• 沒有找到結果。

國人肺腺癌之基礎與臨床研究─黏液素蛋白表現與肺癌之關係

N/A
N/A
Protected

Academic year: 2021

Share "國人肺腺癌之基礎與臨床研究─黏液素蛋白表現與肺癌之關係"

Copied!
4
0
0

加載中.... (立即查看全文)

全文

(1)

¦æ

¬F°|°ê

®a¬ì

¾Ç

©e-û

·|±MÃD¬ã

¨s-pµe¦¨

ªG³ø

§i

°ê

¤HªÍ

¸¢

Àù

¤§

°ò

¦

»PÁ{§É

‹

¨s¡Ð

ÂH²G¯À

³J¥Õ

ªí

²{»PªÍ

Àù

¤§

Ãö

«Y

Mucins and Lung Cancer

-pµe½s¸¹

¡GNSC88-2314-B-002-083-M39

°õ

¦æ

´Á

--

¡G¦Û

¥Á

°ê

87¦~

08¤ë

01¤é

°_¦Ü

¥Á

°ê

88¦~

07¤ë

31¤é

¥D«ù

¤H¡G§E©¾

¤¯

°õ

¦æ

¾÷

ºc¤Î

³æ

¦ì

¦WºÙ

¡G¥x¤jÂå

¾Ç

°|¤º

“

-pµe¤¤

¤å

ºK-n

ªñ´X¦~¨Ó¡AÂH²G¯À»PÀù¯g¤§ÃöÁp©Ê¤w ³vº¥³QÁA¸Ñ¡CÂÇ¥ÑÂH²G¯À³J¥Õ¤ÎÁޤƹLµ{ ¤§²§±`ªí²{¡AÀù²Ó-M¸û©ö«I¤J¦å²G´`Àô¡A °kÁ×±J¥D¤§§K¬Ì§ðÀ»¨t²Î¡A¦Óµo¥Í»·³BÂà ²¾¡C§Ú-̤§«e±q¨ÆªÍÀùÂH²G¯À¤§¬ã¨s¡Aµo ²{ªÍÀù¡A¤×¨ä¬OªÍ¸¢Àù¤§²CÂH²G¯À ¡]sialomucin¡^ªí²{»PÀùªº³N«á¦Aµo¤ÎÀù¦º ¤`¦³Ãö¡A¦ÓMUC5AC °ò¦]¤§ªí²{»PªÍ¸¢ Àù²Õ´«¬¤Î²CÂH²G¯Àªí²{¦³Ãö¡C¦]¦¹¡A Muc5AC ¤§³J¥Õ»P°ò¦]ªí²{¤§±´°Q¡A¬°ªÍ Àù¬ã¨sªº-«ÂI¤§¤@¡C¥»-p¹ºÀÀ¶°¤¤©ó¬ã¨s MUC5 ÂH²G¯À³J¥Õ¦bªÍÀùªí²{¤§-«-n©Ê¡C §Ú-̧Q¥Î¿ï´Ó¤§Muc5AC cDNA «D-«ÂФù ¬q¡A»s³y20KD ¤§Muc5AC ¿Ä¦X³J¥Õ¡A¥´ ¤J°Êª«¡]Âû¤Îø{¹«¡^Å餺¡A»s³Æ¥X¦h·½¤Î ³æ·½§ÜÅé¡A¨Ã¹Á¸ÕÀ³¥Î©ó²Õ´ÀËÅ餧§K¬Ì ²Õ´¤Æ¾Ç¬V¦â¡A¦è¤è¾¥ÂIªk¡A¯f¤H¦å²G¡B Åé²G¤§ELISA¡Aµo²{¨äµ²ªG¨Ã¤£²z·Q¡C ÃöÁäµü¡GÂH²G¯À³J¥Õ¡BÂH²G¯À°ò¦]¡B³æ·½ §ÜÅé¡B¦h·½§ÜÅé¡BªÍÀù

-pµe-^¤å

ºK-n

Aberrant expression of mucins and mucin related antigens are noted to be poor survival factors in cancer. Experimentally, mucins had been demonstrated to promote tumor cell invasion, metastasis and

modulate the immune recognition phenomenon of cancer cells. Only few studies have addressed the prognostic implications of mucin and mucin associated antigens in lung cancer. Our previous investigations had discovered the association among lung adenocarcinoma, sialomucin and Muc5AC expression. Therefore, to study the regulation of Muc5AC protein expression should be an important topic in investigating lung cancer. In order to study the protein expression of Muc5AC in lung cancer, 20 kD fusion protein of Muc5AC nontandem repeat sequence was made, injected into animals (chicken, and mice), and successfully generated anti-Muc5AC polyclonal and monoclonal antibodies. These antibodies were applied in the immunohistochemistry, western blotting of variable specimens of lung cancer, as well as ELISA assay. The results are unsatisfactory.

