Caspase信号通路在双歧杆菌脂磷壁酸诱导结肠癌细胞凋亡中的作用

目的探讨Caspase信号通路在双歧杆菌脂磷壁酸（LTA）诱导结肠癌细胞凋亡中的作用。方法RT-PCR检测经双歧杆菌LTA处理后,结肠癌Lovo细胞中MyD88和FADD mRNA的表达变化;AnnexinV检测经Caspase通用抑制剂（Z-Val-Ala-Asp-FMK）预先处理后,双歧杆菌LTA诱导结肠癌Lovo细胞凋亡率的变化;荧光法检测经双歧杆菌LTA处理后,Lovo细胞中Caspase-8活性的变化。结果经双歧杆菌LTA处理后,Lovo细胞中MyD88的mRNA表达明显升高（P〈0．05）,而FADD信号分子的mRNA表达无明显变化;双歧杆菌LTA能够增强Lovo细胞中Caspase-8的活性（P〈0．05）,且其诱导Lovo细胞凋亡的作用能够被Caspase抑制剂所抑制（P〈0．05）。结论MyD88信号分子在双歧杆菌LTA诱导Lovo细胞凋亡中可能起着承接上游分子TLRs与下游信号分子FADD的作用;而Caspase信号通路可能是双歧杆菌LTA诱导结肠癌Lovo细胞凋亡的主要信号传导途径。     

Toll样受体在双歧杆菌脂磷壁酸诱导结肠癌细胞凋亡中的作用

目的探讨双歧杆菌脂磷壁酸（LTA）对Toll样受体（TLRs）表达的影响及其与诱导结肠癌细胞凋亡之间的关系。方法用AnnexinV检测在双歧杆菌LTA处理前后结肠癌Lovo细胞凋亡的变化;流式细胞术检测Lovo细胞表面TLRs的表达,并用相应的TLRs封闭抗体作用后,AnnexinV检测经双歧杆菌LTA诱导的Lovo细胞凋亡的变化。结果经双歧杆菌LTA处理后,结肠癌Lovo细胞发生了明显的凋亡,并有一定的时间和剂量依赖关系;结肠癌Lovo细胞有TLR受体的基础表达,经双歧杆菌LTA处理后,TLR2和TLR4在Lovo细胞上的表达增加,其中尤以TLR2增加更为明显;用相应的TLRs抗体封闭作用后,双歧杆菌LTA诱导Lovo细胞凋亡的能力下降。结论双歧杆菌LTA能诱导肿瘤细胞凋亡,并且TLRs特别是TLR2在LTA诱导肿瘤细胞凋亡中可能发挥着主要作用,TLR4可能仅起着协同作用。     

EGCG 对人结肠癌HT-29 细胞凋亡的影响以及对MMP-2，RECK 的 调节作用

目的:观察表没食子儿茶素没食子酸酯(Epigallaocatechin-3-gallate,EGCG)对人结肠癌HT-29细胞增殖和凋亡的影响,并探讨其对MMP-2,RECK的调节作用。方法:体外培养人结肠癌HT-29细胞,MTT比色法检测EGCG对HT-29细胞的生长抑制作用;Histone/DNA ELISA检测细胞凋亡;FITC标记Annexin-V/PI双染流式细胞术分析凋亡细胞百分率;Western Blot和RT-PCR方法检测EGCG对MMP-2,RECK蛋白和mRNA表达的影响。结果:EGCG呈浓度和时间依赖性抑制HT-29细胞的增殖,并且增加HT-29细胞Histone/DNA碎片的渗漏;EGCG诱导HT-29细胞凋亡百分率增高;EGCG抑制MMP-2蛋白和mRNA的表达,促进RECK蛋白和mRNA的表达。结论:EGCG抑制人结肠癌HT-29细胞的增殖,促进其凋亡,并且呈浓度和时间依赖性;其作用机制可能与其下调MMP-2蛋白和mRNA的表达、上调RECK蛋白和mRNA的表达有关。     

