Expression of livin and smac and their relationship with cell apoptosis and proliferation in heptocarcinoma
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摘要: 目的探讨肝癌中Livin、Smac蛋白的表达及其与细胞凋亡、增殖的关系。方法应用免疫组化二步法检测肝癌及相应癌旁肝硬化组织各41例、肝血管瘤旁正常对照组织9例中Livin、Smac及PCNA的表达;应用TUNEL法检测肝细胞的凋亡。结果 41例肝癌中Livin、Smac的阳性率分别46.34%、34.14%,相应癌旁肝硬化组织中分别为24.39%、56.10%,正常对照组织中分别为0%、77.8%,肝癌中Livin、Smac的阳性率与非癌肝组织相比差异均有统计学意义(P<0.05);肝癌中Livin的表达与肝癌的转移与否有相关性(P<0.05),二者与肿瘤细胞的凋亡增殖比均有相关性(P<0.05);Livin和Smac在肝癌中的表达呈负相关(rs=-0.360,P<0.05)。结论 Livin的相对高表达,Smac的相对低表达或表达缺失在一定程度上打破了肝癌中细胞凋亡与增殖的动态平衡,在肝癌的形成过程中起重要的作用。Abstract: Objective To investigate the expression of Livin and Smac proteins in hepatocarcinoma and their relationships with cell apoptosis and proliferation.Methods The expression of Livin, Smac and PCNA were assessed in 41 hepatocarcinomas, 41 adjacent cirrhosis tissues and 9 normal tissues in hemangioma by immunohistochemistry and apoptosis was detected by TUNEL method.Results The expression rate of Livin and Smac proteins were 46.34% and 34.14% in hepatocarcinoma patients, 24.39% and 56.10% in the adjacent cirrhosis tissues, and 0 and 77.8% in normal tissues hemangioma, respectively.A statistically significant correlation of Livin and Smac proteins expression was found between hepatocarcinoma and non hepatocarcinoma groups (P < 0.05) .Livin expression in hepatocarcinoma was significantly correlated with tumor metastasis (P < 0.05) , and both proteins in cancer tissues were significantly correlated with the ratio of apoptic index to proliferative index (P < 0.05) .The expression levels of Livin and Smac showed a negative correlation in hepatocarcinoma (rs =-0.360, P =0.021, P <0.05) .Conclusion The relatively high expression of Livin and the low expression or depletion of Smac proteins may alter the dynamic balance between the apoptosis and proliferation of hepatocarcinoma cells to a certain extent, and then play an important role in the oncogenesis of hepatocarcinoma.
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Key words:
- tumor suppressor protein /
- liver neoplasms /
- Livin /
- Smac
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