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肝细胞肝癌组织精氨酸酶2和诱导型一氧化氮合酶的表达及与肿瘤血管形成的相关性

  • 摘要: 目的:探讨精氨酸酶2(arginase-2, Arg-2)和诱导型一氧化氮合酶(inducible nitric oxide synthase, iNOS)在肝细胞肝癌(hepatocellular carcinoma, HCC)中的表达及其与肿瘤血管形成的相关性。方法:采用免疫组化方法检测158例HCC患者手术切除标本中Arg-2、iNOS的表达,抗CD34单克隆抗体显示血管内皮细胞。采用Image-Pro plus 6.2.1图像分析软件测定肿瘤微血管密度(microvessel density, MVD)。结果:158例HCC中,Arg-2、iNOS的阳性表达率分别为73.4%(116/158)、83.5%(132/158)。Arg-2和iNOS在HCC组织中的表达正相关(r=0.474,P=0.000)。116例Arg-2阳性HCC组织的MVD为(283.92±130.69)/0.702 mm2,42例Arg-2阴性HCC组织的MVD为(129.25±51.00)/0.702 mm2,差异有统计学意义(P=0.000);132例iNOS阳性组织的MVD为(267±131.49)/0.702 mm2,26例iNOS阴性HCC组织的MVD为(116±41.85)/0.702 mm2,差异有统计学意义(P=0.000)。结论:Arg-2与iNOS在HCC组织中的表达正相关,且与MVD相关,提示Arg-2与iNOS可能参与调节HCC中微血管的形成。

     

    Abstract: Objective:To analyze the expressions of arginase-2 (Arg-2) and inducible nitric oxide synthase (iNOS) protein in hepatocellular carcinoma (HCC) and the relations to angiogenesis. Methods:The expressions of Arg-2 and iNOS in tumor specimens from 158 postoperative patients with HCC were detected by using immunohistochemistry. The endothelial cells were immunostained with anti-CD34 antibody. The microvessel density (MVD) was quantified by Image-Pro plus 6.2.1 image analysis software. Results:In 158 HCC patients, the positive rates of Arg-2 and iNOS were 73.4% (116/158) and 83.5% (132/116), respectively. The expressions of Arg-2 and iNOS in HCC were positively correlated (r=0.474, P=0.000). The MVD was (283.92±130.69)/0.702 mm2 in 116 HCC specimens with positive expression of Arg-2, and (129.25±51.00)/0.702 mm2 in 42 HCC specimens with negative expression of Arg-2, and the difference was statistically significant (P=0.000). The MVD was (267±131.49)/0.702 mm2 in 132 HCC specimens with positive expression of iNOS, and (116±41.85)/0.702 mm2 in 26 HCC specimens with negative expression of iNOS, and the difference was statistically significant(P=0.000). Conclusions:The expressions of Arg-2 and iNOS are positively correlated in HCC tissues, which are both related to MVD. These results suggest that Arg-2 and iNOS may be involved in regulating microvascular angiogenesis in HCC.

     

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