骨成形蛋白9在结直肠癌发生发展中的表达及临床意义

Expression of BMP-9 in development and progression of colorectal carcinoma and its clinical significance

  • 摘要: 目的 探讨骨成形蛋白9(bone morphogenetic protein-9,BMP-9)在结直肠癌演变过程中的表达及其与临床病理特征的关系。 方法 收集辽宁医学院附属第一医院病理科2012年5月-2014年10月收治的65例伴有腺瘤的结直肠癌患者的腺瘤组织、癌组织及对应的正常肠黏膜组织各65块作为研究对象,运用免疫组化方法分析BMP-9和细胞增殖因子Ki-67在这些组织中的表达情况。 结果 在正常结直肠黏膜、腺瘤及癌组织中,BMP-9的阳性率分别为68%(44/65)、91%(59/65)和95%(62/65),BMP-9在结直肠癌组织中的表达水平高于腺瘤组织(P< 0.05),腺瘤组织中的表达水平高于正常肠黏膜组织(P< 0.05);结直肠癌组织中BMP-9的表达水平与肿瘤位置、肿瘤大体类型、肿瘤组织的分化程度、组织学类型、WHO组织学分级、脉管内癌栓情况、TNM分期和血清肿瘤标记物CEA、CA19-9水平均无相关性(P> 0.05);结直肠组织中BMP-9表达水平与Ki-67表达水平无显著相关性(P> 0.05),与腺瘤的临床病理学指标均无显著相关性(P> 0.05)。 结论 BMP-9在正常结直肠黏膜、腺瘤和癌组织中的表达呈递增趋势,说明BMP-9对于结直肠肿瘤的发生、发展可能起一定的促进作用。

     

    Abstract: Objective To investigate the expression of BMP-9 (bone morphogenetic protein-9) in colorectal cancer (CRC) and the relationship between BMP-9 and clinicopathological characteristics of CRC. Methods The colorectal adenoma and carcinoma tissues and its corresponding normal colorectal mucosa from 65 patients with a pathologically proven diagnosis of colorectal adenoma and adenocarcinoma from the department of pathology in the First Affiliated Hospital of Liaoning Medical University from May 2012 to October 2014 were examined for BMP-9 and cell proliferative factor Ki-67 expressions using immunohistochemistry. Results The positive rate of BMP-9 expression in the normal colorectal mucosa, adenoma and colorectal carcinoma was 68% (44/65), 91%(59/65) and 95% (62/65), respectively. The expression of BMP-9 in colorectal carcinoma tissues was significantly higher than that in adenoma tissues (P< 0.05), and the expression of BMP-9 in adenoma tissues was higher than that in normal mucosa (P< 0.05). However, there was no correlation between expression of BMP-9 and tumor location and types, degree of differentiation, histological type, WHO histological classification, vessel cancer embolus, TNM stage and the level of tumor marker CEA and CA19-9 in the serum of CRC (P> 0.05). The expression of BMP-9 was not correlated to the level of cell proliferative factor Ki-67 (P> 0.05). There was no correlation between expression of BMP-9 and clinicopathological characteristics in colorectal adenoma (P> 0.05). Conclusion The increasing level of BMP-9 in normal colorectal mucosa- adenoma- carcinoma tissues indicates that BMP-9 may promote the development and progression of colorectal carcinoma.

     

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