[Decreased expression of Cx32 and Cx43 and their function of gap junction intercellular communication in gastric cancer].

OBJECTIVE: The aim of this study was to investigate the expression of connexin (Cx) and the function of gap junction intercellular communication (GJIC) in the carcinogenesis, progression and metastasis of gastric cancers. METHODS: Immunohistochemistry was used to detect the expression of Cx32 and Cx43 proteins in tissue samples. Indirect immunofluorescence assay was used to investigate the expression of Cx32 and Cx43 proteins in several gastric cancer lines of various differentiation grades. The expression of Cx43 in samples of gastric cancer tissue, adjacent normal tissue and in the gastric cancer cell lines of various differentiation grades was detected by Western blot. Scrape-loading dye transfer (SLDT) technique was used to detect the function of gap junction intercellular communication (GJIC) in the various cell lines. RESULTS: In the normal gastric mucosa the expression rates of both Cx32 and Cx43 were 100%. In gastric cancers, the expression rates of Cx32 andCx43 were 49.5% (55/111) and 39.6% (44/111), respectively. There was a significant difference between their expression in normal and cancer tissues (P < 0.05). Age of the patients was not significantly correlated with the expression level of Cx32 and Cx43 (P > 0.05). Cx43 expression was significantly associated with the TMN stage, histological type, depth of infiltration and distant metastasis (P < 0.05), but Cx32 expression was not significantly correlated with depth of infiltration ( P > 0.05). In the cancer cell lines, a positive expression of Cx32 and Cx43 was detected in transfected human stomach mucosal cell line (CES-1) and human well differentiated stomach cancer cell line (N87), but negative in the poorly differentiated stomach cancer cell line (BGC-823) at all. Both Cx32 and Cx43 expression rates were 100% in the cell line GES-1. Cx32 expression rate was 49.0% and Cx43 expression rate was 55.0% in the cell line N87. But in the poorly differentiated cancer cell line BGC-823 both Cx32 and Cx43 expression was negative. GJIC function detection showed: GES-1 showed well GIJC function but no GIJC function in the cell lines N87 and BGC-823. The intensity of fluorescence was gradually decreasing from GES-1 cells to N87 cells and almost no fluorescence in BGC-823 cells. Western blotting showed that Cx43 expression in normal tissue was higher than that in gastric cancer tissue, and in the cell lines GES-1, N87 and BGC-823, the bands seemed decreasing progressively. There was very low expression in BGC-823 cells. CONCLUSION: The decreasing expression of connexin Cx32 and Cx43 is obviously correlated with the occurrence, development and metastatic potential of stomach cancers.

[Comparison of immediate therapeutic effects of endovenous laser treatment and conventional therapy for lower extremity varicose veins].

OBJECTIVE: To compare the immediate therapeutic effects of endovenous laser treatment (ELT) and conventional surgery for lower extremity varicosity (LEV). METHODS: Twenty-two limbs of 20 patients with ELT and 36 limbs of 30 patients with traditional surgery were analyzed in terms of operation time, number of the incision, postoperative pain, complications, postoperative hospital stay and one-year recurrence rate. RESULTS: ELT group had shorter operation time, fewer incisions, less postoperative pain and shorter hospital stay than conventional surgery group, but the two groups showed no significant difference in complications and one-year recurrence rate. CONCLUSIONS: As a safe and effective new treatment of LEV with minimal invasiveness and leaving no scars ELT has the potential to replace conventional surgery and extends the surgical indications for LEV treatment.