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TL1A在炎症相关结直肠癌中的作用及机制研究

发布时间:2021-11-15 20:37
  炎症性肠病(Inflammatory bowel disease,IBD)是一种原因尚不明确的肠道慢性炎症性疾病,具有终身复发的倾向,主要包括溃疡性结肠炎(Ulcerative colitis,UC)和克罗恩病(Crohn’s disease,CD)两种类型。研究证实IBD是结直肠癌发生的确切危险因素之一,病程10年、20年及30年的溃疡性结肠炎患者发生癌变的风险分别为1.2%、3.6%和14.4%,IBD患者平均发生结直肠癌危险度为普通人群的2-4倍,每年平均约有10-15%的IBD患者死于结直肠癌,这种由炎症导致的结直肠癌是IBD最为严重的并发症,严重威胁着人们的生命健康。而由炎症演变而来的结直肠癌与散发性结直肠癌相比,在发病机制、临床特征、病理类型等方面存在明显的不同,因此人们将由结肠炎演变而来的结直肠癌统称为炎症相关结肠癌(colitis-associated colorectal cancer,CAC)。炎症相关结直肠癌的发生通常需要经历“炎症→异型增生→癌”的过程,炎症是CAC发生的始动因素。作为参与炎症最重要炎症介质-肿瘤因子(Tumor necrosis factor,... 

【文章来源】:河北医科大学河北省

【文章页数】:116 页

【学位级别】:博士

【部分图文】:

TL1A在炎症相关结直肠癌中的作用及机制研究


淋系高表达TL1A小鼠的鉴定

小鼠,较重,模型


图 1-2 淋系高表达TL1A小鼠在AOM+DSS模型中炎症程度较重Fig.1-2 TL1A overexpression mices are more susceptible to AOM+DSSinduced colitis,WT and Tg mice were injected with AOM and treated withfour rounds of DSS for 7days (A)Body weight changes of WT and Tg mice(B)DAI which is consisting of weight loss, stool consistency and FOB, wasmeasured daily. The AOM+DSS/Tg group displayed much severerinflammation compared with AOM+DSS/WT group (2.3±0.76 vs 1.28±0.47,P<0.05) (C)The colonic tissue became hard, poor elasticity, mucouscongestion and edema, localized stenosis, and the size of nodular eminencewas seen, and the lumen suddenly entered the lumen. AOM+DSS/Tg comparewith AOM+DSS/WT, the weight loss was more obvious (7.00cm±0.97cm vs5.85 ± 0.78cm, P<0.05);(D)The AOM+DSS/Tg group. compared withAOM+DSS/ WT group, the dysplasia score was higher (P < 0.05).

炎症,结直肠癌


图1-3 TL1A促进炎症相关结直肠癌的发生和发展Fig.1-3 TL1A promotes the development of inflammation related colorectcancer (A)tumor number in AOM+DSS/Tg group were obviously highthan that in AOM+DSS/WT group (3.50±1.19 vs 5.62±1.30, P<0.05), (Bcompared with the mice in control group, in AOM+DSS group the size of ceis different, the level of the cells is disordered, the polarity disappeared, thgoblet cells decreased, the nuclei increased, and the nuclear fission increaseThe normal structure disappears and the abnormal hyperplasia is obvious. (Ctumor formation rate of AOM+DSS/Tg group was obviously higher than thin AOM+DSS/WT group (88.9% vs 66.7%) (D). According to the degree intestinal mucosa cell dysplasia scores, the AOM+DSS/Tg group wsignificantly higher than AOM+DSS/WT group (2.75±0.5 vs 1.70±0.P<0.05).

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博士论文
[1]促炎因子和益生菌调控Wnt/β-catenin信号通路相关机制研究[D]. 徐天铭.北京协和医学院 2016
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[3]溃疡性结肠炎相关性结肠癌发病机制初探[D]. 郑威扬.北京协和医学院 2009

硕士论文
[1]溃疡性结肠炎癌变机制的研究及结直肠息肉危险因素分析[D]. 李艳萍.北京协和医学院 2014



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