乳腺癌AgNOR计数与癌胚抗原的免疫组化研究

应用核仁组成区嗜银蛋白（ＡｇＮＯＲ）技术及癌胚抗原（ＣＥＡ）免疫组化染色对９８例乳腺良、恶性病变进行对比研究。结果表明：ＡｇＮＯＲ计数与肿瘤增殖活跃程度及生物学行为是一致的。乳腺癌中ＡｇＮＯＲ计数显著高于良性病变（Ｐ＜０．０１）。浸润癌ＡｇＮＯＲ计数比其他类型乳腺癌高。ＣＥＡ染色在乳腺良性病变中基本阴性,恶性病变中阳性率８０．８％。乳腺癌中ＡｇＮＯＲ计数与ＣＥＡ分布之间呈线性相关（ｒ＝０．８２,Ｐ＜０．０５）。ＣＥＡ阳性乳腺癌组与ＣＥＡ阴性组ＡｇＮＯＲ计数差异显著（Ｐ＜０．０５）。提示：ＡｇＮＯＲ定量研究和ＣＥＡ分布在乳腺良、恶性病变的鉴别及肿瘤恶性程度的研究中具有相似的参考价值。     

第二信使介导模拟低氧下丘脑CRF分泌

用模拟高原低氧的方法研究急性低氧条件下促肾上腺皮质激素释放因子（ｃｏｒｔｉｃｏｔｒｏｐｉｎ－ｒｅｌｅａｓｉｎｇｆａｃｔｏｒ,ＣＲＦ）分泌的变化及第二信使参与ＣＲＦ分泌的作用。低氧（海拔７ｋｍ）１ｈ后,正中隆起（ｍｅｄｉａｎｅｍｉｎｅｎｃｅ,ＭＥ）处ＣＲＦ含量明显下降（Ｐ＜０．０５）,下丘脑（ｈｙｐｏｔｈａｌａｍｕｓ,Ｈｙ）ＣＲＦ（不含ＭＥ）含量无明显变化,而Ｈｙ内ｃＡＭＰ含量明显增加（Ｐ＜０．０１）。脑室注射Ｆｏｒｓｋｌｉｎ、ＴＰＡ后低氧暴露（海拔５ｋｍ）１ｈ,ＭＥＣＲＦ含量下降（Ｐ＜０．０５;Ｐ＜０．０５）,ＨｙＣＲＦ无明显变化。脑室注射Ｆｏｒｓｋｌｉｎ后ＨｙｃＡＭＰ含量升高（Ｐ＜０．０５）。脑室注射Ｈ７和ＰＫＡ抑制剂,ＭＥＣＲＦ升高（Ｐ＜０．０５;Ｐ＜０．０１）,ＨｙＣＲＦ和ＨｙｃＡＭＰ均无显著变化。上述结果表明急性低氧应激中ＣＲＦ分泌显著增加,第二信使通路ＰＫＡ和ＰＫＣ通路均参与ＣＲＦ分泌     

ras基因和表皮生长因子受体在胃癌中的表达及其病理临床意义

应用免疫组化方法检测ｒａｓ基因蛋白和表皮生长因子受体（ＥＧＦＲ）在７５例胃癌组织中的表达,研究它们与胃癌病理特征及预后关系。７５例胃癌ｒａｓ基因表达阳性率为４６．７％,与胃癌的分化程度,生长方式,浸润深度和淋巴转移呈明显正相关（Ｐ＜０．０５）;ＥＧＦＲ表达阳性率６１．３％,癌旁组织及新生血管有阳性表达;ＥＧＦＲ表达与胃癌大体类型,分化程度,生长方式和淋巴结转移呈正相关（Ｐ＜０．０５）;ｒａｓ蛋白表达与ＥＧＦＲ表达有明显关系（Ｐ＜０．０５）;Ｋａｐｌａｎ－Ｍｅｉｅｒ生存分析ｒａｓ蛋白和ＥＧＦＲ表达与胃癌的预后有明显的关系（Ｐ＜０．０１）。两者表达的检测有助于判断胃癌的恶性程度和预后估计。     

甲状腺良、恶性病变中增殖细胞核抗原、P_(53)蛋白与AgNOR的检测及相关性研究

本文应用ＬＳＡＢ免疫组织化学方法及ＡｇＮＯＲ技术对７３例甲状腺良、恶性病变ＰＣ－ＮＡ、Ｐ５３蛋白及ＡｇＮＯＲ进行了检测并对其相关性进行了研究。结果显示①ＰＣＮＡ表达在良、恶性病变中有显著差异（Ｐ＜０．０１）;②ＡｇＮＯＲ颗粒均数及其形态在良、恶性病变中有较显著差异;③ＰＣＮＡ表达与ＡｇＮＯＲ计数呈显著正相关性（Ｐ＜０．０１）;④Ｐ５３蛋白在良、恶性病变中的表达均呈阴性,只是在淋巴结转移灶内呈阳性表达。根据研究我们认为检测甲状腺良、恶性病变中ＰＣＮＡ及ＡｇＮＯＲ颗粒对甲状腺良、恶性病变的鉴别、预后及对临床治疗均有意义     