双歧杆菌脂磷壁酸对结肠癌细胞抑制增殖和促凋亡的研究

目的 探讨双歧杆菌脂磷壁酸(lipoteichoic acid,LTA)抑制人类结肠癌细胞株HCT116细胞增殖和促进凋亡情况.方法 培养结肠癌细胞株HCT116和提取双歧杆菌LTA;实验分为4组,即LTA低剂量组(20 μg/mL)、中剂量(60 μg/mL)、高剂量(100μg/mL)和HCT116对照组(Control);用四甲基偶氮唑蓝法(MTT)检测LTA对结肠癌细胞增殖的抑制率,流式细胞仪检测LTA对结肠癌细胞周期分布变化和凋亡率,免疫组化分析bcl-2、Cytochrome C和NF-kBp65含量变化,RT-PCR检测TLR2mRNA和TLR4m RNA的表达.结果 MTT法测得LTA各组对结肠癌细胞HCT116均具有较好的抑制(P＜0.01);流式细胞仪检得G0/G1期细胞显著增多(P＜0.01),而G2和S期细胞减少(P＜0.05),细胞凋亡率增加(P＜0.05);免疫组化分析IOD/Area值,bcl-2和NF-kBp65表达显著下调,Cytochrome C显著上升(P＜0.05);RT-PCR测得TLR2 mRNA和TLR4 mRNA的表达均上升(P＜0.05).结论 LTA具有明显的抑制结肠癌细胞增殖和促进凋亡作用,为研制高效、无毒的新型抗结肠癌药物奠定一定的基础.     

激活FXR抑制结肠癌细胞浸润转移及MMP-7的表达

目的:探讨法尼酯X受体(FXR)特异性激动剂GW4064抑制结肠癌细胞浸润转移的机制。方法:在体外培养人结肠癌细胞HT-29,应用GW4064作用于结肠癌细胞,以四唑氮蓝还原法(MTT)检测细胞活性的变化。用transwell小室研究结肠癌细胞的迁移及浸润。用RT-PCR检测FXRm RNA及MMP-7mRNA表达的变化,用western blot检测FXR及MMP-7蛋白表达的变化。结果:MTT结果显示GW4064作用于人结直肠HT-29细胞的生长抑制率呈浓度依赖性;transwell小室结果显示GW4064抑制结肠癌细胞的浸润转移,与对照组相比,差异具有统计学意义(P0.05),RT-PCR及Western blot显示GW4064促进FXR m RNA及蛋白表达,抑制MMP-7mRNA及蛋白的表达,与对照组相比差异有统计学意义(P0.05)。结论:GW4064抑制结肠癌细胞的生长及转移,上调HT-29细胞FXR m RNA及蛋白的表达,下调HT-29细胞MMP-7 m RNA及蛋白的表达。FXR被激活后抑制结肠癌细胞转移,MMP-7可能是其作用通路之一。     

EGCG对人结肠癌HT-29细胞凋亡的影响以及对MMP-2,RECK的调节作用

目的：观察表没食子儿茶素没食子酸酯（Epigallaocatechin-3-gallate,EGCG）对人结肠癌HT-29细胞增殖和凋亡的影响,并探讨其对MMP-2,RECK的调节作用。方法：体外培养人结肠癌HT-29细胞,MTT比色法检测EGCG对HT-29细胞的生长抑制作用;Histone/DNA ELISA检测细胞凋亡;FITC标记Annexin-V/PI双染流式细胞术分析凋亡细胞百分率;Western Blot和RT-PCR方法检测EGCG对MMP-2,RECK蛋白和mRNA表达的影响。结果：EGCG呈浓度和时间依赖性抑制HT-29细胞的增殖,并且增加HT-29细胞Histone/DNA碎片的渗漏;EGCG诱导HT-29细胞凋亡百分率增高;EGCG抑制MMP-2蛋白和mRNA的表达,促进RECK蛋白和mRNA的表达。结论：EGCG抑制人结肠癌HT-29细胞的增殖,促进其凋亡,并且呈浓度和时间依赖性;其作用机制可能与其下调MMP-2蛋白和mRNA的表达、上调RECK蛋白和mRNA的表达有关。     

