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Effect of preoperative transcatheter arterial chemoembolization on apoptosis of hepatocellular carcinoma cells

肖恩华 李德泰 沈树斌 周顺科 谭利华 王云华 罗建光 伍玉枝 谭长连 刘辉 朱晖

中华医学杂志(英文版)2003,Vol.116Issue(2):203-207,5.
中华医学杂志(英文版)2003,Vol.116Issue(2):203-207,5.

Effect of preoperative transcatheter arterial chemoembolization on apoptosis of hepatocellular carcinoma cells

Effect of preoperative transcatheter arterial chemoembolization on apoptosis of hepatocellular carcinoma cells

肖恩华 1李德泰 1沈树斌 1周顺科 1谭利华 1王云华 1罗建光 1伍玉枝 1谭长连 1刘辉 1朱晖1

作者信息

  • 1. Department of Radiology, Second Xiangya Hospital, Central South University, Changsha 410011, China
  • 折叠

摘要

Abstract

Objective To evaluate the effect of preoperative transcatheter arterial chemoembolization( TACE) on apoptosis of hepatocellular carcinoma (HCC) cells. Methods A total of 136 patients with HCC underwent liver resection. One to five courses of TACE prior to liver resection were performed in 79 patients (TACE group), in which one to four courses of chemotherapy alone were performed in 11 patients ( group A), one to five courses of chemotherapy combined with iodized oil were per formed in 33 patients (group B), one to three courses of chemotherapy combined w ith iodized oil and gelatin sponge were performed in 23 patients group C) and on e to three courses of chemotherapy combined with iodized oil, ethanol and gelati n sponge were performed in 12 patients (group D). The other 57 patients only re ceived liver resection (non-TACE group). The extent of apoptosis was analyzed by transferase -mediated dUTP nick end labeling (TUNEL) staining. The expressi ons of Bcl-2 and Bax protein were detected by immunohistochemical method.Results The apoptotic index(AI) and level of Bax protein in HCC cells were significantly higher in groups A,B,C and D than those in the non-TACE group (P<0.05). The level of Bcl-2 protein and ratio of Bcl-2 to Bax protein of HCC cells were significantly lower in Groups A, B, C and D than those in the non-TACE group ( P<0.05). Conclusion Preoperative TACE regimens may enhance apoptosis of HCC cells by up-regulating the expression of Bax protein and down-regulating the expression of Bcl-2 prot ein and ratio of Bcl-2 to Bax protein expression.

关键词

hepatocellular carcinoma/transcatheter arterial chemoembolization/apoptosis

Key words

hepatocellular carcinoma/transcatheter arterial chemoembolization/apoptosis

分类

医药卫生

引用本文复制引用

肖恩华,李德泰,沈树斌,周顺科,谭利华,王云华,罗建光,伍玉枝,谭长连,刘辉,朱晖..Effect of preoperative transcatheter arterial chemoembolization on apoptosis of hepatocellular carcinoma cells[J].中华医学杂志(英文版),2003,116(2):203-207,5.

基金项目

This study was supported by the National Council of Natural Sciences of China (No. 30070235). (No. 30070235)

中华医学杂志(英文版)

OAMEDLINESCI

0366-6999

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