摘要
目的探讨B细胞淋巴因子-w(Bcl—w)在胃癌中的表达与预后的关系。方法通过免疫组化SP法,检测100例胃癌组织中Bcl—w和MMP-2(基质金属蛋白-2)的表达。结果(1)100例胃癌中Bcl-w和MMP-2表达的阳性率分别为69.0%、77.0%;(2)胃癌组织中Bcl-w和MMP-2的表达与肿瘤的大小、浸润深度、组织分化程度和淋巴结转移正相关(P〈0.05);(3)胃癌组织中Bcl—w表达与MMP-2表达显著相关(P=0.002);(4)Bcl—w阳性患者5年生存率和总体生存率低于Bcl-w阴性患者。结论(1)Bcl—W在抑制胃癌细胞凋亡、促进胃癌侵袭转移中发挥重要的作用;(2)Bcl-w在胃癌中的表达与预后负相关,可作为胃癌预后的评价指标。
Objective To discuss the meaning and association with prognosis of Bcl-w expression in gastric carcinoma. Methods By Immunohistochemistry(SP)method was used to detect the expression of Bcl-w and MMP-2 in 100 cases of human gastric carcinoma. Results ( 1 ) Among 100 cases of stomach carcinoma, Bcl-w and MMP-2 positive expression rates were respectively 69.0%, 77.0%;(2)The Bcl-w and MMP-2 expression in gastric carcinoma was positively associated with tumor size, invasive depth, histology differentiation and lymph node metastasis( P 〈 0.05 ) ; ( 3 ) The expression of Bcl-w was significantly correlated with MMP- 2 in gastric carcinomas ( P = 0. 002) ; (4) Five years survival rates and overall survival of Bcl- w-positive patients were lower than the Bcl-w -negative patients. Conclusions ( 1 ) Bcl-w plays an important role in inhibiting apoptosis of gastric cancer and promoting gastric cancer invasion;( 2 )Bcl-w-positive expression patients have a bad prognosis and Bcl-w expression in gastric carcinoma can be regarded as a prognosis evaluation index.
出处
《国际外科学杂志》
2011年第7期458-461,F0003,共5页
International Journal of Surgery