CD44v6和MMP-2 在子宫内膜异位症组织中的表达及相关性

目的:探讨粘附分子CD44拼构变异体6(CD44v6)和基质金属蛋白酶-2(MMP-2)在子宫内膜异位症(EMs)组织中的表达及相关性。方法:选取40例异位内膜组织标本、40例在位内膜组织标本及40例正常子宫内膜标本,用免疫组织化学方法检测CD44v6和MMP-2的表达,并分析其相关性。结果:CD44v6在异位内膜组的表达明显高于在位内膜组和对照组,且对照组明显高于在位内膜组,差异具有统计学意义(P0.05);CD44v6在在位内膜组和对照组中分泌期的表达明显高于同组增生期,差异具有统计学意义(P0.05)。MMP-2在异位内膜组和在位内膜组的表达明显高于对照组,差异具有统计学意义(P0.01);MMP-2在各组增生期和分泌期表达不规律。异位内膜组中,CD44v6和MMP-2在Ⅲ-Ⅳ期的表达明显高于Ⅰ-Ⅱ期,差异具有统计学意义(P0.01)。Spearman相关性分析结果显示:EMs组织中CD44v6和MMP-2之间呈现正相关性(r=0.724,P0.05);EMs不同分期组织中CD44v6和MMP-2之间亦呈现正相关性(r=0.623,P0.05)。结论:CD44v6和MMP-2在EMs异位内膜中高表达,且有正协同作用,二者可能与EMs的发生发展有关。     

基质金属蛋白酶-2 在子宫内膜异位症中的表达及应用价值

目的:探讨粘附分子CD44拼构变异体6(CD44v6)和基质金属蛋白酶-2(MMP-2)在子宫内膜异位症(EMs)组织中的表达及相关性。方法:选取20例异位内膜组织标本、20例在位内膜组织标本及20例正常子宫内膜标本,用病理常规免疫组织化学方法检测MMP-2和CD44v6的表达,并分析其相关性。结果:CD44v6在异位内膜组的表达明显高于在位内膜组和对照组,且对照组明显高于在位内膜组,差异具有统计学意义(P0.05);CD44v6在在位内膜组和对照组中分泌期的表达明显高于同组增生期,差异具有统计学意义(P0.05)。MMP-2在异位内膜组和在位内膜组的表达明显高于对照组,差异具有统计学意义(P0.01);MMP-2在各组增生期和分泌期表达不规律。异位内膜组中,CD44v6和MMP-2在Ⅲ-Ⅳ期的表达明显高于Ⅰ-Ⅱ期,差异具有统计学意义(P0.01)。Spearman相关性分析结果显示:EMs组织中MMP-2和CD44v6之间呈现正相关性(r=0.724,P0.05);EMs不同分期组织中MMP-2和CD44v6之间亦呈现正相关性(r=0.623,P0.05)。结论:MMP-2和CD44v6在EMs异位内膜中高表达,且有正协同作用,二者可能与EMs的发生发展有关。     

ICAM-1和CD44v6在结、直肠癌中的表达及临床意义

目的:了解ICAM-1和CD44v6在结、直肠癌中的表达,探讨它们与结直肠癌侵袭与转移的关系.方法:应用免疫组织化学pv-9000二步法检测ICAM-1和CD44v6在40例结直肠癌和30例大肠良性腺瘤组织中的表达情况,并分析其与结直肠癌临床病理特征的关系.结果:40例结、直肠癌和30例大肠良性腺瘤中,ICAM-1的表达阳性率分别是72.5%(29/40)、33.3%(10/30),CD44v6的表达阳性率分别是88.9%(27/40)、26.7%(8/30). ICAM-1和CD44v6的表达与年龄、性别、肿瘤细胞分化程度无关,但与淋巴结转移、Dukes分期具有相关性(p<0.05).有淋巴结转移、Dukes分期在C+D期者,ICAM-1和CD44v6的表达阳性率均明显升高.ICAM-1和CD44v6在大肠良性腺瘤中呈低表达或不表达.ICAM-1和CD44v6两者均阳性表达时,其预测结、直肠癌淋巴结转移的特异性升高,有一定的临床意义.结论:CD44v6和ICAM-1的阳性表达预示结直肠癌具有较强的侵袭转移能力,可作为预测结直肠癌转移潜能的生物学指标.     

CD44v6、MMP-9、VEGF在胃癌的表达及临床意义

目的:检测胃癌组织中CD44v6、MMP-9、VEGF表达情况及其与胃癌临床病理因素的关系,并探讨其表达与胃裸区侵犯的临床意义。方法:采用免疫组化方法测定60例胃癌组织CD44v6、MMP-9、VEGF表达情况,并结合患者的临床病理资料进行分析。结果:CD44v6、MMP-9、VEGF的表达与胃癌的TNM分期、浸润深度、淋巴结转移有关。胃裸区受侵组与未受侵组胃癌组织的CD44v6、MMP-9、VEGF的表达无明显差异。结论:CD44v6、MMP-9、VEGF的表达与胃癌的浸润转移密切相关,胃裸区是否受侵与胃癌组织的CD44v6、MMP-9、VEGF的表达无关,胃裸区这一解剖结构可能是胃癌预后较差的原因。     

