فهرست مطالب نویسنده:
hadi razmara
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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد، سال شصتم شماره 4 (پیاپی 153، مهر و آبان 1396)، صص 618 -626مقدمه مننژیوم شایع ترین تومور داخل جمجمه ای اولیه با فراوانی قریب 30% می باشد. سیستم تقسیم بندی WHO 2007 مننژیوم را به سه درجه تقسیم کرده است. عود زودهنگام شایع ترین سناریوی شکست درمان جراحی مننژیوم است.HER2 یک پروتئین غشایی با فعالیت تیروزین کینازی میباشد که در سرطان های مختلف از جمله آدنوکارسینوم پستان افزایش بیان آن مشاهده شده است و هدف درمان دارویی با Herceptin می باشد.P53 یک ژن سرکوب کننده تومور است که به DNA متصل شده و در صورت اشتباه در همانندسازی با مکانیسم ناشناخته از ادامه سیکل تقسیم سلول جلوگیری میکند. موتاسیون ژن آن منجر به بیان بیش از حد آن و ایجاد تومورهای مختلف در انسان میشود.مطالعه حاضر به بررسی رابطه بین بیان HER2 و P53 و درجه هیستولوژیک و رفتار نامطلوب (عود) مننژیوم میپردازد.
روش کار53 بلوک پارافینی مننژیوم انتخاب و بیان HER2 وp53 در آن با رنگ آمیزی ایمونوهیستوشیمی بررسی شد.
نتایج از 44 مورد مننژیوم درجه یک (خوش خیم) و بدون عود تنها 4 (9%) مورد دارای بیان HER2 و 2 مورد(5/4 %) دارای بیان p53 بودند، از میان 13 مورد دارای درجه هیستولوژیک دو و سه (آتیپیک یا آناپلاستیک) و یا خوشخیم دارای عود 4 مورد (30%) بیان HER2 و 4مورد (30%) بیان P53 دارند که این اختلاف از نظر آماری معنادار نیست، هرچند بطور کلی بیان این دو مارکر با افزایش درجه تومور و سابقه عود افزایش نشان میدهد. از بین 8 مورد که HER2 را بیان کرده اند 4 مورد (50%) بیان P53 نیز داشتند و از بین 49 مورد که بیان HER2 نداشتند تنها 2 مورد (4%) P53 را بروز دادند لذا بین بیان HER2 و P53 رابطه آماری معنادار دیده می شود (002/0=p-value). بین بیان HER2 و P53 و سن بیماران، موقعیت مکانی تومور ، جنسیت بیمار از نظر آماری رابطه معنادار یافت نشد.
نتیجه گیری در مننژیوم هایی که درجه هیستولوژیک تومور مورد شک است خصوصا در مواردی که تعداد میتوز در حد مرزی می باشد رنگ آمیزی P53 ، HER2 ممکن است در افتراق موارد بینابینی مورد استفاده قرار گرفته، در برخی بیماران پلان درمانی را تغییر دهد و لزوم رادیوتراپی پس از جراحی را خاطر نشان سازد.کلید واژگان: منن~ژیوم, HER2-neu, P53IntroductionMeningiomas account for about 1530% of all primary intracranial tumors. According to the 2007 WHO classification, meningiomas are divided into three grades (I, II and III). Recurrence is an issue following surgical treatment of meningioma, especially in grades II and III. HER2 (also known as erbB-2) is a 185-kD transmembrane glycoprotein with tyrosine kinase activity. HER2 is expressed in some human malignancies and can be a potential target for therapeutic intervention with selective inhibitors.
P53 is a totumor suppressor gene , which bond to DNA and stop cancer formation.
There are only a few studies on the relationship between meningioma and HER2 and P53 expression, and the results are different as well. The aim of this study was to determine this relationship.
