장형화생, 위선종 및 위암에서 TGF-βI과 TGF-β Receptor II (TGF- βRII) 발현의 의의
Transforming Growth Factor (TGF)-βI and TGF-β Receptor II (TGF-βRII) Expressions in Intestinal Metaplasia, Adenoma and Carcinoma of the Stomach
류근원, 구범환, 김종석, 원남희,
소속 상세정보
류근원 ( Ryu Keun-Won )
고려대학교 의과대학 외과학교실
구범환 ( Koo Bum-Hwan )
고려대학교 의과대학 외과학교실
김종석 ( Kim Chong-Suk )
고려대학교 의과대학 외과학교실
원남희 ( Won Nam-Hee )
고려대학교 의과대학 병리학교실
KMID : 0371320010600050511
Abstract
Purpose: The carcinogenesis of gastric cancer has not been fully elucidated, but several molecular biologic alterations have been found to be related with it. TGF-βRII mutation, which is one such alteration, has been well documented in gastric cancer, but its expression patterns in cancer and preneoplastic conditions are rarely reported. For that reason, we investigated the roles of TGF-βI and TGF-βRII in gastric carcinogenesis by comparing the difference of expression patterns in carcinomas and adenomas of the stomach and intestinal metaplasia by using immunohistochemical staining.
Methods: Twenty-six (26) cases of intestinal metaplasia with chronic atrophic gastritis, 21 cases of the gastric adenoma, and 51 cases of gastric cancers (28 cases of the intestinal type and 23 cases of the diffuse type) were enrolled in this study. All samples were paraffin-embedded and an immunohistochemical staining was performed using the polyclonal antibody to TGF-βI and TGF-βRII. Their clinicopathologic features were reviewed retrospectively.
Results: In normal gastric tissue and intestinal metaplasia, only the basal portion of the gastric foveola was strongly reactive to TGF-βRII. In adenomas and well-differentiated intestinal type cancer, all tumor cells were strongly positive to TGF-βRII, but the tumor cells of poorly differentiated intestinal-type and signet ring cell (diffuse type) cancer showed unresponsive to TGF-βRII. The TGF-βI expressions in normal and carcinomatous lesions were similar and showed a weak positive reaction. TGF-βI and TGF-βRII responsive gastric cancer showed less invasive gastric-wall infiltration. In gastric cancer, a significant correlation was present between tumor depth and response to TGF-βI & TGF-βRII.
Conclusion: It is presumed that TGF-βRII plays an important role in cell differentiation and aggressiveness in gastric cancer and that it may be useful as a prognostic factor.
키워드
TGF-βI;TGF-βRII;위암;위선종;장형화생;면역조직화학염색
TGF-βI;TGF-βRII;Gastric cancer;Gastric adenoma;Intestinal metaplasia;Immunohistochemistry
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