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人结直肠癌黏膜下血小板源性内皮细胞生长因子特异性增强表达
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作者 Nozawa T. Enomoto T. +2 位作者 koshida y. M. Kuranami 王志宇 《世界核心医学期刊文摘(胃肠病学分册)》 2005年第6期25-25,共1页
PURPOSE: Platelet-derived endothelial cell growth factor, identified to be an angiogenic factor, has been implicated in metastases of colorectal cancer. This study aimed to clarify the role and localization of platele... PURPOSE: Platelet-derived endothelial cell growth factor, identified to be an angiogenic factor, has been implicated in metastases of colorectal cancer. This study aimed to clarify the role and localization of platelet-derived endothelial cell growth factor associated with human colorectal cancer invasion. METHODS: Thirty-two patients with colorectal cancer who had undergone surgery were analyzed. Platelet-derived endothelial cell growth factor enzyme activities in the colorectal cancer specimens were measured. Cells that expressed platelet-derived endothelial cell growth factor were identified and localized by immunohistochemical analysis with anti-human platelet-derived endothelial cell growth factor antibody and by in situ hybridization with specific RNA probe. RESULTS: Platelet-derived endothelial cell growth factor enzyme activity increased significantly in cancer tissues compared with normal colonic mucosa at various distances from the cancer. Immunohistochemical analysis and in situ hybridization demonstrated platelet-derived endothelial cell growth factor expression in stromal macrophages and fibroblasts located in cancer tissues and surrounding noncancerous tissues, although the tumor cells and normal colonic mucosa were negative. The value of platelet-derived endothelial cell growth factor expression was highest at the border of the colorectal cancer (35.3 ±8.9 percent), followed by the cancer nest (15.2 ±9.2 percent) and normal mucosa (7.7 ±3.4 percent). In the border area, the highest value of platelet-derived endothelial cell growth factor expressionwas observed in the submucosa (35.3 ±8.9 percent), followed by the muscular propria (21.9 ±7.7 percent) and the subserosa (14.9 ±5.5 percent). CONCLUSIONS: Stromal macrophages and fibroblasts are responsible for elevated platelet-derived endothelial cell growth factor activity in colorectal cancer. The significance of enhanced expression of plateletderived endothelial cell growth factor in the submucosa at the cancer border remains unclear. Cancer stroma may be an important factor for cancer angiogenesis and may serve as a treatment target through specific modulation of angiogenic factors. 展开更多
关键词 结直肠癌 正常结肠黏膜 特异性 内皮生长因子 巨噬细胞 直肠癌标本 非癌组织 成纤维细胞 癌巢 免疫组化法
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