【脑血管畸形患者VEGF的表达及临床意义】脑血管畸形是大手术吗

  [摘要] 目的 观察脑血管畸形(CVM)患者血管内皮生长因子(VEGF)蛋白的表达情况,探讨VEGF蛋白在脑血管畸形患者中的表达特点与意义。方法 应用免疫组织化学方法检测62例脑血管畸形患者标本中VEGF蛋白的表达。结果 62例脑血管畸形标本中,VEGF蛋白在畸形血管中阳性表达率为72.6%(45/62),畸形血管周围正常脑组织中血管的VEGF蛋白阳性表达率为51.6%(32/62),两者比较有差异(P75%为4分。根据染色强度与阳性细胞数得分之积分为4级,即(-)为0分,弱阳性(+)为1~2分,阳性(++)为3~4分,强阳性(+++)为5~6分。将A×B作为其染色的计数,只有A×B > 3 分才算免疫反应阳性,并按乘积分数将染色结果分为4 个等级:-(0~2 分)、+(3~5 分)、+ +(6~8分)和+ + +(9~12分)。
  1.4 统计学方法
  统计学处理应用SPSS10.0软件进行χ2检验和Fisher确切概率法,P 本文为全文原貌 未安装PDF浏览器用户请先下载安装 原版全文   [参考文献]
  [1] Hanahan D. Signaling vascular morphogenesis and maintenance[J]. Science,1997,277:48-50.
  [2] Liu WH,Kaur M,Wang G,et al. Inverse PCR-based RFLP scanning identifies low-level mutation signatures in colon cell and turmors[J]. Cancer Res,2004,64:2544-2551.
  [3] Wernert N,Raes MB,Lassalle P,et al. Cestl proto-onco-gene is a transcription factor expressed in endothelial cells during tumor vascularization and other forms of angiogenesis in humans[J]. Am J Pathol,1992,140:119.
  [4] Kola I,Brookes S,Green AR,et al. The est-1 traneription factor is widely expressed during murine embryo development and is associated with mesodermal cells involved in morphogenetic processes such as organ formation[J]. Proc Natl Acad Sci USA ,1993,90:588.
  [5] Ferrara N,Carver-Moore K,Chen H,et al. Heterozygous embryonie leth- ality induced by targeted inactivation of the VEGF gene[J]. Nature,1996, 380:439.
  [6] Millauer B,Wizigmann-Voos S,Sehnureh H,et al. High affinity VEGF binding and developmental expression suggest Flk-1 as a major regulator of vasculogenesis and angiogenesis[J]. Cell,1993,72:835.
  [7] Lennmyr F,Ata KA,Funa K,et al. Expression of vascular endothelial growth factor and its receptors following permanent and transient occlusion of the middle cerebral artery in the rat[J]. Neuropathology and Experimental Neurology,1998,57(9):874.
  
  (收稿日期:2010-03-01)
本文为全文原貌 未安装PDF浏览器用户请先下载安装 原版全文