可溶性P選擇素可抑制多形核中性粒細胞通過整合素CD11b與血管內(nèi)皮細胞粘附,有明顯的控制炎癥的作用[1],也可介導某些腫瘤細胞與內(nèi)皮細胞的粘附[2],與腫瘤的發(fā)展和轉(zhuǎn)移有關。為探討血漿可溶性P選擇素水平在乳腺癌患者手術前后的變化及意義,我們檢測了42例乳腺癌患者手術前后血漿可溶性P選擇素水平,現(xiàn)報道如下。
1資料與方法
正常對照組36例,男女各18例,年齡23~55歲,平均37.6歲,系健康體檢者,于早晨取空腹靜脈血。乳腺癌組42例,年齡27~68歲,平均47.6歲,均為臨床Ⅱ期患者,并行根治性手術,其中行乳腺癌根治術15例,乳腺癌改良根治術27例。組織學類型: 單純癌29例,浸潤性導管癌5例,髓樣癌3例,硬癌3例,粘液腺癌2例。分別于術前1 d、術后第1 d、15 d和30 d早晨取空腹靜脈血,應用可溶性P選擇素ELISA試劑盒(蘇州醫(yī)學院血栓病研究所提供)檢測血漿可溶性P選擇素。所得數(shù)據(jù)用±s表示,用t檢驗和方差分析進行組間比較。
引用本文: 劉劍勇,高月芳,覃宇周,吳飛翔,張力圖,唐朝暉,李挺,楊南武. 乳腺癌患者手術前后血漿可溶性P選擇素的檢測及意義△. 中國普外基礎與臨床雜志, 2002, 9(2): 121-121. doi: 復制
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- 4. Moor KL, Patel KD, Bruehl RE, et al. Pselectin glycoprotein ligand1 mediates rolling of human neutrophils on Pselectin [J].J Cell Biol, 1995; 128(3)∶ 661.
- 5. Brock TA, Dvorak HF, Senger DR, et al. Tumorsecreted vascular permeability factor increase cytosolic Ca++and von Willebrand factor release in human endothelial cells [J]. Am J Pathol, 1995; 138(3)∶213.
- 6. Vaki A. Selectins ligands [J]. Proc Natl Acad Sci USA, 1994; 91(23)∶7390.
- 7. 周同,陳曉,陳金聯(lián),等. P選擇素在胃癌、腎癌中表達及其臨床意義 [J]. 中華醫(yī)學雜志, 1997; 77(7)∶530.
- 8. Schadendorf D, Diehl S, Zuberbier T, et al. Quantitative detection of soluble adhesion molecules in sera melanoma patients correlates with clinical stage [J]. Dermatology, 1996; 192(2)∶89.