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- 2018
子宫腺肌病EMI处MMP-7和E-Cadherin的表达及意义
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Abstract:
摘要 目的: 检测基质金属蛋白酶-7(MMP-7)及上皮钙黏素-E(E-cadherin)在子宫腺肌病病灶与内膜-肌层界面(EMI)处在位内膜的表达情况,了解 MMP-7及E-cadherin在子宫腺肌病发病中的作用.方法:选取因子宫腺肌病行全子宫切除或次全子宫切除的子宫标本40例,同时以子宫良性病变(如子宫肌瘤)行全子宫切除或次全子宫切除的子宫标本30例作为对照.采用免疫组化方法检测MMP-7及E-cadherin在子宫腺肌病病灶、子宫内膜-肌层界面处组织中的表达水平,测定这两种蛋白分子表达的阳性单位(PU值).结果:在子宫腺肌病组中病灶和内膜-肌层交界处内膜MMP-7较对照组表达水平上调; E-cadherin的表达下调;两者在子宫腺肌病子宫内膜-肌层交界处的内膜表达水平呈负相关.结论:子宫EMI处子宫内膜腺体细胞MMP-7表达增高,降解了子宫肌层的细胞外基质,其屏障作用减弱,基底层子宫内膜细胞容易侵入子宫肌层生长并形成异位病灶;EMI处腺体细胞E-cadherin表达下调,直接导致细胞黏附能力下降,细胞解聚,子宫内膜细胞之间以及子宫内膜细胞与基质之间的黏附作用降低, 从而变得易从在位部位解离,侵入和种植在肌层中.
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