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结、直肠癌患者抑癌基因的甲基化检测

Clinical application of tumor suppressor genes methylation detection in colorectal cancer
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摘要 目的:评价特异性甲基化PCR(MSP)分析法检测抑癌基因高甲基化对结、直肠癌的诊疗价值.方法:应用MSP法检测36例结、直肠癌患者血清、术中癌旁组织及癌组织中的抑癌基因hMLH1、p15、p16甲基化的发生率.另选择36例健康体检者血清样品作正常对照.结果:36例结、直肠癌患者术前血清及术中癌组织的hMLH1、p15、p16甲基化发生率为59%~97%,癌旁组织略低;术后1周血清中hMLH1、p15、p16与术前比较明显下降(P<0.01),而正常对照组抑癌基因甲基化发生率均为0.结论:MSP法的建立,直接检测结、直肠癌患者的抑癌基因的高甲基化状态,有助于临床判断和动态观察治疗的效果. Aim: To evaluate the clinical value of MSP(methylation specific PCR) in detection of tumor suppressor genes methylation in the colorectal cancer. Methods: The prevalence of methylated tumor suppressor genes(hMLH1 ,p15,p16) were evaluated in 36 coloreetal cancer patients by MSP method in serums and the para- cancerous and cancerous tissue sampies obtained at operation, and 36 serum samples obtained from healthy people as normal control. Results: The prevalence study of methylated tumor suppressor genes (hMLH1 ,p15,p16) in serums and cancerous tissue samples obtained from 36 eoloreetal cancer patients showed a percentage of 59% to 97% (the samples were obtained pre- op and during operation respectively). The pare - canceroustissue samples has a slightly lower percentage. There' s an obvious drop of the hMLH1 ,p15,p16 in the serums obtained from 1 week post- operation patients, but the control group's has a 0% prevalence rate. Conclusion: The MSP method, which directly tests the colorectal cancer patient' s methylated cancer suppressor genes, is a valuable tool in clinical judgment of therapeutic effect.
出处 《暨南大学学报(自然科学与医学版)》 CAS CSCD 北大核心 2005年第6期812-815,共4页 Journal of Jinan University(Natural Science & Medicine Edition)
基金 广东省医科学科研基金(A2003390)资助项目
关键词 抑癌基因 甲基化 直肠癌 特异性甲基化PCR tumor suppressor genes methylation colorectal cancer, MSP
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