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    孙敏, 张海报, 张蓓. PR、DPT和TGF-β1蛋白在子宫内膜癌组织中的表达及相关性[J]. 徐州医科大学学报, 2022, 42(11): 823-827. DOI: 10.3969/j.issn.2096-3882.2022.11.008
    引用本文: 孙敏, 张海报, 张蓓. PR、DPT和TGF-β1蛋白在子宫内膜癌组织中的表达及相关性[J]. 徐州医科大学学报, 2022, 42(11): 823-827. DOI: 10.3969/j.issn.2096-3882.2022.11.008
    ex<x>pression and correlation of PR, DPT and TGF-β1 proteins in the endometrial carcinoma[J]. Journal of Xuzhou Medical University, 2022, 42(11): 823-827. DOI: 10.3969/j.issn.2096-3882.2022.11.008
    Citation: ex<x>pression and correlation of PR, DPT and TGF-β1 proteins in the endometrial carcinoma[J]. Journal of Xuzhou Medical University, 2022, 42(11): 823-827. DOI: 10.3969/j.issn.2096-3882.2022.11.008

    PR、DPT和TGF-β1蛋白在子宫内膜癌组织中的表达及相关性

    ex<x>pression and correlation of PR, DPT and TGF-β1 proteins in the endometrial carcinoma

    • 摘要: 目的:研究孕激素受体(Progesterone receptor, PR)、皮肤桥蛋白(Dermatopontin,DPT)和 转化生长因子-β1(Transfermation growth factor β1,TGF-β1)在子宫内膜癌中的表达及其对子宫内膜癌临床病例特征的相关性。方法:搜集纳入2013年9月2016年4月徐州医科大学附属邳州医院及徐州市中心医院确诊的子宫内膜癌患者80例、不典型增生子宫内膜患者30例及正常增生期患者30例作为研究对象,免疫组化(SP法)检测癌组织、不典型增生子宫内膜组织及正常增生期内膜组织中PR、DPT及TGF-β1的定位及表达水平,分析PR、DPT及TGF-β1的表达水平与子宫内膜癌患者临床病理特征之间的关系,进一步分析PR与DPT、TGF-β1之间的表达相关性。结果:PR和DPT阳性表达率在正常子宫内膜组织、不典型增生子宫内膜组织、子宫内膜癌组织中依次下降(P<0.05),而TGF-β1阳性表达率依次升高(P<0.05),且三者表达均定位在细胞核或/和细胞浆中。子宫内膜癌组织中PR表达水平在组织细胞学分级、肌层浸润深度及淋巴结转移上差异有统计学意义(P<0.05);DPT表达水平在组织学细胞分级及淋巴结转移上差异有统计学意义(P<0.05);TGF-β1表达水平在组织细胞学分级、病理分期及肌层浸润深度上差异存在统计学意义(P<0.05),进一步等级相关性分析发现PR与DPT的表达呈正相关(r=0.28, P=0.012),而PR与TGF-β1的表达呈负相关(r=-0.224,P=0.046)。结论:子宫内膜癌组织中PR、DPT阳性表达率降低,而TGF-β1阳性表达率升高,PR表达与DPT呈正相关,而与TGF-β1呈负相关,三者能有效反应子宫内膜病变病情恶性进展,有利于子宫内膜癌的临床检测和诊疗指导。

       

      Abstract: ob<x>ject To analyze the relationship between the ex<x>pression of progesterone receptor (PR), dermatopontin (DPT) and transfermation growth factor β1(TGF-β1) and clinicopathology in endometrial carcinoma (EC). Methods A total of 80 patients with EC, and 30 patients with atypical hyperplasia endometrial disease and 30 patients with normal hyperplasia endometrial tissue diagnosed by pathological examination in Pizhou Hospital Affiliated to Xuzhou Medical University and Xuzhou Central Hospital from September 2013 to April 2016. The ex<x>pression and location of PR, DPT and TGF-β1 was detected by immunohistochemistry (SP method ) in EC tissue, atypical hyperplasia endometrial tissue and normal hyperplasia endometrial tissue. The relationship between PR, DPT and TGF-β1 and clinicopathological characteristic of endometrial cancer patients were analyzed. Furthermore, the correlation between PR, DPT and TGF-β1 was also analyzed. Results The positive ex<x>pression rate of PR and DPT was significantly decreased in normal endometrial tissue, atypical hyperplasia endometrial tissue and endometrial carcinoma tissue in order (P<0.05), while the positive ex<x>pression rate of TGF-β1 was significantly increased in turn (P<0.05), the location of these protein was localized in the nucleus or /and cytoplasm. The ex<x>pression level of PR in endometrial cancer tissue was significantly different in histological grade, myometrial invasion depth and lymph node me<x>tastasis (P<0.05), the ex<x>pression level of DPT was significantly different in histological grade and lymph node me<x>tastasis (P<0.05), the ex<x>pression level of TGF-β1 was significantly different in histological grade, pathological stage and myometrial depth (P<0.05). Further correlation analysis found that the ex<x>pression of PR was positively correlated with DPT (r=0.28, P=0.012), while the ex<x>pression of PR was negatively correlated with TGF-β1(r=-0,224, P=0.047). Conclusion The positive ex<x>pression rate of PR and DPT was significantly decreased in endometrial carcinoma, while the positive ex<x>pression rate of TGF-β1 was significantly increased. The ex<x>pression of PR was positively correlated with DPT, but negatively correlated with TGF-β1. These proteins can effectively reflect the malignant progression of endometrial lesions, and is benefit for the clinical detection, diagnosis and treatment of endometrial carcinoma.

       

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