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  1. NTU Theses and Dissertations Repository
  2. 醫學院
  3. 病理學科所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/27527
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor饒宇東(Yu-Tung Yao)
dc.contributor.authorChia-Tung Shunen
dc.contributor.author孫家棟zh_TW
dc.date.accessioned2021-06-12T18:08:25Z-
dc.date.available2008-02-19
dc.date.copyright2008-02-19
dc.date.issued2007
dc.date.submitted2007-12-12
dc.identifier.citation參考文獻
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本論文各部份均已發表且刊登於下列雜誌
1.Shun CT, Wu Ms, Lee WJ, Lin JT, Chuang SM. Relationship
of mucopolysaccharide change, Helicobacter pylori
infection and expression of p-53 in gastric cancer. Tzu
Chi Med J. 1997;9(1):27-33.
2.Shun CT, Wu MS, Huang SP, Wang HP, Chung SM, Lin JT.
Cyclooxygenase-2 expression correlates with nuclear p53
accumulation in gastric carcinoma.
Hepatogastroenterology. 2003;50(52):988-92(SCI,I.F=0.833)
3.Shun CT, Lin JT, Huang SP, Lin MT, Wu MS. Expression of
macrophage migration inhibitory factor is associated
with enhanced angiogenesis and advanced stage in gastric
carcinomas. World J. of Gastroenterology. 2005;11(24):
3767-3771(SCI,I.F=3.318)
4.Shun CT, Wu MS, Lin JT, Wang HP, Houng RL, Lee WJ, Wang
TH, Chuang SM. An immunohistochemical study of E-
cadherin expression with correlations to
clinicopathological features in gastric cancer.
Hepatogastroenterology. 1998 Jul-Aug;45(22):944-9(SCI,
I.F=0.833)
5.Shun CT, Wu MS, Lin MT, Chang MC, Lin JT, Chuang SM.
Immunohistochemical evaluation of cadherin and catenin
expression in early gastric carcinomas: correlation with
clinicopathologic characteristics and Helicobacter
pylori infection. Oncology. 2001;60(4):339-45
(SCI,I.F=2.584 )
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/27527-
dc.description.abstract雖然藥物治療和衛生統計的進展降低了癌症的死亡率,但胃癌始終佔有癌症罹患和死亡的高位,甚至在遠東地區如:日本佔有第一位死亡率。所以,提高診斷率和找出相關的預後的評估因子實為很重要的課題。本論文完全利用傳統的組織化學染色和簡單的免疫組織化學染色來進行研究及評估。第一部份,我們發現胃癌的危險因子,尤其是Lauren氏腸型分類中的慢性萎縮性胃炎和具有硫性黏液的第Ⅲ型或ⅡB型的腸型化生與胃癌的發生有極密切的關係,兩者是評估胃癌發生的高危險因子;第二部份,我們探討是胃癌血管新生和抑癌基因蛋白質p53的關連性,結果我們發現血管新生因子三環類氧合酶-2在進行性胃癌或賁門癌有相當密切的關連性,但與幽門桿菌的存在與否沒有統計上的意義存在;第三部份,我們探討的是胃癌生成中細胞激素所扮演的角色,我們主要探討的是巨噬細胞遷徙抑制因子的角色,我們發現此因子在統計上與抑癌基因p53的相關性不大,但卻在腫瘤的進行和血管新生上扮演有重要的角色;最後探討的是黏著因子和胃癌生成關係,結論發現上皮性黏著因子的喪失與胃癌的生成、轉移、甚至胃癌病人的存活率都有密切的相關性存在;此外,我們亦發現不正常黏著因子複合體(Cadherin-Catenin Complex)的呈現在早期胃癌的癌發生上亦佔有一角色,更加發現這複合體的功能異常與淋巴結的轉移亦存有相當密切的關係。結論顯示胃癌是多因子的生成理論,將這些相關因子串聯起來,將是提升治療和預測胃癌病人預後的新思維。zh_TW
dc.description.abstractDespite its decline in incidence of cancer death, gastric cancer remains the second most frequent cancer in the world and even the leading cause of death in the Far East, such as Japan. So how to improve the diagnosis and find the prognosis associated factors become an important issue in this field. In this research, we made use of classical histochemical methods and simple immunohistochemical methods. In the first part, we found the early risk factor of gastric cancer especially the Lauren’s intestinal type: chronic atrophic gastritis and the typeⅢ/ⅡB intestinal metaplasia with sulfur mucopolysaccharide change which also have correlated with the mutation of oncosuppressor gene p53. The second part of this paper, we discussed the