环氧合酶2通过上皮间质转换促进胃癌的侵袭与转移
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Cyclooxygenase-2 promotes gastric cancer invasion and metastasis by inducing epithelial to mesenchymal transition
(1.天津医科大学病理学教研室,天津 300070;2.天津医科大学总医院病理科,天津 300052;3.天津市南开医院病理科,天津 300100)
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gastric cancer' target="_blank" rel="external">">gastric cancer
; COX-2; epithelial-mesenchymal transiton; migration; invasion?
目的:探[1]讨环氧合酶-2(COX-2)及Snail在胃癌组织中的表达及临床意义,研究COX-2转染对人胃癌细胞侵袭迁移能力的影响,并探讨其机制。方法:免疫组化检测COX-2及Snail在100例胃癌组织中的表达情况,分析其与临床资料的关系;筛选构建COX-2稳定表达的MKN74、MKN45细胞系;观察转染前后细胞的形态、功能及相关蛋白的改变。结果: COX-2的表达与远处转移、淋巴结转移、不良预后密切相关(p<0.05);Snail的表达与分期、淋巴结转移、远处转移相关(P<0.05);COX-2的表达与Snail之间存在相关性(P<0.01)。与对照组相比,MKN74/COX-2细胞形态呈现EMT形态学改变,E-cadherin表达下调、vimentin表达上调,迁移侵袭能力明显增强;MKN45/shCOX-2细胞形态由长梭形变为铺路石样,E-cadherin表达上调、vimentin表达下调,迁移侵袭能力减弱。结论:COX-2可以通过EMT促进胃癌细胞的侵袭和转移。
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