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Expressions of APC,bcl-2 and c-met in gastric cancer and its precancerous lesion and their significances
LU Yi-xia, ZHU Xi-ping, LU Yan-hong,CHI Bao-rong
J4. 2007, 33 (2):
314-317.
DOI: 吉林省科技厅资助课题(200505180)
Objective To investigate the role of the expressions of APC, bcl-2 and c-met gene in the progress of gastric cancer and their significances in the diagnosis of early gastric cancer. Methods The immunohistochemical technique was used to detect the expressions of APC, bcl-2 and c-met gene in 30 cases of human gastric carcinoma(GC),30 cases of intestinal metaplasia (IM),30 dysplasia (Dys) gastric mucosa, 10 gastric adenoma(GA) and 20 normal gastric mucosa. Results ①The positive expression rates of APC in GC,IM, Dys and GA (53.3%,67.7% and 53.3%,respectively) were significantly lower than those in normal gastric mucosa(90.0%,P<0.05).The positive rate of APC in moderate and severe Dys(47.1%) was lower than that in mild Dys(61.5%, P<0.05).The expression rate of APC in GC without lymph node metastasis was higher than those with lymph node metastasis (P<0.05).②The positive expression rates of bcl-2 in GC (66.7%),IM(40.0%) and Dys(43.3%) were higher than those in normal gastric mucosa(5.0%) and GA(10.0%). The positive expression rate of bcl-2 in mild Dys (30.8%) was lower than those in GC(66.7%,P<0.05). The bcl-2 expression showed a significant negative correlation with lymph node metastasis and Lauren type(P<0.05).③The positive expression rates of c-met in GC(76.0%),IM(63.3%) and Dys(60.0%) were higher than those in normal gastric mucosa (10.0%,P<0.05)) and gastric adenoma (10.0%, P<0.05).The positive expression rate of c-met in moderate and severe IM (70.6%)was higher than those in mild IM(46.1%,P<0.05). The positive expression rate of c-met in moderate and severe Dys(75%) was higher than that in mild Dys(55.6%, P<0.05).The expression of c-met gene in GC with well differentiation was higher than that with bad differentiation(P<0.05). The expression of c-met gene in GC with lymph node metastasis was higher than that without lymph node metastasis (P<0.05). Conclusion The lose of APC or bcl-2 and c-met gene overexpression are contributed to the occurance and development of GC.To detect the expressions of APC, bcl-2 and c-met gene in moderate and severe Dys may be helpful for diagnosis of early gastric cancer.
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