Novel di-tertiary-butyl phenylhydrazones as dual cyclooxygenase-2/5-lipoxygenase inhibitors: Synthesis,COX/LOX inhibition,molecular modeling,and insights into their cytotoxicities

Although dual inhibition of Cyclooxygenase-2 (COX-2) and 5-Lipoxygenase (5-LOX) enzymes is highly effective than targeting COX or LOX alone, there are only a few reports of examining such compounds in case of colorectal cancers (CRC). In the present work we report that the novel di-tert-butyl phenol-based dual inhibitors DTPSAL, DTPBHZ, DTPINH, and DTPNHZ exhibit significant cytotoxicity against human CRC cell lines. Molecular docking studies revealed a good fit of these compounds in the COX-2 and 5-LOX protein cavities. The inhibitors show significant inhibition of COX-2 and 5-LOX activities and are effective against a panel of human colon cancer cell lines including HCA-7, HT-29, SW480 and intestinal Apc10.1 cells as well as the hyaluronan synthase-2 (Has2) enzyme over-expressing colon cancer cells, through inhibition of the Hyaluronan/CD44v6 cell survival pathway. Western blot analysis and qRT-PCR analyses indicated that the di-tert-butyl phenol-based dual inhibitors reduce the expression of COX-2, 5-LOX, and CD44v6 in human colon cancer HCA-7 cells, while the combination of CD44v6shRNA and DTPSAL has an additional inhibitory effect on CD44v6 mRNA expression. The synergistic inhibitory effect of Celecoxib and Licofelone on CD44v6 mRNA expression suggests that the present dual inhibitors down-regulate cyclooxygenase and lipoxygenase enzymes through CD44v6. The compounds also exhibited enhanced antiproliferative potency compared to standard dual COX/LOX inhibitor, viz. Licofelone. Importantly, the HA/CD44v6 antagonist CD44v6shRNA in combination with synthetic compounds had a sensitizing effect on the cancer cells which enhanced their antiproliferative potency, a finding which is crucial for the anti-proliferative potency of the novel synthetic di-tert-butyl phenol based dual COX–LOX inhibitors in colon cancer cells.     

宫颈癌中骨桥蛋白和CD44v6的表达及临床意义

目的探讨骨桥蛋白(OPN)和CD44v6在宫颈浸润癌中的表达及其意义。方法应用免疫组化SP法检测OPN和CD44v6在10例慢性宫颈炎、30例宫颈上皮内瘤样变及50例宫颈浸润癌组织中的表达。结果OPN在以上组织中的阳性表达率分别为10.00%(1/10)、36.67%和60.00%,慢性宫颈炎与宫颈浸润癌之间的表达差异有显著性(P<0.01);CD44v6阳性表达率分别为10.00%(1/10)、43.33%和68.00%,慢性宫颈炎与宫颈浸润癌之间的表达差异有显著性(P<0.01)。宫颈浸润癌组织中OPN和CD44v6表达均与患者年龄、肿瘤病理分级、组织学类型无关(P>0.05),而与淋巴结转移有关(P<0.05)。OPN与CD44v6的表达之间有显著正相关性(r=0.829,P<0.01)。结论OPN、CD44v6可能参与了宫颈癌的发生、发展和转移过程,联合检测它们的表达可作为判断宫颈癌的预后和术后复发的评估指标。     

Peanut lectin stimulates proliferation of colon cancer cells by interaction with glycosylated CD44v6 isoforms and consequential activation of c-Met and MAPK: functional implications for disease-associated glycosylation changes

