Objective:To explore the expression of Bad and TβRâ… ,Smad4 in TGF-βpathway and possible mechanisms by which they affect hepatocellular carcinoma. Methods:EnVision immunohistochemistry was used to detect the expression of TβRâ… , Smad4 and Bad protein in 46 patients with HCC,25 liver Cirrhosis and 19 normal liver tissue.Result:1.The positive rate of TβRâ… protein was 68.42%(13/19),72.00%(18/25),32.61%(15/46)in normal liver tissue,liver Cirrhosis and hepatocellular carcinoma.The positive rate of TβRâ… were found to be higher in normal liver tissue 68.42%(13/19)than that in hepatocellular carcinoma 32.61%(15/46),The difference in this two group was significant(P<0.01);The positive rate of TβRâ… were found to be higher in liver Cirrhosis 72.00%(18/25)than that in hepatocellular carcinoma 32.61%(15/46),The difference in this two group was significant(P<0.01).2.The positive rate of Smad4 protein was73.68%(14/19),68.00%(17/25),30.43%(14/46)in normal liver tissue,liver Cirrhosis and hepatocellular carcinoma.The positive rate of Smad4 were found to be higher in normal liver tissue 73.68%(14/19)than that in hepatocellular carcinoma 30.43%(14/46),The difference in this two group was significant(P<0.01);The positive rate of Smad4 were found to be higher in liver Cirrhosis 68.00%(17/25)than that in hepatocellular carcinoma 30.43%(14/46),The difference in this two group was significant(P<0.01).3.The positive rate of Bad protein was 21.53%(4/19),72.00%(18/25),60.87%(28/46)in normal liver tissue,liver Cirrhosis and hepatocellular carcinoma.The positive rate of Bad were found to be higher in hepatocellular carcinoma 60.87%(28/46)than that in normal liver tissue 21.53%(4/19),The difference in this two group was significant(P<0.01);The positive rate of Bad were found to be higher in liver Cirrhosis 72.00%(18/25)than that in normal liver tissue 21.53%(4/19),The difference in this two group was significant(P<0.01). 4.There is positive correlation between the expression of TβRâ… and Smad4 in hepatocellular carcinoma(P<0.01).Conclusion:The expression of TβRâ… ,Smad4 and bad proteinwas closely related with the occurrence and progress of HCC.
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