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    PEDF、VEGF在子宫腺肌病组织中的表达及临床意义的研究

    The study on the expression of VEGF、PEDF protein in adenomyosis and its clinical significance

    • 摘要: 目的 探讨色素上皮衍生因子(PEDF)、血管内皮生长因子(VEGF)在子宫腺肌病组织中的表达及临床意义。方法 分别用免疫组化SP法及Western blotting 法对2015年10月至2016年12月徐州医科大学附属徐州市妇幼保健院16例子宫腺肌病子宫内膜组织、相应腺肌病病灶组织及14例因CIN Ⅲ行子宫切除术的子宫内膜组织中的PEDF、VEGF蛋白进行检测,同时计数三组组织中的微血管密度(MVD),用相应的统计学方法进行统计及相关性分析。结果 VEGF在腺肌病子宫内膜组及相应病灶组表达高于正常子宫内膜组(P<0.05),PEDF表达在腺肌病子宫内膜组及相应病灶组表达显著低于正常子宫内膜组(P<0.05),MVD在腺肌病子宫内膜组及相应病灶组显著高于正常子宫内膜组(P<0.05)。比较腺肌病子宫内膜组与相应病灶组中的VEGF、PEDF蛋白表达及MVD差异无统计学意义(P>0.05)。VEGF蛋白表达与MVD之间存在正相关关系(γ=0.711,P<0.05),PEDF蛋白表达与MVD存在负相关关系(γ=- 0.755,P<0.05)。 结论 子宫腺肌病的发生和在位子宫内膜血管异常增生相关,VEGF和PEDF表达异常可能参与了腺肌病的发病。

       

      Abstract: Objiective To analyze the expressions of VEGF、PEDF protein in adenomyosis in order to find their clinical significance . Methods PEDF and VEGF in 16 cases of adenomyosis endometrial, 16 cases of adenomyosis lesions location and 14 cases of CIN III hysterectomy of Xuzhou Maternal and Child Health Hospital Affiliated to Xuzhou Medical University from October 2015 to December 2016 were detected by immunohistochemical SP method and Western blot method.MVD was also counted in the three groups.Statistical analysis and correlation analysis were carried out by using corresponding statistical methods. Result The expression of VEGF protein in adenomyosis endometrial and its lesion location is higher than which in normal endometrial, and the differences have significance(P<0.05). PEDF protein in adenomyosis endometrial and its lesion location is lower than which in normal endometrial, the differences have significance(P<0.05). MVD in adenomyosis endometrial and corresponding lesion is higher than which in mormal endometrial group, the differences have significance(P<0.05). PEDF, VEGF and MVD in endometrial and corresponding lesion have no significance(P>0.05).There was a positive correlation between the expression of VEGF protein and MVD(γ=0.711,P<0.05).The expression of PEDF protein was negatively correlated with MVD(γ=-0.755,P<0.05).Conclusion The occurrence of adenomyosis is associated with abnormal endometrial vascular proliferation, and abnormal expression of VEGF and PEDF may be involved in the pathogenesis of adenomyosis.

       

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