Peanut agglutinin lectin (PNA) binds the Thomsen-Friedenreich (TF) oncofetal carbohydrate antigen (galactose beta1-3N-acetylgalactosamine alpha) that shows increased expression in colon cancer, adenomas, and inflammatory bowel disease. PNA is mitogenic, both in vitro and in vivo, for colon epithelial cells. In these cells, PNA binds predominantly to cell-surface TF antigen expressed by high molecular weight isoforms of the transmembrane glycoprotein CD44 that are generated in inflamed and neoplastic colonic epithelia by altered RNA splicing. Our aim was to identify the signaling mechanism underlying the proliferative response to PNA. This was investigated in HT29, T84, and Caco2 colon cancer cells. Parallel lectin and immunoblotting of PNA affinity-purified HT29 cell membrane extracts showed PNA binding to high molecular weight CD44v6 isoforms. Within 5 min, PNA (25 microg/mL) caused a 6-fold increase in phosphorylation of hepatocyte growth factor receptor c-Met, known to co-associate with CD44v6. This was followed by the downstream activation of p44/p42 mitogen-activated protein kinase (MAPK) over 15-20 min. The presence of 100 microg/mL asialofetuin, a TF antigen-expressing glycoprotein, blocked both PNA-induced c-Met and MAPK activation. A similar PNA-induced c-Met and MAPK phosphorylation was also seen in T84 cells that express CD44v6 but not in Caco2 cells that lack CD44v6. PNA-induced cell proliferation was completely blocked by 1 microM PD98059, an inhibitor of MAPK activation (p < 0.0001). The expression of TF antigen by CD44 isoforms in colonic epithelial cells allows lectin-induced mitogenesis that is mediated by phosphorylation of c-Met and MAPK. It provides a mechanism by which dietary, microbial, or endogenous galactose-binding lectins could affect epithelial proliferation in the cancerous and precancerous colon.     

胃癌CD44v6 mRNA及其蛋白表达与临床病理特征的关系

目的探讨细胞粘附分子CD44v6 mRNA及其蛋白表达与胃癌临床病理学行为和患者预后的关系. 方法应用高敏感性催化信号放大系统(catalyzed signal amplification,CSA)原位杂交和免疫组化技术,对17例早期胃癌、21例中期胃癌和57例晚期胃癌组织进行CD44v6 mRNA及其蛋白检测,并结合肿瘤的病理学行为和临床随访资料进行分析.结果在胃癌中,CD44v6 mRNA及其蛋白的表达阳性率分别为85.3%和82.1%.CD44v6 mRNA及其蛋白表达阳性率在晚期胃癌明显高于早、中期胃癌(P<0.05).CD44v6 mRNA表达与蛋白表达水平具有一致性,均与胃癌浆膜浸润,淋巴结转移和患者预后呈正相关(P<0.05).结论 CD44v6 mRNA及其蛋白异常表达与胃癌的临床病理生物学行为密切相关,特别是与胃癌细胞的转移潜能和胃癌患者的不良预后密切相关.CD44v6蛋白水平的表达可以间接反映其mRNA转录水平,并可作为预测胃癌转移潜能和患者预后的一个新的生物学指标.     

PSMA、CD44v6在前列腺癌组织中的表达及相关性研究

目的探讨PSMA、CD44v6在前列腺癌中的表达及其与临床特征的关系,为临床预测前列腺癌的转移潜能及预后、指导治疗提供客观有效的指标。方法采用免疫组化S-P法检测PSMA、CD44v6在前列腺癌、前列腺增生及正常前列腺组织中的表达情况。结果PSMA在前列腺癌组织与前列腺增生组织中的表达无显著性差异;肿瘤分化程度低及有淋巴结转移者PSMA表达明显高于分化程度高及无淋巴结转移者。CD44v6在正常前列腺组织及前列腺增生组织中无表达,在前列腺癌组织中的表达较高,并且分化程度低及有淋巴结转移者CD44v6表达明显高于分化程度高及无淋巴结转移者。结论前列腺癌组织中PSMA与CD44v6的表达与肿瘤分化程度、淋巴结转移有关,且两者的表达在前列腺癌组织中具有相关性。     

Elucidation of the mechanism underlying CD44v6-induced transformation of IEC-6 normal intestinal epithelial cells

The transformation abilities of CD44s and CD44v6 in normal intestinal epithelial cells have not yet been reported. Herein, we established both CD44s and CD44v6 overexpressing stable clones from rat IEC-6 cells and demonstrated that the CD44v6 clones had higher saturation density and anchorage independence. Additionally, CD44v6 clones were more resistant to oxaliplatin and irinotecan which might be attributed to a significantly increased B-cell lymphoma 2 level and a reduced DNA damage response in these cells. Moreover, c-Met and vascular endothelial growth factor receptor 2 signalings were involved in modulating the saturation density in CD44v6 clones. Interestingly, higher activation of both AKT and extracellular-signal-regulated kinase (ERK) were detected in CD44v6 clones which might account in part for the cell density-independent nuclear localization of Yes-associated protein (YAP). To no surprise, increases of both saturation density and anchorage independence in CD44v6 clones were markedly diminished by PI3K, AKT, MEK, and ERK inhibitors as well as YAP knockdown. By contrast, overexpression of a constitutively active YAP robustly increased the aforementioned phenotypes in IEC-6 cells. Collectively, our results suggest that upregulation of CD44v6, but not CD44s, induces the transformation of normal intestinal epithelial cells possibly via activating the c-Met/AKT/YAP pathway which might also explain the important role of CD44v6 in the initiation of various carcinomas.     

