glioma invasive tissues.Results
 The positive rates of MMP-2 and MMP-9 in Ⅰ-Ⅱ grade and Ⅲ-Ⅳgrade glioma invasive tissues were 20.00%,61.11% and 13.33%,55.56%. The positive rates of VEGF and Flk-1 were 26.67%,66.67%and 20.00%,7
2.22%(P<0.01),respecttively;the P16 deletion frequencies were 13.33% and 77.78%,there was significant difference(P<0.01).Conclusion The necessary condition in occurrence of glioma invision is the basilar membrane degraded by the matrix metalloproteinases and the proliferative activity of vascular endothelial cells.
 The descended expression rate for P16 reflects the biological behavior of glioma invasive tissue.

Key words: glioma invasion;matrix metalloproteinases;vascular endothelial growth factor;flms like tyrosine kinase;multiple tumor suppressor 1

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