摘要:
Objective To detect the differentially expressed Wnt signaling pathway genes in hepatocellular carcinoma ( HCC) , and investigate the relationship between HCC and Wnt signaling pathway. Methods The expression levels of 78 genes relat-ed Wnt signaling pathway were measured using Affymetrix GeneChip Human Genome U133 Plus 2. 0 array in 93 cases of HCC tissues and paired non-tumor liver tissues. Results A total of 10 up-regulated genes ( TCF19, MMP-12, DKK1, Bcl-9, SFRP4, MMP-1, PYGO2, FZD6, MMP-9 and Wnt6) , and 5 down-regulated genes ( SFRP1, TCF21, SFRP5, FZD1 and Wnt2) were identified to be significantly differentially expressed in HCC tissues, compared with paired non-tumor liver tissues. The expression level of TCF19, the most over-expressed gene in this series (fold change=9. 61, P=1. 07×10-26), was significantly correlated with FZD1, FZD6, Bcl-9, Wnt6, MMP-1 and MMP-12 ( P<0. 05) . The expression of TCF19 was significantly associated with the number of tumor ( P=0. 017) and Edmondson-Steiner grade ( P=0. 046) . Conclusion Multiple differentially expressed genes in Wnt signaling pathway in HCC are screened. Increased expression of TCF19, a downstream transcription factor, may be the key terminal effect of the Wnt signaling path-way activation, and its biological and pathological significance in HCC merits further investigations.%目的 检测肝细胞癌(HCC)中Wnt信号传导通路相关基因的差异表达情况,探讨HCC与该信号通路的关系.方法 采用Affymetrix U133 Plus2.0基因芯片检测93例HCC及其配对癌旁组织中78个Wnt信号通路相关基因的mRNA表达差异.结果 与癌旁肝组织相比,HCC组织中TCF19、MMP-12、DKK1、Bcl-9、SFRP4、MMP-1、PYGO2、FZD6、MMP-9、Wnt6共10个基因表达上调,而SFRP1、TCF21、SFRP5、FZD1、Wnt2共5个基因表达下调.其中,TCF19表达上调倍数最多,达9.61倍(P=1.07×10-26).TCF19表达与FZD1、FZD6、Bcl-9、Wnt6、MMP-1和MMP-12表达呈正相关(均P<0.05).TCF19表达与肿瘤数目(P=0.017)和分化程度(P=0.046)有关.结论 HCC中存在Wnt信号通路多基因异常表达.下游转录因子TCF19高表达可能是Wnt信号通路激活的关键终末效应,其在HCC中的生物学和病理学意义有待进一步研究.