甲状腺肿瘤细胞核DNA含量测定对病理诊断的意义

应用真彩色医学图像分析技术, 对９０ 例甲状腺肿瘤（其中甲状腺腺瘤１０ 例, 不典型腺瘤１５ 例,乳头状腺癌２５ 例, 滤泡癌１５ 例, 髓样癌１５ 例, 未分化癌１０ 例） 细胞核ＤＮＡ含量进行了分析。结果显示,甲状腺腺瘤组与各型甲状腺癌比较均有显著性差异（Ｐ＜ ００１）,甲状腺腺瘤组同不典型腺瘤组比较无统计学意义（Ｐ＞ ００５）。甲状腺癌随组织分化程度的不同, ＤＮＡ 含量明显增加, 多为高倍异倍体细胞, ＤＮＡ直方图明显右移, 峰值主要位于≥５Ｃ处; 甲状腺腺瘤组ＤＮＡ含量较低, 多为低倍整倍体细胞, ＤＮＡ 直方图峰值位于２Ｃ－ ４Ｃ处; 不典型腺瘤组ＤＮＡ含量介于上述二者之间, ＤＮＡ 直方图逐渐右移。表明ＤＮＡ倍性程度与肿瘤的增殖程度呈正相关, 高倍异倍体细胞随肿瘤恶性程度的增高而增多。作者认为ＤＮＡ原位图像定量分析可为甲状腺肿瘤的诊断、分级及早期发现癌变趋势提供一个可靠的参考指标     

凋亡基因fas在胃癌及癌旁组织中的不同表达及意义

应用免疫组织化学ＳＡＢＣ方法,对６３ 例胃癌及癌旁组织中的ｆａｓ基因的不同表达情况进行了研究。结果显示：凋亡基因ｆａｓ在胃癌组织中的阳性表达率高于癌旁组织（ｘ２＝ １５７９,Ｐ＜ ００５）,在不同分级的胃癌之间其阳性率无显著差异,而癌旁组织之间的ｆａｓ表达则有显著差异（Ｐ＜ ００１）,结果提示：低分化胃癌癌旁组织具有活跃的凋亡活动,有利于癌组织直接播散。     

DAKO-M1在胃癌组织表达的免疫组织化学研究

对９５例胃癌组织进行ＤＡＫＯ－Ｍ１（ＤＡＫＯ－ＣＤ１５）表达的免疫组织化学研究。结果发现,ＤＡＫＯ－Ｍ１在胃癌中的阳性率（８６．３％）显著高于癌旁粘膜和正常胃粘膜（Ｐ＜０．０５和０．００５）。其定位分布有３种类型：即腺腔缘型（Ａ型）、胞膜型（Ｍ型）和胞浆型（Ｃ型）。胃非肿瘤性粘膜组织仅为Ａ型。胃癌３型兼有,高分化癌Ａ型（１８．２％）和Ｍ型（６１．４％）均显著高于低分化癌（Ｐ值均＜０．００５）;低分化癌和粘液癌Ｃ型（各占７２．０％和５３．８％）均显著高于高分化癌（２０．５％）,Ｐ＜０．００５和０．０２５。ＤＡＫＯ－Ｍ１Ｃ型和Ｍ型淋巴结转移率（分别为９７．１％和６９．２％）均显著高于Ａ型（３３．３％）者,Ｐ＜０．００５和０．０５。结果提示,ＤＡＫＯ－Ｍ１是判断胃癌分化水平、恶性程度及预测淋巴结转移的一种有用标志物     

胃粘膜肠上皮化生与胃癌关系的组织化学和免疫组织化学研究

应用ＡＢ（ｐＨ１．０）ＫＯＨ／ＰＡＳ粘液组织化学和ＡＢＣ法凝集素标记,对１９０例胃粘膜病变标本进行观察。结果表明,结肠不完全型肠上皮化生多见于肠型癌（ＩＴＣ）及其癌旁组织。两型肠化在弥漫型癌（ＤＴＣ）中无显著差异。５种凝集素受体的含量和分布的差异与胃癌的组织学类型和分化程度有关。ＷＧＡ、ＲＣＡ和ＰＮＡ主要标记在ＤＴＣ中,与ＩＴＣ相比,有非常显著的差异（Ｐ＜０．０１）。其染色水平随肿瘤分化程度的降低而升高。ＣｏｎＡ和ＤＢＡ主要标记在ＩＴＣ和伴有肠化的慢性萎缩性胃炎中。凝集素肠化分型与粘液肠化分型基本相符。我们认为结肠不完全肠化与ＩＴＣ的发生关系密切,而小肠型和结肠完全型肠化可能与ＤＴＣ的发生有关。     

