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The Expression Of Vitamin D Receptor And Nuclear Factor-?B P65 In Human Colon Cancer

Posted on:2016-08-27Degree:MasterType:Thesis
Country:ChinaCandidate:X M ChenFull Text:PDF
GTID:2334330485469724Subject:Public Health and Preventive Medicine
Abstract/Summary:PDF Full Text Request
Objective Colon cancer is a disease in which malignant cells form in the tissues between the dentate line and the sigmoid colon. The colon cancer is a very common malignant tumor in our country. There is a rising trend in the incidence rate of colon cancer during the past few years. It is a serious hazard to human health. Vitamin D is a class of steroid hormones. Vitamin D is close relationship with human health. On the one hand, vitamin D deficiency is more common in the world and is increasingly recognized as a global public health problem. On the other hand, vitamin D may regulate calcium and phosphorus homeostasis, promote bone growth and remodeling, and prevent the occurrence of rickets and osteomalacia. In additi vitamin D deficiency relationship with the incidence of cancer has been confirmed, such as c colon cancer on,.The actions of vitamin D are mediated by vitamin D receptor (VDR). The objective of the present study is to investigate the expression of VDR and nuclear factor (NF)-?B p65 in human colon cancer and to explore the clinical significance of VDR.Methods The present study analyzed samples that recruited 27 cases and 27 controls from The Second People's Hospital of LuAn city between October 2012 and October 2014. In this study, colon cancer was diagnosed by clinical and histopathological examination. Twenty-seven people (without colorectal cancer) who underwent colonoscopy were recruited as controls. The specimens of 27 cases of surgically colon tissue and 27 people of control were collected. Colon samples were fixed in 10%neutral formalin, and then were embedded in paraffin. Colon tissue paraffin sections of 4 ?m were prepared for H&E staining and immunohistochemistry. Morphological changes of colon tissue were observed with H&E staining. The expression of VDR and NF-?B p65 were detected in colon tissue by immunohistochemistry of streptavidin-perosidase (SP). For immunohistochemistry, paraffin-embedded colon specimens were deparaffinized and rehydrated in a graded ethanol series. After antigen retrieval and quenching of endogenous peroxidase, sections were incubated with either VDR monoclonal antibody (1:200 dilution, Santa Cruz, USA) or NF-?B p65 monoclonal antibody (1:200 dilution, Santa Cruz, USA) at 4? overnight. The color reaction was developed with HRP-linked polymer detection system and counterstaining with hematoxylin. The positive expression of colon tissue VDR and NF-?B p65 is yellow or brown yellow in cytoplasm and nuclei. VDR-positive cells and NF-?B p65-positive cells were counted in ten randomly selected fields from each slide at a magnification of ×400. The percentage of VDR-positive cells and NF-?B p65-positive cells was analyzed in colon tissue sections. Positive expression was defined as follows:the percentage of positive cells?5%. Quantitative data were expressed as means ± S. ANOVA were used to determine differences between different groups. Data that were not normally distributed were assessed for significance using non-parametric tests techniques. All statistical tests were two-sided using an alpha level of 0.05. The present study obtained ethics approval from the ethics committee of West Anhui Health Vocational College. Oral and written consents were obtained from all subjects.Results The demographic characteristics of subjects were compared between colon cancer and control. No significant difference on age, height, weight and BMI was observed. In addition, although there are no significant difference on serum ALT, AST, LDH, TG and GLU levels between two groups, serum CEA levels were significantly higher in the case group than in the control group, and calcium levels were significantly lower in the case group than in the control group. The VDR expression of 5 cases (18.5 %) and NF-?B p65 of 7 cases (25.9%) was positive in the specimens of 27 cases, but VDR expression of 23 cases (85.2%) and NF-?B p65 of 25 cases (92.6%) was positive in the specimens of 27 control. The positive expression of VDR and NF-?B p65 in human colon cancer group is lower than that in the control group.Conclusions The expression of VDR and NF-?B p65 is low in human colon cancer.
Keywords/Search Tags:Colon cancer, Vitamin D receptor, Nuclear factor-?B
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