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肌聚糖蛋白在前列腺增生患者膀胱逼尿肌中的表达
木海琦, 朱诗建, 杨森, 南存金, 陈映鹤
温州医科大学附属第二医院泌尿外科
摘要:
目的探讨肌聚糖蛋白α(α-SG)、肌聚糖蛋白β(β-SG)在良性前列腺增生症(BPH)患者膀胱逼尿肌中的表达。方法选择67例住院手术的BPH患者为研究对象,根据排尿后膀胱残余尿量分为尿潴留组31例(>50ml)和非尿潴留组36例(<50ml),并选择同期住院、无BPH且排尿后膀胱内无残余尿的男性膀胱恶性肿瘤患者28例为对照组;采集患者逼尿肌标本,采用免疫组化、Westernblot法检测α-SG、β-SG表达。结果免疫组化显示α-SG、β-SG免疫阳性产物呈棕黄色颗粒,主要位于细胞质,与膀胱逼尿肌细胞走向一致。与对照组相比,尿潴留组α-SG、β-SG表达水平均明显下降,非尿潴留组均明显增加,差异均有统计学意义(均P<0.05)。结论SG在BPH患者膀胱逼尿肌中存在异常表达,可能与BPH临床进展有关。
关键词:  肌聚糖蛋白 前列腺增生 尿潴留
DOI:
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基金项目:温州市公益性科技计划项目
Expression of sarcoglycans in detrusor of bladder in patients with benign prostatic hyperplasia
MU Haiqi, ZHU Shijian, YANG Sen, NAN Cunjin, CHEN Yinghe
the Second Affiliated Hospital of Wenzhou Medical University
Abstract:
Objective To investigate the expression of α-sarcoglycan (α-SG) and 茁-sarcoglycan (茁-SG) in detrusor of bladder in patients with benign prostatic hyperplasia (BPH) Methods Sixty seven patients with BPH were enrolled in the study, including 31 cases with urinary retention (>50ml), and 36 cases without urinary retention (<50ml), and 28 bladder tumor patients without BPH and urinary retention as control group. The expressions of α-SG, 茁-SG in detrusor tissue were detected by immunohistochemical technique and Western blot. Results Immunohistochemistry showed that positive staining of α-SG, β-SG was mainly present in the cytoplasm, and arrayed along bladder detrusor cells. Compared to the control group, the expression of α-SG, β-SG in detrusor in urinary retention group was decreased (P<0.05), while the expression in non-urinary retention group was increased (P<0.05). Conclusion The abnormal expression of sarcoglycans in the detrusor of bladder is associated with the clinical progress of BPH patients.
Key words:  Sarcoglycan Benign prostatic hyperplasia Urinary retention