AgNOR染色对甲状腺良、恶性病变诊断价值的研究

本文应用ＡｇＮＯＲ染色技术对７３例甲状腺良恶性病变石蜡切片核仁组成区变化进行观察,其中包括亚急性甲状腺炎５例、腺瘤２５例、结节性甲状腺肿７例、甲状腺癌３６例,结果表明亚急性甲状腺炎、腺瘤、结节性甲状腺肿,细胞核内的ＡｇＮＯＲ颗粒均数及形态与甲状腺癌的均数及形态比较有显著性差异（Ｐ＜０．０１）。我们认为此方法对于区别甲状腺良、恶性病变有一定参考价值。     

缺氧对培养的肺动脉内皮细胞血管紧张素Ⅱ分泌的影响

缺氧是否通过影响血管内皮细胞的分泌功能而参与缺氧性肺动脉高压的发生尚不清楚。本实验动态观察了缺氧对培养的新生小牛内皮细胞（ＰＡＥＣ）的血管紧张素Ⅱ（ＡＴⅡ）分泌的影响。结果发现：２．５％Ｏ２缺氧早期（１．５ｈ）,ＰＡＥＣ的ＡＴⅡ分泌增加（Ｐ＜０．０１ｖｓ常氧组）,缺氧后期与常氧组无明显差别;０％Ｏ２缺氧早期（１．５－６ｈ）,ＡＴⅡ分泌明显降低（Ｐ＜０．０１ｖｓ常氧组及２．５％Ｏ２组）,后期ＡＴⅡ分泌明显增高（Ｐ＜０．０１ｖｓ常氧组及２．５％Ｏ２组）;无论缺氧还是常氧条件下,ＮＯ供体ＳＩＮ１显著抑制ＡＴⅡ的分泌（Ｐ＜０．０１）,而内源性ＮＯ抑制剂硝基精氨酸则明显促进ＡＴⅡ分泌（Ｐ＜０．０１）;０％Ｏ２缺氧２４ｈ后,ＰＡＥＣ细胞内ｃＧＭＰ含量明显降低（Ｐ＜０．０５）。上述结果表明缺氧可通过抑制ＰＡＥＣ的内源性ＮＯ产生而促进ＡＴⅡ的分泌,ＰＡＥＣ自分泌的改变可能参与缺氧性肺动脉高压的发生过程。     

Digital image analysis of silver-stained nucleolar organizer region--associated proteins in endometrial cytologic samples

OBJECTIVE: Digital image analysis was applied to determine the number, area and size of silver-stained nucleolar organizer regions (AgNORs) in cytologic samples from curettage in normal, hyperplastic and malignant endometrium. STUDY DESIGN: Thirty-two archival cytologic smears from curettage (previously stained by the Papanicolaou method) with the histologic diagnosis (4 inactive endometrium, 5 secretion, 5 proliferation, 5 simple hyperplasia, 5 complex hyperplasia, 3 atypical hyperplasia, 5 adenocarcinoma, grade 1) were analyzed with the AgNOR technique. Count, area and size of AgNORs were analyzed in 50 cells per sample using a magnification of 1,000x. Quantitative analysis was performed on an SFORM digital imaging system. Data were analyzed with the SPSS/PC+ program. Mann-Whitney and chi 2 tests were performed. RESULTS: The average value of AgNOR count increased from normal to hyperplastic endometrium and well-differentiated adenocarcinoma. Differences were significant except between atypical hyperplasia and adenocarcinoma. Four, five and more AgNORs in 40% or more of the nuclei were found in complex and atypical hyperplasia and adenocarcinoma. Proliferation, and simple and atypical hyperplasia had similar mean values of AgNOR area. The mean total AgNOR area value increased from normal to hyperplastic had similar mean values of AgNOR area. The mean total AgNOR area value increased from normal to hyperplastic and well-differentiated adenocarcinoma. Differences were statistically significant. AgNOR size in well-differentiated adenocarcinoma was significantly different from that in normal endometrium and different grades of hyperplasia. CONCLUSION: Digital image analysis of AgNOR count, area and size enabled a distinction to be made between normal, hyperplastic and malignant endometrium.     

