摘要
Objective: To study the relationship between the expressions of multidrug-resistance, 1 (mdr1) gene-coded mRNA and its product P-glycoprotein (P-gp) and biological characteristics of tumor cells in patients with previously untreated primary pancreatic cancer (PC) for guiding signi?cance to the clinical treatment. Methods: Expression of mdr1 mRNA and P-gp on para?n embedded sections was detected by in situ polymerase chain reaction (ISPCR) and immunohistochemistry correspondingly from 150 cases of normal and abnormal pancreatic tissues including 97, 32 and 21 cases of pancreatic cancer, pancreatitis and normal pancreatic tissues respectively. Results: Distributions of positive staining in mdr1 mRNA and P-gp were mainly found on the apical plasma membranes and in cytoplasms of endothelial duct cells in tumor and normal tissues. The positive staining rates of expression of the mdr1 mRNA and P-gp detected in all pancreatic tumors were signi?cantly higher than that in pancreatitis and normal tissues correspondingly (P <0.05). Moreover, higher expressions of mdr1 mRNA and P-gp in tumor cells were correlated with some biological characteristics of PC, such as the degree of di?erentiation, aggressiveness and TNM stage of tumors (P <0.05). However, there was no correlation between the rate of expression of mdr1 mRNA and P-gp and some clinical ?ndings including age, sex, location and tumor size. Conclusion: The expression of mdr1 gene was associated with “natural” multi-drug resistance in PC. There was an important guiding signi?cance between the detection of expression of mdr1 gene and prediction of the sensitivity to chemotherapy of PC. Meanwhile, it probably could be used as one of profoundly parameters to assess the degrees of di?erentiation and prognosis in PC.
