摘要
AIM: To explore the epithelial-mesenchymal transition (EMT) in tissue from patients with Lynch syndrome, and to interpret biological behaviour of Lynch syndrome.
AIM:To explore the epithelial-mesenchymal transition(EMT)in tissue from patients with Lynch syndrome,and to interpret biological behaviour of Lynch syndrome.METHODS:Sixty-eight formalin-fixed and paraffin embedded tissue blocks were analyzed in this study,including tissues from Lynch syndrome(n=30),sporadic colorectal carcinoma(CRC)(n=30),and tumoradjacent tissues(n=8).Tissue sections were stained for human mutS homolog 2(hMSH2),human mutL homolog 1(hMLH1),transforming growth factor-βtypeⅡreceptor(TGFβRⅡ),E-cadherin,β-catenin,matrix metalloproteinase-7(MMP-7)and tissue inhibitor of metalloproteinase-2(TIMP-2)by immunohistochemical staining.Furthermore,clinical data such as age,gender and tumor-node-metastasis stage were also collected retrospectively.RESULTS:The positive expression rates of hMSH2,hMLH1,TGFβRⅡ,E-cadherin,β-catenin,MMP-7 and TIMP-2 were significantly related to the depth of invasion and lymph node metastasis,but not to sex or tumour size or location.The differences in the positive expression rates of hMSH2,hMLH1,TGFβRⅡ,E-cadherin,cytomembraneβ-catenin,cytoplasmicβ-catenin,MMP-7 and TIMP-2 were significant between sporadic CRC and Lynch syndrome.The expression of hMSH2 had a positive correlation with that of hMLH1 in Lynch syndrome and sporadic CRC.The expression of TGFβRⅡhad a positive correlation with that of hMSH2,hMLH1 and MMP-7,and a negative correlation with that of TIMP-2.The expression of MMP-7 had a negative correlation with that of TIMP-2 in Lynch syndrome and sporadic CRC.The expression of E-cadherin was positively correlated with that of cytomembraneβ-catenin.However,the expression of cytomembraneβ-catenin was negatively correlated with that of cytoplasmicβ-catenin,and the expression of cytoplasmicβ-catenin was positively correlated with that of MMP-7.CONCLUSION:EMT may play an important role in the development and progression of Lynch syndrome.Lynch syndrome was caused by the mutations of mismatch repair genes,mainly hMSH2 and hMLH1,which also beget the mutational
基金
Supported by Capital Citizen Health Cultivation Project,No.Z131100004013021
General Projects of the Chinese PLA "Twelfth Five-Year" Logistics Research Subject,No.CWS11J193
