摘要
目的探讨不同方法检测胃癌中Her-2蛋白表达和基因表达的相关性,寻求胃癌中Her-2检测的有效手段。方法应用免疫组织化学方法(IHC)对68例胃癌进行Her-2蛋白标记,同时采用荧光原位杂交技术(FISH)检测Her-2基因扩增的情况。结果68例胃癌患者中,IHC检测Her-2蛋白阳性12例(17.65%),分别+++3例,++9例、+7例和-49例;FISH检测Her-2基因扩增11例(16.17%),与IHC阳性强度相对应的FISH检测结果分别为3例(100%)、8例(88.89%)、0例、0例。Her-2基因扩增与Her-2蛋白表达存在相关性(P〈0.05)。结论胃癌中存在Her-2蛋白的表达和基因扩增,Her-2蛋白在胃癌中的表达呈现明显的异质性。IHC与FISH检测胃癌Her-2的表达差异主要在IHC++组,IHC++有意愿进行Her-2基因靶向治疗的患者建议进行Her-2基因检测。
[Abstract] Objective To investigate the association of Her-2 protein expression and gene expression in gastric cancer by different methods, and to explore the effective approaches of Her-2 in gastric cancer detection. Methods Immunohistochemistry (IHC) was used to mark Her-2 protein in 68 cases of gastri cancer,and fluorescencein situ hybridization(FISH)was used to detect the Her-2geneamplication Results Among68 cases, IHC Her-2 protein in 12 cases (17.65 %) was positive expression, including ++ 3 cases ++ 9 cases, + 7 cases and - 49 cases. By FISH, Her-2 gene in 11 cases (16.17 %) was overexpression. Corresponding to the IHC results, FISH results was 3 cases (100 %), 8 cases (88.89 %), 0 cases, 0 cases, respectively. Conclusion Her-2 protein expression and gene overexpression occur in gastric cancer. Her-2 protein expression in gastric cancer shows significant heterogeneity. Her-2 gene overexpression and Her-2 protein expression is correlated (P〈0.05). The differences of Her-2 expression in gastric cancer by IHC and FISH mostly occur in IHC++ groupe . Suggestion of Her-2 gene test should be given for patients with IHC++ who will be undertaken Her-2 gene therapy.
出处
《肿瘤研究与临床》
CAS
2012年第6期402-404,共3页
Cancer Research and Clinic
关键词
胃肿瘤
基因
ERBB-2
原位杂交
荧光
免疫组织化学
Stomach neoplasms
Genes, erbB-2
In situ hybridization, fluorescence
Immunohistochemistry