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萘丁美酮在混合反流模型干预治疗中的作用及对EGFR 、ODC、CDH mRNA表达的影响
作者:汪涛 马海琳 王鸿雁 
单位:西安交通大学
关键词:萘丁美酮 反流性食管炎 Barrett食管 食管腺癌 表皮生长因子受体 鸟氨酸脱羧酶 上皮钙粘蛋白 
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出版年·卷·期(页码):2013·41·第二期(75-80)
摘要:

目的 探讨萘丁美酮在混合反流模型干预治疗中的作用,以及EGFR、ODC及CDH三项指标在反流性食管炎的发生、发展及癌变过程中的变化和药物对它们的影响。方法 健康SD大鼠100只,随机分为3组,即反流模型组(Y组)46只,萘丁美酮组(R组)46只,正常对照组(C组)8只。分别观察Y、R组术后5、17、28、40周及C组于40周时食管粘膜的病理改变及EGFR、ODC、CDH mRNA的表达情况。结果 1.R组在不同时段的损伤积分和Barrett食管的发生均低于Y组;2.Y组EGFR mRNA从正常→RE→BE→EAC逐渐增强,高于C组(P<0.05),R组EGFR mRNA的表达虽仍高于C组,但在40周时明显低于Y组;3.Y组ODC mRNA在不同时段高于R组和C组,且逐渐增强(P<0.05);4.Y组CDH mRNA则呈逐渐下降的趋势,且在28,40周时明显低于R组和C组(P<0.05),R组和C组间无显著性差异(P>0.05)。结论 EGFR、ODC和CDH基因参与了从RE→BE→EAC的发展过程,是BE、EAC发生发展的早期分子事件;萘丁美酮可影响EGFR、ODC和CDH的表达,减轻炎症的程度,并减缓病程的进展,降低Barrett食管和重度不典型增生的发生率,抑制腺癌的发生。

Objective Investigate the prevention effects of nabumetone to the damaged esophageal mucosa in the model of reflux esophagitis, and the effect of expression of EGFR,ODC,CDH in the progress of reflux esophagitis. Methods 100 SD rats divided into three groups in random. Group Y: operation + saline as positive controls(46); Group R: operation + nabumetone(46); Group C: normal control(8). The lesions of esophageal mucosa were observed in the 5th, 17th, 28th , 40th week in group Y, R and 40th week in group C respectively. Evaluated the change of EGFR mRNA, ODC mRNA, CDH mRNA in the progress of reflux esophagitis and the effect of nabumetone. Results 1. The lesions of esophageal mucosa in different time and the incidence of Barrett’s esophagus(BE) in group R were lower than group Y(P<0.05). 2. The expression of EGFR mRNA increased gradually from normal→RE→BE→EAC in group Y, and higher than group C. Is higher in group R than in group C, but is lower than group Y in 40th week. 3. The expression of ODC mRNA in group Y were higher than that were in group R and group C in different times(P<0.05).4. the expression of CDH mRNA were lower in group Y, and there was significant difference between group Y and R, C in 28th , 40th week (P<0.05).Conclusion In the progress of RE, EGFR mRNA, ODC mRNA increased gradually, CDH mRNA decreased gradually. This suggests that enhanced expression of EGFR mRNA, ODC mRNA and decreased expression of CHD mRNA may occur early during Barrett's associated neoplastic transformation. Nabumetone reduced mucosa injury in reflux esophagitis and against the development of BE by effect the expression of EGFR, ODC, CDH.

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