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岭南现代临床外科 ›› 2017, Vol. 17 ›› Issue (03): 278-283.DOI: 10.3969/j.issn.1009-976X.2017.03.006

• 论著与临床研究 • 上一篇    下一篇

LGR5参与了肝癌上皮间质转化

邹来宾 王健 吴佳勉 嵇腾飞 曹天生   

  1. 花都区人民医院
  • 通讯作者: 邹来宾

LGR5 involves in epithelial-mesenchymal transition in hepatocellular carcinoma

ZOU Laibin, WANG Jian,WU Jiamian,JI Tengfei,CAO Tiansheng.   

  • Online:2017-06-20 Published:2017-06-20

摘要:

目的 LGR5与原发性肝癌侵袭转移过程中上皮间质转EMT间的关方法 采用免疫组织化学的方SP分别检20例原发性肝癌组织20例癌旁组织14正常肝组织LGR5E?钙粘蛋E?CADN?钙粘蛋N?CAD的表达情况。并分析它们与原发性肝癌临床病理参数的关系。结果 LGR5E?CADN?CAD的表达20例肝癌组织中,LGR5E?钙粘蛋白N?钙粘蛋白的阳性表达分别1575%735%1680%20例癌旁组织中阳性表达分别为1155%1155%1055%。在14例正常肝组织阳性表达分别为429%1179%429%。统计分析表明LGR5在肝癌中的性表达率均明显高于癌旁及正常组Ρ<0.05E?钙粘蛋白在肝癌中的阳性表达率则明低于癌旁及正常组织中的阳性表Ρ<0.05。同时N?钙粘蛋白在肝癌中的阳性表达率明显于癌旁及正常组Ρ<0.05LGR5E-钙粘蛋白N-钙粘蛋白在原发性肝癌中的表达与临病例参数的关系LGR5的表达与患者术前肝功能有Ρ<0.05而与患者的年龄性别肿瘤大小肿瘤TNM分期分级HBV肝硬化甲胎蛋白等无Ρ>0.05E-CAD的表达与术前肝功年龄性别肿瘤大小TNM分期分级HBV肝硬化甲胎蛋白等均无Ρ>0.05N-CAD的表达与患者的术前肝功能年龄性别肿瘤大小TNM分期分级HBV肝硬化甲胎蛋白等均无Ρ>0.05结论 原发性肝癌中存在明显的上皮间质转化现象LGR5原发性肝癌侵袭转移过程中上皮间质转化有可能是通Wnt/β?catenin信号传导通路介导发性肝癌的上皮间质转化

关键词: LGR5, 关系 , 上皮间质转化, 原发性肝癌

Abstract:

Objective To research the relationships between Orphan G-protein-coupled Receptor LGR5 with epithelial-mesenchymal transition of hepatocellular carcinoma. Methods To test the expression of LGR5, E-CAD and N-CAD in 20 HCC tissues, 20 paracancerous tissues of HCC and 14 normal liver tissues by immunohistochemistry and to analyze the expressions of them with some clinic-pathological parameters. Results In 20 HCC specimens, the positive expressions of LGR5, E-CAD and N?CAD were 15 cases70%, 7 cases35%and 16 cases80%respectively. In 20 paracancerous tissues of HCC specimens, the positive expressions were 11 cases55%, 11 cases55%and 10 cases 55%. While in all 14 cases of normal liver tissues, the positive expressions are 4 cases29%, 11 cases 79%, 4 cases29%respectively. Statistical analysis showed that the positive expression rate of LGR5 in HCC were obviously higher than that in paracancer and normal liver Ρ <0.05. The expression of LGR5 was correlated with liver functionΡ<0.05, but no statistically significant with age, gender, tumor size, tumor TNM stages, pathological grades, HBV and liver cirrhosis serum alpha fetoproteinΡ0.05. There was no statistical significance between the expression of E- CAD with the function of liver, age, gender, tumor size, tumor TNM stages, pathological grades, HBV and liver cirrhosis serum alpha fetoproteinall P0.05);The expression of N-CAD was not correlated with liver function, age, gender, tumor size, tumor TNM stages, pathological grades, HBVand liver cirrhosis serum alpha fetoproteinall Ρ0.05. Conclusion Primary liver cancer occurs has obvious EMT phenomenon. LGR5 is related to EMT of invasion and metastasis in primary liver cancer and it may be able to mediate EMT in primary liver cancer through the Wnt/β?catenin signal pathway.

Key words: LGR5, hepatocellular carcinoma, epithelial?mesenchymal transition, relationship

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