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자료유형
학술저널
저자정보
김구상 (서울대학교) 채영수 (단국대학교) 김정택 (엠디그린병원)
저널정보
대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.74 No.4
발행연도
2008.4
수록면
274 - 281 (8page)

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Purpose: Many cancers, including pancreatic cancer, harbor defects in TGFβ signaling and are resistant to TGFβ mediated growth inhibition. In addition, the expression of the p53 gene and mutations in K-ras might play an important role in the multistep carcinogenesis of pancreatic cancer. This study examined the expression level of TGFβ1, TGFβ receptorⅡ (TβRⅡ), p53 protein and K-ras mutation in pancreatic cancer, along with their role and clinical significance.
Methods: The overexpression of TGFβ1, TβRⅡ and p53 protein was evaluated using an immunohistochemical assay. The K-ras mutation was analyzed by PCR-RFLP in the surgical resected pancreatic tissue from 26 pancreatic ductal adenocarcinomas and 5 normal pancreases.
Results: Immunohistochemical analysis of TGFβ1 and Tβ RⅡ revealed positive immunostaining in 73.1% and 76.9% of the tumors, respectively, which were significantly higher than the normal pancreas (P=0.008). The p53 protein was positive in none of the 5 normal ducts and 16 out of 26 (61.5%) pancreatic carcinoma specimens. The K-ras mutation was positive in none of the 5 normal ducts, and in 20 of the 26 pancreatic carcinoma specimens (76.9%). The presence of TGFβ1 and TβRⅡ in the cancer samples was significantly associated with node metastasis, advanced tumor stage (P<0.01), and a short survival time (P<0.05). The p53-positive pancreatic cancers showed a significantly lower survival rate than those with p53-negative tumors (P<0.05). There was no correlation between K-ras mutations and the survival rates.
Conclusion: The detection of K-ras mutations and TGFβ1, TβRⅡ and p53 protein overexpression can predict the prognosis of pancreatic carcinoma patients.

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