引用本文:王忠民,常德安.应用PCR-SSCP非同位素技术检测人卵巢癌nm23-H1基因突变的研究[J].大连医科大学学报,2000,22(3):.
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应用PCR-SSCP非同位素技术检测人卵巢癌nm23-H1基因突变的研究
王忠民1, 常德安2
1.大连市妇产医院,辽宁,大连,116033;2.大连医科大学第二临床学院,辽宁,大连,116027
摘要:
研究卵巢癌中是否存在nm23-H1基因突变及其与卵巢癌分期、组织学类型、分化程度的关系;方法:利用PCR-SSCP技术研究了正常卵巢、良性及恶性卵巢瘤中nm23-H1基因的5个外显子的突变情况;结果:正常卵巢、良性及交界性卵巢肿瘤未见突变,32例恶性卵巢瘤中9例有突变;低分化程度卵巢癌的突变率高于高、中分化程度的卵巢癌(P<0.005);浆液性卵巢癌的突变率高于其他组织学类型的卵巢癌(P<0.005); Ⅲ、Ⅳ期突变率与Ⅰ、Ⅱ期之间相比有显著性差别(P<0.05);有淋巴结转移的卵巢癌基因突变率高于无淋巴结转移卵巢癌(P<0.05);结论:nm23-H1基因突变易发生于分化程度较低、有淋巴结转移的晚期浆液性卵巢癌。
关键词:  卵巢癌  nm23-Hl基因  PCR-SSCP  突变  转移
DOI:10.11724/jdmu.2000.03.01
分类号:R816.91
基金项目:辽宁省大连市卫生局资助项目
The mutations of nm23-H1 associated with malignancy of ovarian tumors
WANG Zhong-min1, CHANG De-an2
1.Gynecology and Obstetrics Hospital of Dalian,Dalian 116033,China;2.Department of Gynecology and Obstetrics,the Second Affiliated Hospital,Dalian Medical University, Dalian 116027 China
Abstract:
Objective:To find out the relationship of mutations of nm23-H1 to stages, histological types and differentiation of ovarian tumors.Method:The polymerase chain reaction-single strand conformational polymorphism(PCR-SSCP)analysis was performed to examine mutations in 5 exons of nm23-H1 gene in samples from normal ovaries,benign and malignant ovarian tumors. Results: Mutation was not found in normal ovaries,benign and borderline ovarian tumors, while was found in 9 out of 32 cases of malignant ovarian tumors(P<0.05). The mutation rate of serous carcinoma was higher than mucinous carcinoma, endometrioid carcinoma and clear cell carcinoma(P<0.005). The mutation rate of carcinomas with stage Ⅲ or Ⅳ were higher than those with stage I or Ⅱ(P<0.05).The mutation rate was higher in cases with lymph node metastases than those without lymph node metastases(P<0.05). Conclusion:These results suggested that mutation of nm23-H1 gene tend to exist in advanced serous ovarian carcinomas with lymph node metastases
Key words:  ovarian carcinoma  nm