Keywords¡GMucin glycoprotein, mucin gene, monoclonal antibody, polyclonal antibody, lung cancer

(2)

¡@¡@¼Æ¤Q¦~¨Ó¡A¥þ¥@¬ÉªºªÍÀù±wªÌ«ùÄò¼W ¥[[1]¡C¦b¥xÆW¦a°Ï¡AªÍÀùªºµo¥Í²v»P¦º¤` ²v¡A¤£½×¨k¤k¡A§¡§Ö³t¼W¥[¤¤¡Cªñ¤-¤Q¦~ ¨Ó¡A¥xÆW¦a°Ï¨k¤kªÍÀù¦º¤`²v¼W¥[ªº³t «×¡A¬O¥þ¥@¬É³Ì§Öªº¡A¦Ó¥xÆWªÍÀù»P¥@¬É ¨ä¥L¦a°Ï¤£¦Pªº¬O¡A¨k¤k¤ñ¨Ò¤£°ª¡A¬ù¬° 1.6-2.0 ¤ñ1¡A§lµÒÃø¥H§¹¥þ¸ÑÄÀªÍÀù¦¨¦] (¤k©ÊªÍÀùªñ85%µLªk¥H§lµÒ¨Ó¸ÑÄÀ¡^¡A¦Ó ¥B¦bªÍÀù¥D-nªº¥|-Ó²Õ´«¬¤¤¡A¸¢Àùªº¤ñ ¨Ò¸û¦è¤è°ê®a¬°°ª (¨k©Ê¥e36.5%¡A¤k©Ê ¥e58.7%) [2]¡C ¡@¡@ªÍÀù³y¦¨°ª¦º¤`²vªº-ì¦]¦b©ó¡G(1) ¶EÂ_¤£©ö¦-´Á½T¥ß¡F(2)¥i¶}¤M¤Á°£ªº¤ñ¨Ò ¤£°ª¡F(3)³N«á´_µo¾÷·|°ª¡F(4)¤£¯à¶}¤Mªv Àøªº¸~½F¡A¹ï¨ä¥LªvÀø¡A¦p¤Æ¾ÇÀøªk©Î©ñ ®g½uÀøªk¤§¤ÏÀ³¥ç¤£¨Î¡C¨ä¤¤¡A¦b¥xÆW¥e °ª¤ñ¨ÒªºªÍ¸¢Àù¡A¨ä¯S¼x¬°¦-´ÁÂಾ(¸~½F ¤j©ó¤G¤½¤À«á¡A»·³BÂಾ¥i¯à©Ê¤j¼W)¡A³N «á©ö¦Aµo¡A¹w«á¸ûÅ쪬¤W¥ÖÀù¬°®t [3]¡C ¦ÓÂH²G¯Àªí²{¬°¸¢Àù¯S¼x¤§¤@¡C¸g¥Ñ¨ä¥L Àù¯g (¦p¤j¸zÀù)¤§¬ã¨sÅã¥ÜÂH²G¯À¤§ªí ²{¥i¯à¬°Àù¯gÂಾ¤§-«-n¦]¤l¡A¦]¦¹§Ú-Ì ¹ïªÍÀù²Õ´¤§ÂH²G¯Àªí²{¶i¦æ¤@³s¦êªº¤À ªR¡C¥D-nªº±´°Q¡A¥]¬A (1)¦³ÂH²G¯Àªí²{ ªºªÍÀù¡A¬O§_¯uªº¹w«á¸û®t¡H (2) ÂH²G¯À °ò¦]¦bªÍÀù¤§ªí²{¬O§_·|¦³²§±`¡A¨ä²§±` ¤§°ò¦]«¬¤À§G¦p¦ó¡H¨ä°ò¦]ªí²{²Õ¦¨¬O§_ ¦³¤£¦P¡H (3) ÂH²G¯À°ò¦]¤§ªí²{Åܲ§¦³ µL¥ô¦óÁ{§É¤Wªº·N¸q¡H»P¯f¤H¹w«á¬O§_¬Û Ãö¡H §Ú-Ì¥ý«eªº¬ã¨s§Q¥Î¤w«Ø¥ß¤§ªÍÀù ²Ó-M®è¤Îªø®É¶¡¦¬¶°¤§ªÍÀùÀËÅ鬰§÷ ®Æ¡A¥H²Õ´¤Æ¾Ç¬V¦âªk¡B§K¬Ì²Õ´¤Æ¾Ç¬V ¦âªk¡B¥_¤è¾¥ÂIÂø¥æªk¡B±øª¬¾¥ÂIÂø¥æ ªk¡B¤ÎÄvª§©w¶q¦¡®Ö»Ä»E¦X±öÃì¤ÏÀ³¨ÓÀË ´úÂH²G¯À°ò¦]ªí²{»PªÍÀù¤§Ãö«Y¡C µ²ªG Åã¥Ü¡G¡]1¡^§Q¥Î²Õ´¤Æ¾Ç¬V¦âªk¤Î§K¬Ì²Õ ´¤Æ¾Ç¬V¦âªk¡Aµo²{ªÍÀù¡A¤×¨ä¬OªÍ¸¢Àù

