首都医科大学学报 ›› 2000, Vol. 21 ›› Issue (2): 140-143.

• 论著 • 上一篇    下一篇

血管生成因子在脑血管畸形的表达

袁葛, 赵继宗   

  1. 首都医科大学附属北京天坛医院神经外科
  • 收稿日期:1999-03-11 修回日期:1900-01-01 出版日期:2000-04-15 发布日期:2000-04-15

Expression of Angiogenic Factors in Cerebral Vascular Malformations

Yuan Ge, Zhao Jizong   

  1. Depertment of Neurosurgery, Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences
  • Received:1999-03-11 Revised:1900-01-01 Online:2000-04-15 Published:2000-04-15

摘要: 对实验组2种不同类型脑血管畸形〔脑动静脉畸形(AVMs)及海绵状血管瘤(CMs)〕标本、对照组正常脑组织血管标本、阳性对照组血管网状细胞瘤标本进行免疫组化染色,观察2种血管生成因子〔血管内皮生长因子(VEGF)和碱性成纤维细胞生长因子(bFGF)〕在AVMs和CMs中的表达,按照血管同一部位着色强度将结果分为3级。结果发现:44例试验标本中VEGF表达均为阳性,VEGF在AVMs与CMs中的表达不同,存在显着性差异(P<0.01).VEGF表达与AVMs经否术前栓塞、有无出血无关,与CMs有无出血有关(P<0.05).提示血管生成因子在所有类型脑血管畸形都有表达,血管发生机制可能是广泛弥散激活,而与各种血管类型无关。

关键词: 血管内皮生长因子, 碱性成纤维细胞生长因子, 动静脉畸形, 海绵状血管瘤

Abstract: To subject paraffin processed specimens of 22 cases of arteriovenous malformations (AVMs) and 22 cases of cavernous malformations (CMs) to immunohistochemical staining. Two angiogenic factors were examined, i.e. vascular endothelial growth factor (VEGF) and basic fibroblast growth factor (bFGF). The results of immunostaining were analyzed by two observes blinded to the antibody and lesion type, and were evaluated in three classes. All 44 lesions were stained positive for VEGF, with the AVMs staining somewhat more intensely (P<0.01). 13 of 22 AVMs and 17 of 22 CMs demonstrated bFGF with different staining intense (P<0.01). The staining of VEGF in CMs had difference with lesions hemorrhaged or not (P<0.05). The results demonstrate that angiogenic growth factors are expressed in all types of cerebral vascular malformations. The pattern of expression suggests diffuse activation of angiogenesis without specific relation to individual vessel types.

Key words: vascular endothelial growth factor, basic fibroblast growth factor, arteriovenous malformations, cavernous malformations

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