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山东大学学报(医学版)

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肺腺癌微淋巴管的分布及其临床意义

丛波,彭传亮,董晓鹏,赵小刚   

  1. 山东大学第二医院胸外科, 济南 250033
  • 收稿日期:2008-01-11 修回日期:1900-01-01 出版日期:2008-06-16 发布日期:2008-06-16
  • 通讯作者: 赵小刚

Distribution of microlymphatic vessels in lung adenocarcinoma and its clinical significance

CONG Bo, PENG Chuan-liang, DONG Xiao-peng, ZHAO Xiao-gang   

  1. Department of Thoracic Surgery, Second Hospital of Shandong University, Jinan 250033, China
  • Received:2008-01-11 Revised:1900-01-01 Online:2008-06-16 Published:2008-06-16
  • Contact: ZHAO Xiao-gang

摘要: 目的研究肺腺癌组织中血管内皮生长因子C(VEGF-C)、血管内皮生长因子D(VEGF-D)蛋白表达与微淋巴管密度(MLVD)及淋巴结转移之间的关系,探讨癌周淋巴管生成的机制。方法采用逆转录聚合酶链法(RT-PCR),检测VEGF-C、VEGF-D在48例肺腺癌新鲜组织中的表达;采用免疫组织化学法检测肺腺癌组织周边和内部VEGF-C、VEGFD和MLVD蛋白的表达。结果VEGF-C和VEGF-D mRNA在肺腺癌组织中高表达,在正常肺组织低表达(P<0.01);VEGF-C、VEGF-D蛋白阳性率分别为70.8%(34/48)和58.3%(28/48),其中肿瘤周边部位的表达显著高于肿瘤中心部位,差异有统计学意义;在VEGF-C、VEGF-D蛋白阳性组,MLVD 显著高于阴性组(P<0.01),淋巴结转移发生率增加(P=0.042,P=0.012)。结论VEGF-C和VEGF-D的表达可诱导肺腺癌癌周淋巴管的生成,促进肿瘤的经淋巴道转移。

关键词: 淋巴结, 血管生成因子, 肺肿瘤

Abstract: To investigate the relationship among vascular endothelial growth factor-C, (VEGF-C), VEGF-D, microlymphatic vessel density (MLVD) and lymph node metastasis in lung adenocarcinoma, and to explore the mechanism of cancerous peripheral tissue lymphatic vessels. Methods The expressions of VEGF-C and VEGF-D mRNA were determined by the semi-quantitative reverse transcriptase-polymerase chain reaction method and the expressions of VEGF-C, VEGF-D and MLVD were determined in the center of the tumors and peripheral tissues by means of immunohistochemistry in 48 cases of lung adenocarcinoma. ResultsExpressions of VEGF-C and VEGF-D mRNA were higher in lung cancer than in normal lung tissues, positive ratio of VEGF-C and VEGF-D was 70.8%(34/48) and 58.3(28/48). The expressions of VEGF-C and VEGF-D in cancerous peripheral tissues were significantly higher than those in the center of the tumors. The MLVD and positive lymph node metastasis in the positive VEGF-C or VEGF-D group were higher than those in the negative group. Conclusion The expression of VEGF-C and VEGF-D can induce lymphangiogenesis of lung adenocarcinoma and lymph metastasis.

Key words: Lung neoplasms, Angiogenesis factor, Lymph nodes

中图分类号: 

  • R734.2
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