HIF-1α,VEGF,MMP-9 expression level and significance in patients with invasive pituitary adenoma
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摘要: 目的 检测侵袭性垂体腺瘤患者瘤组织中缺氧诱导因子-1α(HIF-1α)、血管内皮生长因子(VEGF)和基质金属蛋白酶-9(MMP-9)表达水平,探讨这些因子对临床治疗的意义,旨在为临床治疗提供理论依据。 方法 选取宁波市鄞州人民医院于2013年2月-2016年2月收集的经手术切除的垂体腺瘤组织标本58例,根据病理检测结果将标本分成侵袭组(34例)与非侵袭组(24例)。采用免疫组化Envision二步法检测所有标本中HIF-1α、VEGF和MMP-9蛋白表达情况,并采用SPSS软件对数据进行统计学处理。 结果 侵袭组患者HIF-1α的强阳性表达率及总阳性表达率[47.1%(16/34)、91.2%(31/34)]明显高于非侵袭组[12.5%(3/24)、45.8%(11/24)],P<0.05;侵袭组患者VEGF的强阳性表达率及总阳性表达率[58.8%(20/34)、94.1%(32/34)]明显高于非侵袭组[16.7%(4/24)、58.3%(14/24)](P<0.05);侵袭组患者MMP-9的强阳性表达率及总阳性表达率[55.9%(19/34)、85.3%(29/34)]明显高于非侵袭组[8.3%(2/34)、41.7%(10/24)],P<0.05;经Pearson相关性分析,侵袭组患者HIF-1α与VEGF呈正相关(r=0.940,P<0.05);HIF-1α与MMP-9呈正相关(r=0.412,P<0.05);VEGF与MMP-9呈正相关(r=0.783,P<0.05);非侵袭组患者中三者之间无相关性。 结论 在侵袭性垂体腺癌患者体内HIF-1α、VEGF和MMP-9蛋白表达水平明显升高,其表达可反应患者肿瘤的发生、发展情况,为临床诊断提供相应的依据,并且研究结果提示3种蛋白之间还存在相互促进关系。Abstract: Objective To detect the HIF-1α,VEGF,MMP-9 expression level and explore the significance of these factors in order to provide theoretical basis for clinical treatment. Methods Fifty-eight cases with pituitary adenoma in our hospital from February,2013 to February,2016 were selected and divided into invasive group (34 cases) and noninvasive group (24 cases) according to pathological examination.Immunohistochemical Envision was used to detect the expression level of HIF-1α,VEGF and MMP-9 and SPSS software was used to analyze the data. Results The strong positive expression rate and total positive expression rate of HIF-1α in invasive group[47.1%(16/34),91.2%(31/34)]were higher than that of noninvasive group[12.5%(3/24),45.8%(11/24)](P<0.05).The strong positive expression rate and total positive expression rate of VEGF in invasive group[58.8%(20/34),94.1%(32/34)]were higher than that of noninvasive group[16.7%(4/24),58.3%(14/24)],P<0.05.The strong positive expression rate and total positive expression rate of MMP-9 in invasive group[55.9%(19/34),85.3%(29/34)]were higher than that of noninvasive group[8.3%(2/34),41.7%(10/24)],P<0.05.Pearson showed that HIF-1α and VEGF had positive correlation in invasive pituitary adenoma (r=0.940,P<0.05),HIF-1α and MMP-9 had positive correlation in invasive pituitary adenoma (r=0.412,P<0.05).VEGF and MMP-9 had positive correlation in invasive pituitary adenoma (r=0.783,P<0.05).There was no correlation between the three groups in the non-invasive group. Conclusion The expression levels of HIF-1α,VEGF and MMP-9 in invasive pituitary adenocarcinoma patients were significantly higher.Its expression can reflect the occurrence and development of tumor in patients,which provide the appropriate basis for the clinical diagnosis.There is a mutual promotion relationship among the three proteins.
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Key words:
- Invasive pituitary adenoma /
- HIF-1α /
- VEGF /
- MMP-9
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