首页> 外文期刊>World Journal of Gastroenterology >Expression of cyclooxygenase-2 is associated with p53 accumulation in premalignant and malignant gallbladder lesions.
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Expression of cyclooxygenase-2 is associated with p53 accumulation in premalignant and malignant gallbladder lesions.

机译:环氧合酶-2的表达与癌前和恶性胆囊病变中的p53积累有关。

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AIM: To examine the relationship between cyclooxygenase-2 (COX-2) overexpression and p53 accumulation in gallbladder carcinoma and its precursor lesions. METHODS: Sixty-eight gallbladder tissue samples comprising 14 cases of normal gallblader epithelium, 27 cases of dysplasia (11 low-grade dyplasia and 16 high-grade dysplasia) and 27 adenocarcinomas were evaluated by immunohistochemistry for COX-2 expression and p53 accumulation. The relationship among COX-2 expression, p53 accumulation and clinicopathological characteristics was analysed. RESULTS: COX-2 was expressed in 14.3% of normal gallbladder epithelium, 70.3% of dysplastic epite hlium, and 59.2% of adenocarcinomas. When divided into low- and high-grade dysplasia, COX-2 was positive in 5 (45.4%) cases of low-grade and 14 (87.5%) of high-grade dysplasia (P = 0.019). Accumulation of p53 was detected in 5 (31.2%) cases of high-grade dysplasia and in 13 (48.1%) of carcinomas. No p53 accumulation was found in normal epithelium or low-grade dysplasia. COX-2 overexpression was observed in 17 of 18 (94.4%) cases with p53-accumulation in comparison with 20 (40.0%) out of 50 cases without p53 accumulation (P<0.001). CONCLUSION: The significant differences in COX-2 expression among normal epithelium, low-grade dysplasia and high-grade dysplasia suggest that overexpression of COX-2 enzyme is an early event in gallbladder carcinogenensis. Furthermore, since accumulation of p53 correlates with COX-2 expression, COX-2 overexpression observed in gallbladder high-grade dysplasia and carcinoma might be partly due to the dysfunction of p53.
机译:目的:探讨胆囊癌及其前体病变中环氧合酶-2(COX-2)过表达与p53积累的关系。方法:采用免疫组织化学方法评估了68例胆囊组织样本,包括14例正常胆囊上皮,27例不典型增生(11例低度增生和16例高度不典型增生)和27例腺癌的COX-2表达和p53积累。分析了COX-2表达,p53积累与临床病理特征之间的关系。结果:COX-2在正常胆囊上皮中占14.3%,在异常增生性表皮中占70.3%,在腺癌中占59.2%。分为低度和高度不典型增生时,COX-2在5例(45.4%)低度不典型和14例(87.5%)高度不典型增生中呈阳性(P = 0.019)。在5例(31.2%)高度不典型增生和13例(48.1%)癌中检测到p53的积累。在正常上皮或低度不典型增生中未发现p53积累。在p53蓄积的18例中有17例(94.4%)观察到COX-2过表达,而50例无p53积聚的病例中有20例(40.0%)(P <0.001)。结论:正常上皮,低度异型增生和高度异型增生之间COX-2表达的显着差异表明COX-2酶的过表达是胆囊癌发生的早期事件。此外,由于p53的积累与COX-2的表达相关,因此在胆囊高度异常增生和癌中观察到的COX-2过表达可能部分是由于p53的功能障碍。

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