Material andMethodsA total of fifty-seven paraffin blocks of meningioma were selected randomly, and immunohistochemical staining was then performed for each specimen.ResultsOverall eight of the 57 meningiomas were HER2-positive and 6 of them were P53-positive. HER2 expression was observed in 4 (30%) of the 13 grade II/III or recurrent grade I , and 4 (9%) of the 44 grade I meningiomas without recurrenc.P53 expression was observed in 4 (30%) of the 13 grade II/III or reccurent grade I , and 2 (4.5%) of the 44 grade I meningiomas without reccrence. Consequently HER2 expression was detected in 14% of meningiomas and P53 expression was detected in 10.5% of them.ConclusionHigh grade meningioma and recurrent meningioma show more HER2 and P53 expression but significant difference was not seen between grade I without recurrence meningiomas and grade II/III meningioma or reccurent grade I meningiomas, from the point of view of HER2 and P53 expression. There is a signigicant relationship between p53 and her2 expression (P-Value=0.002). Study of HER2 and P53 expression may be useful for more accurate grading of meningioma.Keywords: Meningioma, HER2(C-erb), P53 -
IntroductionEndothelial progenitor cells (EPCs) are known as putative cells in neovasculogenesis during pathological conditions, which are derived from bone marrow. This study was performed to systematically review the EPCs frequency in patients with non-small cell lung cancer (NSCLC) by evaluating the expression of CD133 and vascular endothelial growth factor (VEGF) markers.MethodsWe search the PubMed and Scopus databases for the following keywords; CD133 AND lung AND VEGF. Inclusion criteria were all the articles studied the expression of both CD133 and VEGF markers in patients with NSCLC. No language and date restrictions were imposed to the search strategy. All the articles that studied only one biomarker or those that investigated the markers expression and EPCs count in patients with other types of tumors except NSCLC were excluded from the study.ResultTotally 51 articles obtained following the primary search of both databases. Only 7 of them had the eligibility to be included in this systematic review. Six articles were case- control and one was a cohort type of investigation. Flowcytometry and immunohistochemistry were the most applied methods for estimating the EPCs count and evaluating the expression of markers in circulating peripheral blood and tumors tissue. The expression of EPCs markers was increased in patients with NSCLC compared to healthy control individuals; however, the frequency of EPCs was low in peripheral blood of patients.ConclusionAlthough it is not clear that circulating EPC numbers are associated with lung cancer patients angiogenesis, EPCs and VEGF levels are elevated in patients with operable NSCLC. The ideal method for evaluating circulating endothelia cells (CECs) or EPCs levels in vivo is still a matter of debate and because of the low number of EPCs in peripheral blood, their detection is technically challenging.Keywords: Endothelial progenitor cells, Non-Small Cell Lung Cancer, Vascular endothelial growth factor
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IntroductionSeveral methods are available for the diagnosis of autoimmune bullous disease. Since the immunohistochemistry of complement component is easy and more accessible compared to other methods, it is thought that this technique as an efficient method can replace other difficult, and time-consuming procedures. Therefore, in this study we aimed to systematically review the literatures in which the diagnostic value of complement component 3d (C3d) and C4d had been investigated in bullous pemphigoid.MethodsA systematic search was conducted in the PubMed, Google scholar, and Scopus using following search method (((C3d OR C4d OR complement component 3d OR complement component 4d immunohistochemistry)) OR (C3d OR C4d marker OR complement component 3d OR complement component 4d marker)) AND (bullous pemphigoid OR cutaneous pemphigoid) to evaluate the diagnostic value of C3d and/or C4d for early and accurate detection of bullous pemphigoid on November 2015. Subsequently, the extracted data were described.ResultTotal of 28 documents were collected and reviewed based on the purpose of this study. Of the collected articles, 21 documents were excluded in several steps of article selection process and only 7 relevant articles were included for data assessment. The results showed that the deposits of C3d and/or C4d in skin biopsies were found in 125 of 134 patients, indicating that immunohistochemistry is a reliable technique for the diagnosis of inflammatory skin diseases.ConclusionThe results of this review showed that C3d and/or C4d immunohistochemistry in skin biopsies is a reliable technique for the diagnosis of inflammatory skin diseases, particularly bullous pemphigoid.Keywords: Bullous pemphigoid, Complement Component 3d, Complement C4d, Immunohistochemistry
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