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解放军预防医学杂志  2016, Vol. 34 Issue (6): 866-868    
  研究论著 本期目录 | 过刊浏览 | 高级检索 |
不同分期肝癌患者血清IGF-2及IGFBP-2水平与肝癌侵袭能力的相关性分析
陈 炜
铜川矿务局中心医院肝胆外科, 陕西铜川 727000
Correlation Analysis of Igf-2 And Igfbp-2 with Invasive Ability in Patients with Liver Cancer
CHEN Wei
Department of Hepatobiliary Surgery, Tongchuan Mining Central Hospital, Tongchuan, Shaanxi 727000,China
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摘要 目的 探讨不同分期肝癌患者血清胰岛素样生长因子-2(IGF-2)及胰岛素样生长因子结合蛋白-2(IGFBP-2)水平与肝癌侵袭能力的相关性。方法 对来我院就诊的124例肝细胞癌患者分为I期、II期、III期及IV期,分别有29、31、36、28例,对各期患者血清IGF-2、IGFBP-2、基质金属蛋白酶-2(MMP-2)及其抑制剂TIMP-2进行检测。结果 Ⅱ期患者IGF-2、IGFBP-2水平较Ⅰ期显著升高(P<0.05);Ⅲ期患者IGF-2、IGFBP-2水平较Ⅰ、Ⅱ期均显著升高(P<0.05);Ⅳ患者IGF-2、IGFBP-2水平较Ⅰ、Ⅱ、Ⅲ期均显著升高(P<0.05)。Ⅱ期患者MMP-2/TIMP-2较Ⅰ期显著升高(P<0.05);Ⅲ期患者MMP-2及TIMP-2与Ⅰ期比较差异均有显著性(P<0.05);MMP-2/TIMP-2较Ⅰ、Ⅱ期患者均显著升高(P<0.05);Ⅳ期患者MMP-2、TIMP-2水平及MMP-2/TIMP-2水平与Ⅰ、Ⅱ、Ⅲ期比较差异均有显著性(P<0.05)。IGF-2与TIMP-2、MMP-2/TIMP-2呈显著相关 (P<0.05),IGFBP-2与TIMP-2、MMP-2/TIMP-2呈显著相关 (P<0.05)。结论 IGF-2及IGFBP-2水平与细胞外基质重构密切相关,是反映肝细胞癌进展的重要因子。
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关键词 肝癌 IGF-2 IGFBP-2 MMP-2 TIMP-2    
AbstractObjective To investigate the correlation of IGF-2 and IGFBP-2 with invasive ability in patients with liver cancer.Methods 124 cases of liver cancer patients were divided into stage I、II、III、IV.There were 29、31、36、28 patients in each stage separately. Levels of IGF-2, IGFBP -2, MMP-2 and TIMP-2 in the serum of patientswere detected.Results Levels of IGF-2 and IGFBP-2 in stage II patients were significantly higher (P<0.05)than in stage I. Levels of IGF-2 and IGFBP-2 were significantly higher in stage III than in stage I and II(P<0.05). Levels of IGF-2 and w IGFBP-2 were significantly different(P<0.05)from those in stageⅠ, Ⅱ, and Ⅲ. Levels of MMP-2 / TIMP-2 were significantly higher (P<0.05)in stage II than in stage I,while levels of MMP-2 and TIMP-2 in stage Ⅲ were significantly different(P<0.05)from those in stage I. Levels of MMP-2, TIMP-2 and MMP-2 / TIMP-2 were significantly different from those in stageⅠ , Ⅱ, and Ⅲ (P<0.05). IGF-2, TIMP-2, and MMP-2 / TIMP-2 were significantly correlated (P<0.05), so were IGFBP-2, TIMP-2, and MMP-2 / TIMP-2 (P<0.05).Conclusion With the progress of liver cancer, IGF-2 and IGFBP-2 levels are closely related to ECM remodelling ability , which is an important factor to reflect the invasive ability of cancer cells.
Key wordsliver cancer    IGF-2    IGFBP-2    MMP-2    TIMP-2
收稿日期: 2016-04-14      出版日期: 2017-01-05
基金资助:国家自然科学基金资助项目(No.81471446);
陕西省科技攻关项目(No.2011K32-02)
引用本文:   
陈 炜. 不同分期肝癌患者血清IGF-2及IGFBP-2水平与肝癌侵袭能力的相关性分析[J]. 解放军预防医学杂志, 2016, 34(6): 866-868.
CHEN Wei. Correlation Analysis of Igf-2 And Igfbp-2 with Invasive Ability in Patients with Liver Cancer. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(6): 866-868.
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