¤§²CÂH²G¯À¡]sialomucin¡^ªí²{»PÀùªº³N«á ¦Aµo¤ÎÀù¦º¤`¦³Ãö[4]¡C¡]2¡^§Q¥Î±øª¬¾¥ÂI Âø¥æªk¡A¤ñ¸ûªÍÀù»P«DªÍÀù²Õ´¤¤¡A¼ÆºØ ÂH²G¯À°ò¦]ªí²{¶q¡]Muc1-4, -5AC, -5B¡^¡A ¥iµo²{Muc5AC ¤ÎMuc5B ¤§¹L«×ªí²{¡A »PªÍÀù¹w«á©úÅV¬ÛÃö[5]¡C¡]3¡^¹B¥ÎÄvª§¦¡ ®Ö»Ä»E¦X ³sÂê¤ÏÀ³¡A©w¶qMuc1, 2, -5AC ¤§mRNA ªí²{¶q¡A¥iµo²{Muc5AC ªí²{»PªÍ¸¢Àù²Õ´«¬¤Î²CÂH²G¯Àªí²{¦³ Ãö[6]¡C ¥»-pµe§Q¥ÎMuc5AC ¿Ä¦X³J¥Õ¤Î¦X ¦¨¤§ Ãì(«D-«ÂФù¬q°Ï)¡A«Ø¥ß Muc5AC ÂH²G¯À¤§¦h·½(polyclonal)¤Î³æ·½ (monoclonal)§ÜÅé¡A¬ã¨s¨ä¹B¥Î©óÁ{§ÉÀËÅé ¬ã¨s(¦p²Õ´¤§§K¬Ì²Õ´¤Æ¾Ç¬V¦â¤Î¦å ²M¡BÅé²GÀËÅéELISA)¤§¥i¦æ©Ê¡C

‹

¨s¤è

ªk

¿Ä¦X³J¥Õªºªí²{ ¿ï´Ó©óPGEM-T ¸üÅ餧Muc5AC cDNA ¤ù¬q¥HApa I --¨î ¤Á¤U¡A¥HDNA ±µ¦X×Q±µ¶ipRSETA, pRSETB ¤ÎpRSETC ¤T-Ó¤£¦Pcloning frame ½èÅé(Invitrogen) ¤¤¡AÂà¤JJM109 ªº³Ó¥ô²Ó-M¡C¥H IPTG »¤ ¾É°ò¦]-«²Õ³J¥Õªºªí²{¡AµßÅé·»¸Ñ«á¡A©ó 5% - 20% gradient SDS-PAGE ¹qªa¨Ã¥H Coomassie blue ¬V¦â¡C¿ï¾Ü·|ªí²{·s³J¥Õ ¤§µß®è¡C

SDS-»E¤þ²mñQÓi½¦¹qªa

Resolving gel ªº¿@«×¿ï¥Î¬°15%¡A¹q ªa«e±N±ý´ú¸Õªº³J¥Õ¼Ë«~·»¸Ñ©ó2 X sample buffer¡A©ó¤ô¯D¤¤µNªm5 ¤ÀÄÁ«áª` ¤Jgel ¤§¥W¼Ñ¤¤¡A¦b1x Tris-glycine

electrophoresis buffer ¤¤¥HÃ-©w¤§¹qÀ£¹qªa ¦Ü«ü¥Ü¬V¾¯¨ì¹F»E¤þ²mñQÓi½¦ªº©³ºÝ¡C¤p ¤ß¨ú¤U»E¤þ²mñQÓi½¦©óCoomassie blue staining solution ¬V¦â¬ù1 ¤p®É¡A¦A¥H destaining solution ¥h¬V¦â¡A±Ngel ©ó¯uªÅ

