title: [Expression of sonic hedgehog, EGFR and PCNA proteins in pancreatic cancer and their correlations to cell proliferation].
abstract: OBJECTIVE
  Sonic hedgehog (SHH) signaling pathway is important for modulating cellular interaction in the development of mammalian embryo. Epidermal growth factor receptor (EGFR) has been involved in the regulation of cell proliferation and differentiation. Proliferating cell nuclear antigen (PCNA) is an indicator of cell proliferation. This study was to investigate the expression of SHH, EGFR and PCNA in pancreatic cancer, and explore their correlations to cell proliferation.
  
  
  METHODS
  The expression of SHH, EGFR, and PCNA in 49 specimens of pancreatic cancer and 49 specimens of normal pancreatic tissues adjacent to cancer was detected by immunohistochemistry. Their interrelations were analyzed.
  
  
  RESULTS
  The positive rates of SHH and EGFR were significantly higher in pancreatic cancer than in normal tissue adjacent to cancer (79.6% vs.14.3%, 73.5% vs.16.3%, P<0.05). The expression of SHH and EGFR in pancreatic cancer had no correlation to patientsoage, tumor size, pathologic type, and tumor site (P>0.05), but were correlated to lymph node metastasis and TNM stage (P<0.05). The strong positive rate of PCNA was significantly higher in pancreatic cancer than in normal tissues (83.7% vs. 20.4%, P<0.05). SHH expression was positively correlated to EGFR expression (r1=0.232, P<0.05). SHH and EGFR expression were positively correlated to PCNA expression(r2=0.412, P<0.05û r3=0.186, P<0.05).
  
  
  CONCLUSIONS
  SHH and EGFR signal pathways are active in pancreatic carcinoma, and are closely correlated to cancer cell proliferation.
authors.affiliation: Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, PR China.
authors.forename: Wei-Guo
authors.initials: WG
authors.lastname: Hu
authors.forename: Chun-You
authors.initials: CY
authors.lastname: Wang
authors.forename: Tao
authors.initials: T
authors.lastname: Liu
authors.forename: Jiong-Xin
authors.initials: JX
authors.lastname: Xiong
authors.forename: Zhi-Yong
authors.initials: ZY
authors.lastname: Yang
mesh_terms: D000328:Adult; D000368:Aged; D021441:Carcinoma, Pancreatic Ductal / Q000378:metabolism / Q000473:pathology; D049109:Cell Proliferation; D066246:ErbB Receptors / Q000378:metabolism*; D005260:Female; D053823:Hedgehog Proteins / Q000378:metabolism*; D006801:Humans; D007150:Immunohistochemistry; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010190:Pancreatic Neoplasms / Q000378:metabolism* / Q000473:pathology; D018809:Proliferating Cell Nuclear Antigen / Q000378:metabolism*; D015398:Signal Transduction
chemical_list: D053823:Hedgehog Proteins; D018809:Proliferating Cell Nuclear Antigen; D066246:ErbB Receptors