Objective To explore significance and expression of adenosine triphosphate synthase subunit alpha (ATP5A1), human epidermal growth factor receptor-2 (Her-2) and Her-3 in colorectal cancer. Methods The expression of ATP5A1, Her-2 and Her-3 in 100 cases of colorectal cancer and adjacent normal tissues was detected by immunohistochemical method. The relationship between ATP5A1, Her-2 and Her-3 and age, sex, tumor size and tumor location, Dukes stage, differentiation degree, lymph node metastasis was analyzed. Results The positive rate of ATP5A1 in colorectal cancer (46/100) was higher than that in adjacent normal tissues (0/100) (P<0.05). The positive rate of Her-2 in colorectal cancer (56/100) was higher than that in adjacent normal tissues (14/100) (P<0.05). The positive rate of Her-3 in colorectal cancer (56/100) was higher than that in adjacent normal tissues (6/100) (P<0.05). The positive rate of ATP5A1, Her-2 and Her-3 in poorly differentiated was higher than that in the high and moderately differentiated (P<0.05). The positive rate of ATP5A1, Her-2 and Her-3 in C+ D stage was higher than that in A+ B stage (P<0.05). The positive rate of ATP5A1, Her-2 and Her-3 in lymph node metastasis was higher than that in without lymph node metastasis (P<0.05). The positive expression rates of ATP5A1, Her-2 and Her-3 in colorectal cancer were independent of age, sex, tumor size and tumor location. The expression of ATP5A1 was positively correlated with the expression of Her-2 in colorectal cancer (r=0.659, P<0.05). The expression of ATP5A1 was negatively correlated with the expression of Her-3 in colorectal cancer (r=0.546, P<0.05). The expression of Her-2 was negatively correlated with the expression of Her-3 in colorectal cancer (r=0.878, P<0.05). Conclusion High expression of ATP5A1, Her-2 and Her-3 played an important role in the occurrence, invasion and metastasis of colorectal cancer. The combined detection of these three protein could play a guiding role in the diagnosis of colorectal cancer. Key words: Adenosine triphosphate synthase subunit alpha; Human epidermal growth factor receptor-2; Human epidermal growth factor receptor-3; Colorectal cancer; Expression
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