目的:探讨趋化因子CXCL12及其受体CXCR4在胆管癌中的表达及与临床病理特征、预后的关系。方法:采用免疫组化SP法检测10例正常胆管、61例胆管癌(19例肝门部胆管癌、42例胆总管中下段癌)组织中CXCL12和CXCR4蛋白的表达。结果:正常胆管中无CXCL12和CXCR4蛋白的表达,胆管癌的CXCL12和CXCR4蛋白的表达分别为88%和53%,有转移的胆管癌中CXCR4蛋白的表达为94%,显著高于无转移组。相关性分析显示CXCR4蛋白的表达与肿瘤是否转移有关,与肿瘤复发时间及存活时间有关。结论:CXCR4可以作为判断胆管癌恶性程度高低及预后的指标之一。
Objective: To explore the expressions of chemokine CXCL12 and its receptor CXCR4 protein in Cholangiocarcinoma and the relationship between clinical pathological features and the prognosis. Methods: The expressions of CXCL12 and CXCR4 protein were detected by immunohistochernistry in 10 cases with normal bile duct and 61 cases with Cholangiocarcinoma. Results: All samples with normal bile duct were negative for CXCL12 and CXCR4 protein expressions and CXCL12 immunopositive rate was 88 % in patients with Cholangiocarcinoma, while CXCR4 was 53%. The intensity of CXCR4 staining had significant relationship with metastatic. In relative analysis, CXCR4 expression was correlated with relative time and survival time. Conclusions: CXCR4 expression is one of potential prognostic factors for Cholangiocarcinoma patients.