• Department of General Surgery, The First Affiliated Hospital of Suzhou University, Suzhou 215006, China;
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【Abstract】Objective  To investigate the expression of tumor growth tactor β1 (TGFβ1) and p27 in gallbladder carcinoma and their relation to the development of the carcinoma.
Methods  The expression of TGF-β1 and p27 in 36 cases of gallbladder carcinoma was detected by SP immunohistochemical staining. Twenty cases of chronic cholecystitis were collected as control.
Results  The positive rate of TGF-β1 (63.9%) was higher than that of the control (10.0%),P<0.05, and the positive rate of p27 (47.2%) was lower than that of the control 100%(P<0.05). The positive rate of TGF-β1 was significantly higher in metastasis or Nevin Ⅳ~Ⅴ stage cases than that of non-metastasis or Nevin Ⅰ~Ⅲ stage cases 33.3% (P<0.05). The positive rate of p27 was statistically higher in moderate and highly differentiation (60.9%), nonmetastasis (75.0%) or Nevin’s Ⅰ~Ⅲ stage (75.0%) cases than those of poor differentiation (23.0%), metastasis (33.3%) and Nevin Ⅳ~Ⅴ stage (33.3%) cases (P<0.05). The expression of p27 was negatively correlated with that of TGF-β1(r=-0.4473,P<0.05). There was significant difference in survival time between patients with TGF-β1 positive and TGF-β1 negative(P<0.05). The difference was also found between patients with p27 positive and p27 negative.
Conclusion  The upregulation of TGF-β1 and downregulation of p27 in gallbladder carcinoma indicates the imbalance of TGF-β1/p27 system, which may play a role in the carcinogenesis and predict the malignant behaviors of the carcinoma.

Citation: NIU Jian,CHEN Shuzhou,QIAN Haixin. Expression and Clinical Significance of TGF-β1 and p27 in Gallbladder Carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(6): 518-521. doi: Copy