肝细胞癌p53基因的突变与表达

The mutation and expression of p53 gene in hepatocellular carcinoma

  • 摘要: 目的: 对HCC患者的肝组织和外周血单核细胞(PBMC)进行突变p5 3基因、p5 3蛋白和HBX的检测并作比较,以助评估它们与HCC发生的关系。方法: 从HCC患者肝组织和PBMC中提取DNA,用PCR/SSCP和PCR/RFLP法分析p5 3基因突变。HCC中HBx与p5 3蛋白表达用免疫组化法检测。结果: HCC标本35 8%(5/14)显示p5 3基因第7外显子突变发生在2 49密码子。同样的PBMC标本中亦测到p5 3基因第7外显子有突变。免疫组化分析HCC肝组织中p5 3蛋白检出率为2 8 6%,而HBx在大多数标本中均有表达。结论: 在HCC,p5 3基因突变热点在第7外显子,p5 3基因突变率与p5 3蛋白检出率均约30%~40%,HBx较善遍地存在于所测的HCC标本中。这提示p5 3蛋白与HBx蛋白相互作用可能是HCC发病机制中的重要一步。

     

    Abstract: Objective: We and others have demonstrated that HBV X protein(HBx)can form complex with p53 protein Tumour specific mutations of the p53 gene often lead to the production of a mutated protein that has lost its normal growth regulatory functions In this paper, detection and comparison of mutated p53 and HBx in the liver tissue and PBMC from HCC patients were carried out to assess the extent of its involvement in hepatocarcinogenesis.Methods: DNA from HCC tissue samples was extracted and p53 mutation were detected at exon 5,6,7 and 8 by using PCR/SSCP and PCR/RFLP Using immunohistochemical method, p53 protein and HBx protein were detected in the HCC tissues.Results: PCR/SSCP analysis showed the presence of mutation at the exon 7 of p53 gene in 5 of 14 samples and the spot mutation of the 249 codon were identified by using PCR/RFCP The positive rate of p53 was 28 6% and HBx mutation in the liver tissues and PBMC from patients with HCC was 35 8% and 41 6% respectively Immunohistochemical analysis showed the positive rate of p53 protein was found in most of the HCC samples.Conclusion: These results indicated that the hotspot mutation of p53 gene in the samples studied is exon 7 The positive rate of p53 mutation and p53 protein were around 30%~40% But HBx was present in these smples at a much higher frequency The data suggested that the interactions between p53 and HBx are still worthy to be considered an important step in carcinogenesis

     

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