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胰腺导管内乳头状黏液性肿瘤组织黏蛋白MUC1、MUC2的表达及意义
郝骏1,胡先贵1*,张怡杰1,金钢1,邵成浩1,郑建明2
0
(1.第二军医大学长海医院普通外科,上海 200433;2.第二军医大学长海医院病理科,上海 200433)
摘要:
目的:观察胰腺导管内乳头状黏液性肿瘤组织黏蛋白MUC1、MUC2 的表达,探讨其可能的临床意义。方法:免疫组织化学EnVision两步法检测MUC1、MUC2蛋白在18例胰腺导管内乳头状黏液性肿瘤(IPMN)和9例胰腺导管腺癌组织中的表达。结果:18例IPMN中有4例表达MUC1,占总数的22%,其中包括1例侵犯周围组织的IPMC;9例胰腺导管腺癌全部表达MUC1,占总数的100%,两者间有统计学差异(P<0.01)。18例IPMN中有17例表达MUC2蛋白,占总数的94.4%;9例胰腺导管腺癌中有1例表达MUC2蛋白,占总数的11.1%,两者间有统计学差异(P<0.01)。不同类型IPMN(IPMA、IPMB、IPMC)中MUC2蛋白表达率有统计学差异(P<0.05)。结论:IPMN肿瘤组织MUC2蛋白高表达,且表达强度与病理分型相关;MUC1蛋白值得进一步研究作为判断IPMN良恶性的参考指标。
关键词:  胰腺导管内乳头状黏液性肿瘤  MUC1黏液素  MUC2黏液素  免疫组织化学
DOI:10.3724/SP.J.1008.2008.00266
投稿时间:2007-10-08修订日期:2008-01-23
基金项目:
Expression of protein MUC1 and MUC2 in intraductal papillary mucinous neoplasms and its significance
HAO Jun1,HU Xian-gui1*,ZHANG Yi-jie1,JIN Gang1,SHAO Cheng-hao1,ZHENG Jian-ming2
(1.Department of General Surgery,Changhai Hospital,Second Military Medical University,Shanghai 200433,China;2.Department of Pathology,Changhai Hospital,Second Military Medical University,Shanghai 200433)
Abstract:
Objective:To investigate the expression of protein MUC1 and MUC2 in intraductal papillary mucinous neoplasms (IPMNs) and its significance.Methods: Immunohistochemical method (EnVision) was used to analyze the expression of protein MUC1 and MUC2 in 18 IPMNs and 9 pancreatic ductal adenocarcinomas.Results: Expression of protein MUC1 was detected in 4 of the 18 (22%) IPMNs (including 1 with pancreatic intraductal papillary-mucinous carcinoma) and all the 9 (100%) the pancreatic ductal adenocarcinomas,with the latter significantly higher than the former(P<0.01).Expression of protein MUC2 was detected in 17 of the 18 (94.4%) IPMNs and in 1 of the 9 (11.1%) pancreatic ductal adenocarcinomas,with the former significantly higher than the latter(P<0.01).The expression levels of MUC2 were significantly different in IPMNs of different types (IPMA,IPMB,and IPMC,P<0.05).Conclusion: IPMNs have high expression of MUC2 and the expression is associated with the pathological types of IPMN.MUC1 expression may serve as a marker of malignant IPMNs and is worth further studying.
Key words:  intraductal papillary mucinous neoplasms  MUC1 mucin  MUC2 mucin  immunohistochemistry