factors associated with angiogenesis and their relationship with the oncosuppressor protein p53. We find that the close related angiogenetic factor, cyclooxygenase-2 (Cox-2), has high association with the p53 in gastric cancer, especially in advanced gastric cancer and cardiac type but not associated with Helicobacter pylori statistically. The 3rd part in this research, we discussed the role of cytokine in the gastric carcinogenesis. We focused on the macrophage migration inhibitor factor (MIF). It revealed that the macrophage migration inhibitor factor had no statistically significance with p53 but it played an important role in gastric cancer progression and neovasculization (angiogenesis with carcinogenesis). Finally we discussed the change of adhesion molecular in the gastric carcinogenesis. It showed the loss of E-cadherin in gastric cancer had close relationship with the gastric cancer formation, metastasis and even the survival rate of the patients. Furthermore, the abnormal expression of E-cadherin–catenin complex occurred frequency in gastric carcinogenesis especially at the early stage of diffuse type gastric cancer. In addition, lymph node metastasis had close relation to the dysfunction of this system. In conclusion, gastric carcinogenesis was multifactorial and how to link those factors will give us a new thinking process in treating and predicting the outcome of those types of patients.en
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Previous issue date: 2007
en
dc.description.tableofcontents目 錄
口試委員會審定…………………………………………………………i
誌謝…………………………………………………………………… ii
中文摘要………………………………………………………………iii
英文摘要……………………………………………………………… iv
I.緒論……………………………………………………………………1
II.本文
Part I.癌前期,早期胃癌和進行性胃癌的黏液和p53表現的變化…3
Part II.胃癌血管新生的探討
I.胃癌中三環類氧合酶-2與p53聚集的關連性……………………… 7
II.巨噬細胞遷徙抑制因子和血管新生的關係………………………12
Part III. 黏著因子與胃癌的關連性
I.上皮性黏著因子與胃癌的相關性………………………………… 17
II.免疫組織染色評估早期胃癌的黏著因子系統的相關性…………21
III.參考文獻………………………………………………………… 26
IV.附表…………………………………………………………………41
III.附圖……………………………………………………………… 51
dc.language.isozh-TW
dc.subject黏多醣zh_TW
dc.subjectp53蛋白zh_TW
dc.subject胃癌zh_TW
dc.subject黏著因子複合體zh_TW
dc.subject上皮性黏著因子zh_TW
dc.subject巨噬細胞遷徙抑制因子zh_TW
dc.subject三環類氧合&#37238zh_TW
dc.subjectgastric cancer (GC)en
dc.subjectcadherin-catenin complexen
dc.subjectE-cadherinen
dc.subjectmacrophage migration inhibitor factor (MIF)en
dc.subjectcyclooxygenase-2 (Cox-2)en
dc.subjectP-53en
dc.subjectmucopolysaccharideen
dc.title胃癌之黏多醣、血管新生及黏著因子的組織化學和免疫組織化學研究zh_TW
dc.titleThe Histochemical and Immunohistochemical Study of Mucopolysaccharide, Angiogenesis and Adhesion Molecule in Gastric canceren
dc.typeThesis
dc.date.schoolyear96-1
dc.description.degree博士
dc.contributor.oralexamcommittee莊壽洺(Sou-Ming Chuang),方中民(John M. Fong),賴義雄(Yih-Shyong Lai),郭宗禮(Tsung-Li Kuo)
dc.subject.keyword胃癌,黏多醣,p53蛋白,三環類氧合&#37238,-2,巨噬細胞遷徙抑制因子,上皮性黏著因子,黏著因子複合體,zh_TW
dc.subject.keywordgastric cancer (GC),mucopolysaccharide,P-53,cyclooxygenase-2 (Cox-2),macrophage migration inhibitor factor (MIF),E-cadherin,cadherin-catenin complex,en
dc.relation.page53
dc.rights.note有償授權
dc.date.accepted2007-12-13
dc.contributor.author-college醫學院zh_TW
dc.contributor.author-dept病理學研究所zh_TW
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