Interphasic nucleolar organizer regions expression and cell kinetics evaluation during gastric carcinogenesis induced by nitrosoguanidine in the rat.

An increased number of interphasic nucleolar organizer regions containing ribosomal cistrons associated with argyrophilic proteins (AgNORs) has been described in human malignant tumor cells. In this study variations in AgNOR numbers have been compared with changes of cell kinetics, evaluated by the mitotic count (MC) and bromodeoxyuridine labeling index (BrdU LI), during gastric carcinogenesis induced with N-methyl-N'-nitro-N-nitrosoguanidine (NG) in rats. Significant differences (2 P < 0.005) in AgNOR mean numbers, evaluated in the antral isthmic cells, in MC mean values and BrdU LI, evaluated in the whole antral cellular population, were found when comparing areas of acute gastritis, atrophy and hyperplasia in NG-treated rats with the normal mucosa in controls. No differences were observed in MC and BrdU LI between normal antrum and carcinoma cells which showed an AgNORs mean number lower than in the isthmic cells of controls (2 P < 0.005). Moreover, significant correlations were found comparing changes in AgNOR numbers with MC (r = 0.89, P < 0.001) and BrdU LI (r = 0.66, P < 0.001) in different lesions. These data show that evaluation of AgNOR numbers does not allow the identification of malignant cells in NG-induced gastric carcinoma. However AgNOR quantification seems to be a reliable index of cell kinetics and related well with the cellular dividing fraction.     

Comparison of the intratumor DNA ploidy distribution pattern between differentiated and undifferentiated gastric carcinoma

OBJECTIVE: To compare the differences in intratumor DNA ploidy distribution pattern between differentiated and undifferentiated carcinoma of the stomach. STUDY DESIGN: Two hundred five cases of surgically resected gastric carcinoma were studied, comprising 125 differentiated and 80 undifferentiated carcinomas. DNA ploidy was determined by means of flow cytometry in stepwise sections of the entire tumor. The intratumor DNA ploidy distribution pattern was compared between these two histologic types. RESULTS: Differentiated carcinomas comprised 35 cases of predominantly diploid (28%) and 90 cases of predominantly aneuploid (72%) tumors, while undifferentiated carcinomas comprised 46 cases of predominantly diploid (57.5%) and 34 cases of predominantly aneuploid (42.5%) (P < .01). The frequency of cases showing predominantly aneuploidy among the differentiated carcinomas was significantly higher than among the undifferentiated carcinomas at stages IA and IIIA. The rate of cases showing heterogeneity was lower among the early-stage cases than among the advanced-stage cases in both histologic types. Among the differentiated carcinomas, there were 22 cases that had more than six DNA stemlines in each tumor, whereas among undifferentiated carcinomas, there were six such cases (P < .05). CONCLUSION: There were more cases with high malignant potential among the differentiated carcinoma cases than among the undifferentiated carcinoma cases in the present series.     

Is agNOR and DNA ploidy analysis useful for evaluating thyroid neoplasms?

OBJECTIVE: To correlate the subjective AgNOR counting method and DNA content with histologic diagnoses of thyroid cancer and invasion. STUDY DESIGN: Eighty-one consecutive cases of thyroid carcinoma were selected for DNA and AgNOR analysis. The diagnoses were: papillary carcinoma (n = 40), follicular carcinoma (n = 31), Hürthle cell adenocarcinoma (n = 4), and undifferentiated carcinoma (n = 6). Seven normal thyroids were used as controls. DNA quantitative measurement was performed with Vidas 2.0 software (Kontron Bildanalyse, Munich, Germany) connected to an MPM 210 photometer microscope (Carl Zeiss, Oberkochen, Germany). The DNA index was obtained using histograms. Counting the NORs was performed by subjectively counting the NORs in 200 malignant cells. RESULTS: DNA ploidy analysis showed all Hürthle cell adenocarcinomas, 21 (67%)follicular tumors, 23 (57%) papillary tumors and 4 (67%) undifferentiated carcinomas to be aneuploid. DNA analysis correlated with histologic type of the tumor (p = 0.032). There was no statistical significance to the AgNOR counting variables studied. Statistical analysis showed correlation between ploidy and histologic diagnosis, but not AgNOR counting, to have prognostic value. CONCLUSION: DNA ploidy is more useful than subjective counting of NORs as an adjunct method for thyroid lesion analysis.     

