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    GLUT-1在结直肠癌、腺瘤、正常组织中的表达及临床意义

    Expressions of GLUT-1 in colorectal adenocarcinoma tissues, adenoma tissues, and normal colorectal tissues and clinical significance

    • 摘要: 目的 研究葡萄糖转运蛋白1(GLUT-1)在结直肠癌方法 选取我院普外科手术切除结直肠腺癌组织50例、邻近正常组织50例、结直肠腺瘤30例,通过免疫组化方法检测其GLUT-1的表达情况,同时分析GLUT-1与结直肠癌相关临床病理因素之间的关系。结果 GLUT-1蛋白在结直肠正常黏膜、腺瘤、腺癌中的阳性表达率分别为16.00%(8/50)、40.00%(20/50)和68.00%(34/50),存在明显统计学差异,P<0.001Western blot结果显示:GLUT l在正常黏膜、腺瘤、腺癌中的表达量分别为(0.17±0.05)、(0.50±0.03)和(0.84±0.06),差异明显,P<0.001;GLUT-1表达自TNM I-IV期逐渐增强差异有统计学意义,P<0.01GLUT-1表达与肿瘤浸润深度、淋巴结转移、肝转移和脉管浸润密切相关,P<0.05,GLUT-1在CEA(+)、CA199(+)组织中的表达明显高于CEA(-)、CA199(-)组,P<0.05,GLUT-1的表达与肿瘤大小无相关性,P>0.05。结论 GLUT-1异常表达在结直肠癌变过程中发挥了重要作用,有望成为新的肿瘤监测指标,为结直肠癌的靶向治疗提供科学依据。

       

      Abstract: Objective: To investigate the expression of GLUT-1 and in human colorectal adenocarcinoma tissues and explore its correlation with clinical pathological parameters of colorectal cancer. Methods The expression of GLUT-1 in 50 specimens of colorectal adenomacarcinoma tissues,30 colorectal adenoma tissues and 50 specimens of normal colorectal tissues were detected by immunohistochemistry technique.The correlation between its expression and the elinieopathologie features was analyzed. Results Immunohistochemistry results showed tha the positive expression rates of GLUT-1 protein in colorectal normal tissues,colorectal adenoma tissues and colorectal adenoma tissues were 16.00% (8/50), 40.00% (20/50) and 68.00% (34/50),and there were statistical differences,P<0.001.Western-blot results showed that the expression level in normal colorectal,colorectal adenoma,and colorectal adenomacarcinoma tissues were (0.17±0.05),(0.50±0.03),and (0.84±0.06),and there were statistical differences,P<0.001.The expression level of GLUT-1 increased gradually and there was statistical significance from TNM I to IV stage,P<0.001.The expression of GLUT-1 was correlated with the depth of tumor invasion,differentiation degrees,lymph node metastasis,vessel invasion and liver metastasis,P<0.05.The expression of GLUT-1 in CEA (+) and CA199 (+) tissues was higher than that in CEA (-) and CA199 (-) tissues,P<0.05.The expression of GLUT-1 had no correlations with tumor size. Conclusions The abnormal expression of GLUT-1 in colorectal adenocarcinoma tissues plays an important role in the process of cancer,and is expected to become the new tumor monitoring indicators,which provide scientific Evidence for clinical treatment

       

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