(3)

¯M°®¾÷¯M°®¡C ¿Ä¦X³J¥ÕªºµÑ¨ú

¥ÑSDS-PAGE µ²ªG¬D¿ï¥X·|ªí²{¿Ä ¦X³J¥Õµß®è¤j¶q°ö¾i¡A¨Ã¥HIPTG »¤¾É¿Ä ¦X³J¥Õ¡A¥HNi++ charged column ¯Â¤Æ³J

¥Õ¡A¹qªa«áªº»E¤þ²mñQÓi½¦¥H0.1%

Coomassie blue ¬V¦â¬ù30 ¤ÀÄÁ«á¡A¥H¤ô²æ ¦â¬ù30 ¤ÀÄÁ¦Ü1 ¤p®É¡Aª½¨ì¿Ä¦X³J¥Õªº band ¥i¥H¿ëÃÑ¡A¤p¤ß±Nband ¤Á¤U¡A©ó Model 422 Electro-Eluter (Bio-Rad) ¤¤¥H Ã-©w¹q¬y(8mA x ºÞ¼Æ)±N³J¥Õ¥Ñ»E¤þ²mñQ Ói½¦´åÂ÷¥X¨Ó¡C·»²G¥H6 -¿Åé¿nªºacetone ·»²G©ó-20¢J1 ¤p®É±N³J¥Õ¨H¾ý¡A¦b-«ÂФ@ ¦¸«á¡A¨H¾ýª«¥H70%°sºë¬~¤@¹M¡AµM«á¥H ¤ô·»¸Ñ¡C¸gCentricon-10 (Amicon)¥hÆQ«á ´«¦¨¥Í²z-¹ÆQ¤ô·»²G¡A¥Hprotein assay kit (Bio-Rad)´ú¶q³J¥Õ½è¿@«×¡C

¦h·½§ÜÅé¦å²Mªº»s³Æ

¨ú¬ù200 µg «e-zªº¿Ä¦X³J¥Õ»Pµ¥Åé ¿n¤§Freund complete adjuvant ¥Hsonicator ²V¦X¦¨½¦ª¬(¬ù1ml)¡A¤À§O¥´¤J¥|°¦¤w©â ¨ú¥¼§K¬Ì³J²M¤§22-24 ¶g¤j¤§Âû¡A¨C¹j¥| ¶g¤@¦¸boost (100 µg)¡A³sµ¹¤T¦¸«á¡A¦b¹j ¤-¤Ñ«á¨ú³J¡A³J²M¸m©ó-20¢J¤¤¡C

¿Ë©M©Ê¼hªRªk(Affinity chromatogr aphy) ¯Â¤Æ¦h·½§ÜÅé

Muc5AC ±µ¤W(coupling) CNBr activated-Sepharose 4B column

(Pharmacia)¡C¸g¿Ä¦X³J¥Õ§K¬Ì¤§¨ß¦å²M©Î Âû³J¶À¥H0.01M Tris HCl (pH7.6) °µ¤Q-¿ µ}ÄÀ«á¡A¦b©ópeptide-sepharose column §@ ¤À¼h¡A³Ì«á¥H0.01M Tris-HCl¡A0.5M NaCl (pH7.6)¬~§¹«á¦A¥H0.1M glycine (pH 2.5) µÑ¨ú§ÜÅé¡A¨Ã°¨¤W¥H1M Tris ¤¤©M¡C±µµÛ ¥HELISA ´ú¸Õ§ÜÅ餧±M¤@©Ê¡C