Reglα蛋白表达在胃癌及癌前病变组织中的变化

目的：观察再生基因1α（Regeneration gene 1α,Regla）在胃癌前病变组织及胃癌组织中的表达变化,探讨Reglot在胃粘膜癌变中发挥的作用,为临床诊治提供理论基础。方法：收集2011年1月-2012年12月在我院接受胃镜活检的患者胃粘膜组织,病理确诊为浅表性胃炎的为正常组,中度以上萎缩及肠化的为癌前病变组及胃腺癌即胃癌组。采用荧光定量PCR的方法检测三组胃粘膜组织中Regla的mRNA表达情况。结果：Reglet的mRNA表达在正常组、癌变组及胃癌组织中呈进行性升高;胃癌组中,低分化及印戒细胞癌和Ⅳ期胃癌患者的Reg1α表达升高最为明显;Regla在不同分化程度的胃癌组织间表达无显著差异;Regla在Ⅳ期胃癌中的表达显著高于I／II期;差异均具有统计学意义（P〈0．05）。结论：作为一种生长因子Regla可能参与了胃粘膜癌变的过程,并且Reglet的高表达可能与胃癌的预后相关。     

DNA ploidy and markovian analysis of neoplastic progression in experimental pancreatic cancer.

Computer-assisted analysis of DNA ploidy and nuclear morphology were used to elucidate changes in the cell nucleus that occur during the development of experimental pancreatic cancer. Ductal pancreatic adenocarcinoma was induced in 49 Syrian hamsters by SC injection of N-nitrosobis (2-oxopropyl) amine; twenty hamsters served as controls. Groups of animals were sacrificed every 4 weeks for 20 weeks and adjacent sections of pancreatic tissue were H&E and Feulgen-stained for light microscopy and computer assisted cytometry. Pancreatic ductal cells were classified as normal, atypical, or malignant; tissue inflammation (pancreatitis) was also noted when present. DNA ploidy and nuclear morphology evaluation (Markovian analysis) identified an atypical cell stage clearly distinguishable from either normal or malignant cells; pancreatitis preceded this atypia. The DNA ploidy histogram of these atypical cells revealed a major diploid peak and a minor aneuploid peak. The receiver operator characteristic curve areas for a logistic regression model of normal vs atypical cells was 0.94 and for atypical vs malignant was 0.98, numbers indicative of near-perfect discrimination among these three cell types. The ability to identify an atypical cell population should be useful in establishing the role of these cells in the progression of human pancreatic adenocarcinoma.     

Immunohistochemical expression of p53, Bcl-2, COX-2, C-erb-B2, EPO-R, beta-catenin, and E-cadherin in non tumoral gastric mucous membrane

Different authors have investigated the immunohistochemical expression of some proteins in the adenocarcinoma of the stomach, including cell cycle regulators proteins like p53 and Bcl-2; growth factors (c-erb-B2 and EPO-R); angiogenesis-related markers such as COX-2 and cellular adhesion molecules (beta-catenin and E-cadherin). While these proteins have been studied in gastric adenocarcinoma, their immunophenotyping in non tumoral gastric mucous membrane remains unexplored. In the present study, we investigated the expression, function and behavior of these proteins in normal gastric mucous membrane to contribute to gain further knowledge on the significance of their loss or overexpression in malignant gastric tumors.     

Quantitative cytological assessment of Ki67 and AgNORs using computer-digitized image analysis of four clinicopathological breast lesions

Analysis of silver-stained proteins associated with nucleolar organiser regions (AgNORs) is proposed as a marker of cellular proliferation. This study describes the application of AgNORs and Ki67 in breast lesions. Sixty-one cases including fibroadenoma (FA), fibrocystic disease (FCD), ductal carcinoma in situ (DCIS) and invasive carcinoma (IC) were studied by image analysis to evaluate quantitative changes in AgNORs in both Ki67-positive, and Ki67-negative smears. The Ki67 index was assessed. Morphometric features of cell nuclei and AgNORs were determined by digitized computer image analysis (Prodit 5.2). The growth fraction was 5.08 for FA, 5.71 for FCD, 16.75 for DCIS and 23.26 for IC. The mean nuclear area was significantly higher in malignant cells than those of fibroadenoma and fibrocystic disease. In Ki67-positive cells the total area, long axis and number of AgNORs increased progressively across disease groups. Eccentricity of AgNORs and AgNORs: nuclear area ratios were significantly increased in malignant breast lesion in comparison with benign lesion in Ki67 positive cells. In Ki67 negative cells, the highest value of AgNORs was observed in DCIS. The AgNORs: nuclear area ratio demonstrated a statistically significant trend across the disease groups. This study demonstrates that the growth fraction, mean nuclear area and selected AgNORs features have potential for differentiating benign from malignant breast tumours.