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目的:探讨载脂蛋白E(ApoE) 在正常和病变肝组织中的免疫定位分布。方法:应用免疫组化SP法分别检测正常和病变肝组织ApoE的表达,正常肝组织12 例( 正常肝组织3 例,癌旁正常肝组织9 例) ,病毒性肝炎6 例,肝硬化22 例,肝癌30 例(Ⅰ级Ⅱ级13 例,Ⅲ级Ⅳ级17 例) ,肝母细胞癌6 例,肝海绵状血管瘤4 例。结果:ApoE 在正常肝细胞广泛表达,为胞浆表达,在临近肝窦一面的肝细胞为胞膜表达,Kupffer 细胞表达阳性,肝内胆管上皮和肝血管内皮细胞不表达;在肝炎、肝硬化、分化较好的肝癌(Ⅰ、Ⅱ级) 表达,在分化较差的肝癌、肝母细胞瘤不表达。结论:ApoE对良性和恶性肝肿瘤的鉴别诊断有帮助
Objective: To investigate the distribution of apolipoprotein E (ApoE) in normal and diseased liver tissues. Methods: The expression of ApoE in normal and diseased liver tissues was detected by immunohistochemical SP method. Twelve normal liver tissues (3 normal liver tissues and 9 adjacent normal liver tissues), 6 viral hepatitis and 22 cirrhosis , 30 cases of hepatocellular carcinoma (Grade Ⅰ Ⅱ 13 cases, Grade Ⅲ Ⅳ 17 cases), hepatocellular carcinoma 6 cases, 4 cases of hepatic cavernous hemangioma. Results: ApoE was widely expressed in normal hepatocytes and expressed in the cytoplasm. The expression of ApoE in the hepatocytes adjacent to the sinusoidal sinusoid was positive, and Kupffer cells were positive. The expressions of ApoE were not expressed in the intrahepatic bile duct epithelium and hepatic vascular endothelial cells. , Well-differentiated liver cancer (Ⅰ, Ⅱ grade) expression, poorly differentiated liver cancer, hepatoblastoma does not express. Conclusion: ApoE is helpful in the differential diagnosis of benign and malignant liver tumors