³æ·½§ÜÅé¤Î¿Ä¦X½F¤§»s³Æ

¨ú¬ù100 µg ·»©ó¥Í²z-¹ÆQ¤ô¤§¿Ä¦X ³J¥Õ»Pµ¥Åé¿n¤§Freund complete adjuvant

¥Hsonicator ²V¦X¦¨½¦ª¬(¬ù1 ml)¡A¥Ö¤º¦h ³Bª`®g©ó4-6 ¶g¤j¤§BALB/c ø{¹«¡C2-3 ¶g«á¡A¦A¦¸¥Ö¤ºª`®g¡C¦A¸g2 ¶g«á¡A¥Ñ§À ÀR¯ßª`¤J50 µg ·»©ó¥Í²z-¹ÆQ¤ô¤§³J¥Õ©Î ±µ¦X ¡A©ó3 ¤é«á¨ú¨äµÊŦ§@¬°»s³Æ¿Ä ¦X½F¤§¥Î¡C §K¬Ì´ú©wªk(ELISA) ¨ú5-10 µg ¤§¿Ä¦X³J¥Õ©Î±µ¦X¬¹¨O·» ©ó10 ml ªº0.05 M ºÒ»ÄÆQ·»²G¤¤(pH 9.6)¡A©ó96 ¤Õ¤§·L¶q´ú©w½L¤W¡A¨C¤Õ¥[¤J 0.1 ml¡A¦Ü©ó42¢J¤§·Å½c¤¤§@¥Î2 ¤p®É¡A §l±¼¤W²M²G¡A©ó¨C¤Õ¤º¥[¤J0.125ml ªº 0.1% BSA ·»©óPBS¡A¸g©ó37¢J¤§·Å½c¤¤ §@¥Î1 ¤p®É«á¥H¬~º°²G¬~3 ¦¸¡A¦b¥[¤J 0.1ml «Ý´ú¤§¿Ä¦X½F°ö¾i²G¡A©ó37¢J¤¤§@ ¥Î1 ¤p®É«á¥Î¬~º°²G²M¬~3 ¦¸¡A¦A¥[¤J¹L ®ñ¤Æ ¼Ð¥Ü¤s¦Ï§Üø{¹«§K¬Ì²y³J¥ÕG¡A37 ¢J¤¤§@¥Î1 ¤p®É¸g¥H¬~º°²G²M¬~3 ¦¸«á¥[ ¤J¹L®ñ¤Æ ¨ü½è§e¦â²G0.1 ml¡A¦ÜÃC¦âÅã ¥X«á¥H1:8 ¤§°ª¿@«×²¸»Ä¤ô·»²G0.1ml °± ¤î¤§¡A¥H¥Øµø¬ãŪµ²ªG¡C ¦è¤è¾¥ÂI¸ÕÅç ¨úªÍ²Õ´¤â³NÀËÅé©â¨ú¤§³J¥Õ½è¡B©I §l¹D¤W¥Ö²Ó-M°ö¾i²G¡B©I§l¹D¤W¥Ö²Ó-MµÑ ¨ú²G¡A¶i¦æ»E¤þ²mñQÓi½¦¹qªa¡A¹qªa«áªº »E¤þ²mñQÓi½¦Âàº{¨ìNitrocellulose

membrane¡Cmembrane ®û©ó5% skim milk 30 ¤ÀÄÁ¡A¦A¥[¤J¥HPBS µ}ÄÀ1000X Åé¿n ªº¥¼§K¬Ì¦å²M©Î§ÜÅé¡A©ó 4¢J§@¥Î¦Ü¹j ¤Ñ¡A¥H0.1 % PBS-T ²M¬~3 ¦¸¡A¨C¦¸5 ¤À ÄÁ¡C¦A»P¥HPBS µ}ÄÀ1000 -¿Åé¿n¤§HRP conjugated anti-rabbit IgG ©ó37¢J§@¥Î1 ¤p ®É¡C¦P¤Wªk²M¬~«á¡A¥H4-chloro-1-naphthol ¤Î10 ml 30% H2O2 §@§e¦â¤ÏÀ³¡C

µ²

ªG

(4)