CD44v6对急性白血病细胞HL-60和THP-1增殖和迁移的影响

目的:探讨CD44变异亚型对急性白血病细胞增殖和迁移的影响。方法:选择对数生长期的急性白血病细胞株HL-60、THP-1和慢性白血病细胞株K562,采用荧光定量PCR法检测CD44v6mRNA的表达。通过电转的方法转染CD44v6siRNA到HL-60和THP-1细胞抑制细胞的CD44v6表达,通过western方法检测CD44v6蛋白的抑制情况。将实验分成HL-60+N-siRNA、HL-60+CD44V6-siRNA、THP-1+N-si RNA、THP-1+CD44V6-siRNA共4组,培养24、48、72 h后分别取细胞悬液用台盼蓝染色后计数活细胞数检测细胞的增殖情况;使用Transwell小室培养法观察HL-60和THP-1细胞的迁移率。结果:通过荧光定量PCR方法检测THP-1和HL-60细胞均高表达CD44v6(分别为0.0037±0.0007和0.00292±0.0002),明显高于K562的表达(P0.01);转染后的HL-60和THP-1细胞株中CD44v6蛋白表达水平明显下调,细胞计数结果显示转染CD44v6-siRNA的HL-60和THP-1细胞在24、48和72 h增殖均明显下降。迁移实验结果显示THP-1+N-si RNA和HL-60+N-si RNA细胞的迁移率为17%和23%,与相应对照组相比THP-1+CD44v6-siRNA和HL60+CD44v6-siRNA组细胞24 h迁移率明显下降(分别降至11%和14%)。结论:CD44v6可以通过干预白血病细胞的增殖和迁移能力,参与调解白血病细胞的增殖和髓外进展。     

Brain metastasis is predetermined in early stages of cutaneous melanoma by CD44v6 expression through epigenetic regulation of the spliceosome

Melanoma brain metastasis (MBM) is frequent and has a very poor prognosis with no current predictive factors or therapeutic molecular targets. Our study unravels the molecular alterations of cell‐surface glycoprotein CD44 variants during melanoma progression to MBM. High expression of CD44 splicing variant 6 (CD44v6) in primary melanoma (PRM) and regional lymph node metastases from AJCC Stage IIIC patients significantly predicts MBM development. The expression of CD44v6 also enhances the migration of MBM cells by hyaluronic acid and hepatocyte growth factor exposure. Additionally, CD44v6‐positive MBM migration is reduced by blocking with a CD44v6‐specific monoclonal antibody or knocking down CD44v6 by siRNA. ESRP1 and ESRP2 splicing factors correlate with CD44v6 expression in PRM, and ESRP1 knockdown significantly decreases CD44v6 expression. However, an epigenetic silencing of ESRP1 is observed in metastatic melanoma, specifically in MBM. In advanced melanomas, CD44v6 expression correlates with PTBP1 and U2AF2 splicing factors, and PTBP1 knockdown significantly decreases CD44v6 expression. Overall, these findings open a new avenue for understanding the high affinity of melanoma to progress to MBM, suggesting CD44v6 as a potential MBM‐specific factor with theranostic utility for stratifying patients.     

大肠癌组织及癌旁组织中c—myc，COX-2和CD44v6基因表达量差异的检测

目的：通过检测大肠癌组织和癌旁组织中c-myc,COX-2以及CD44v6的表达水平,探讨这三种基因在大肠癌发生和发展中的意义。方法：应用实时荧光定量PCR技术检测了10例大肠癌组织和相应癌旁组织中c-myc,COX-2以及CD44v6基因表达水平的差异,并探讨了各基因在癌纽织中的表达水平与大肠癌临床病理指标之间的关系。结果：c-myc,COX-2以及CD44v6在大肠癌组织和癌旁组织中的表达均有非常显著性差异（P〈0．01）;癌组织中COX-2和CD44v6的表达与淋巴结转移、分化程度及Dukes分期有关（P〈0．05）。结论：c—myc,COX-2和CD44v6的异常表达均与大肠癌密切相关,三者从不同方面对大肠癌的发生和发展起到了重要作用,可作为早期诊断和预后的参考指标。