´Ó¤JpRSETC-MUC5AC ¸üÅ餧 JM109 µß®è¡Aªí²{MUC5AC «D-«ÂФù¬q

¤§¿Ä¦X³J¥Õ¡C¡]¹Ï¤@¡^ ¦h·½§ÜÅé¦å²Mªº»s³Æ

¨ú¬ù200 µg ªº¿Ä¦X³J¥Õ²V¦Xµ¥Åé¿n ¤§Freund complete adjuvant¡A¥´¤JÂû ¨-¤W¡A³sµ¹¤T¦¸boost «á¡A¹j¤-¤Ñ«á¨ú³J¡A ³J²M¸m©ó-20¢J¤¤¡C¸g¿Ë©M©Ê¼hªRªk¯Â¤Æ¡A ¿ï¥XMUC5AC ¤§¦h·½§ÜÅé¡]¹Ï¤G¡^¡C ³æ·½§ÜÅ餧»s³Æ §Q¥ÎMUC5AC -«ÂФù¬q¤§¦X¦¨ Ãì±µ¦X¤WKLH «á¥´©óø{¹«¨-¤W¡A¥¼¯à²£ ¥Í¨ãMuc5AC ¯S²§©Ê¤§§ÜÅé¡C¦Ó§Q¥Î«D-« ÂФù¬q¤§¿Ä¦X³J¥Õ«h¶¶§Q»s³y¥X¤E®èø{ ¹«¤§³æ·½§ÜÅé¡]¹Ï¤T¡^¡C Muc5AC §ÜÅé¹ï²Õ´¤ÎÁ{§ÉÀËÅé§@¦è¤è ¾¥ÂI¸ÕÅç¡B²Õ´¬V¦â¤ÎELISA ¤§¥i¦æ©Ê

¨úªÍ²Õ´¤â³NÀËÅé©â¨ú¤§³J¥Õ½è¡B©I§l¹D ¤W¥Ö²Ó-M°ö¾i²G¡B©I§l¹D¤W¥Ö²Ó-MµÑ¨ú ²G¡B¿Ä¦X³J¥Õ¤Î¦X¦¨ ¬°§Ü-ì¡A¥H17Q2 ¤Î§ÜMuc5AC -«ÂФù¬q¤§³æ·½§ÜÅé (CLH2)¬°positive control¡Cµo²{¥»¬ã¨s©Ò »s³Æ¤§§ÜÅé¦b¦è¤è¾¥ÂI¸ÕÅç¡B²Õ´¬V¦â¤Î ELISA ªº±Ó·P«×¤Î¯S²§©Ê¤£¦p17Q2 ¤Î CLH2¡C

°Q½×

¥»¬ã¨s©Ò»s³Æ¤§§ÜÅé®Ä¯à¤£¨Î¤§¥D¦]¥i ¯à¬°©Ò¿ï¾Ü¤§§Ü-ì¦ì¸m¬°ÁޤƲ{¶H©Ò¾B »\¡A¦ÓÂH²G¯À¤§«D-«½Æ¤ù¬q¤§§Ü-ì©Ê¤£¦p -«½Æ¤ù¬q¨Ó±o±j¡A¥ç¬°¥i¯à¤§-ì¦]¡C

°Ñ

¦Ò

¤å

Äm

1. Parkin D.M., Pisani P., and Ferlay J. 1993. Int. J. Cancer 54:594-606.

2. Luh K.T., and Chang D.B. 1992. J. Formosan Med. Assoc. 91(suppl l):Sl-S7. 3. Sagawa M., Saito Y., Takahashi S., et al.

1990. Cancer 66:2653-2657.

4. Yu C.J., Shun C.T., Yang P.C., et al. 1997. Am. J. Respir. Crit Care Med. 155:1419-27.

5. Yu C.J., Yang P.C., Shun C.T., et al. 1996b. Int. J. Cancer (Pred. Oncol.) 69:457-65.

6. Yu C.J., Shew J.Y., Shun C.T., et al. 1998. Am. J. Respir. Cell Mol. Biol. 18: 643-652.

參考文獻

相關文件

3.表 2 請填寫公職人員及關係人之基本資料,並勾選填寫關係人與公職人員間屬第 3 條第 1

此為一項針對轉移性或復發性乳癌患者比較 NK105 與 Paclitaxel 的多國第 III 期臨床詴驗研究。此次修 正主要原因為根據 2016 年 1 月 23

IRB 編號 SE19403A-1 計畫主持人 陳周斌 計畫名稱 大腸直腸癌患者的生活品質與創傷後成長的關係之追蹤研究 審查意見

SF11310 張基晟 比較 Ipilimumab 加上 Etoposide/Platinum 與 Etoposide/Platinum

第一期至第三期 實體癌,經標準 治療無效;癌症 別:上皮性卵巢 癌、肺癌、肝 癌、乳癌、大腸 直腸癌、胰臟癌. 長聖國際生

6 《中論·觀因緣品》,《佛藏要籍選刊》第 9 冊,上海古籍出版社 1994 年版,第 1

• The order of nucleotides on a nucleic acid chain specifies the order of amino acids in the primary protein structure. • A sequence of three

In the control specimen, IGF2 protein was more highly expressed in the longitudinal sections com- pared with the transverse sections, and the staining pattern or intensity did not