【用PCR检测新鲜和石蜡包埋的腔瘤标本中的EBV】。

S Charef, B Bel Hadj Jrad, W Mahfouth, A Zakhama, A Kassab, N Driss, L Chouchane
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摘要

鼻咽癌(NPC)在突尼斯是常见的。这是继喉癌之后男性的第二种ORL癌。为了分析我国人群鼻咽癌的特征,我们测定了47例石蜡包埋和6例新鲜鼻咽癌活检中EBV感染的频率。我们首先从肿瘤组织中提取DNA,然后用PCR扩增病毒序列,检测并分型感染病毒(EBV-A或ABV-B)。结果表明,34/47的石蜡包埋鼻咽癌活检组织可扩增DNA,其余13/47的活检组织含有降解且不可扩增的DNA。所有新鲜的活组织检查都能获得高质量的DNA。石蜡包埋的鼻咽癌活检组织中EBV感染的频率为35%,而所有新鲜活检组织中都检测到EBV(6/6)。我们的分析还表明,与EBV-B相比,EBV-A在我们的人群中占主导地位,正如世界上大多数国家所显示的那样。本研究清楚地表明,石蜡包埋鼻咽癌活检获得的PCR结果与新鲜活检获得的结果不同。由于石蜡包埋鼻咽癌活检中DNA的降解,这类标本的生物学分子结果是至关重要的。此外,从新鲜的鼻咽癌活检中获得的结果证实了EBV与未分化鼻咽癌类型的准恒定关联。
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[Detection of EBV by PCR in fresh and paraffin embedded samples of cavum tumour].

The nasopharyngeal carcinoma (NPC) is frequent in Tunisia. It's the second ORL cancer of men after the larynx one. To analyse the NPC characteristics in our population, we determined the frequency of EBV infection in 47 paraffin-embedded and 6 fresh NPC biopsies. We first extracted the DNA from tumoral tissus and then amplified viral sequences by PCR to detect and to type the infecting virus (EBV-A or ABV-B). Our results showed that amplifiable DNA has been obtained from 34/47 paraffin-embedded NPC biopsies while 13/47 of the others biopsies contained degraded and not amplifiable DNA. All the fresh biopsies allowed to obtain DNA with good quality. The EBV infection frequency in paraffin-embedded NPC biopsies is 35% while EBV is detected in all fresh biopsies (6/6). Our analyse also showed that the EBV-A is predominant in our population compared to EBV-B as it was shown in most countries of the world. This study clearly shows that PCR results obtained with paraffin-embedded NPC biopsies are divergeant from those obtained with fresh biopsies. Because of DNA degradation in paraffin-embedded NPC biopsies, the biology molecular results from that kind of samples is criticable. Moreover the results obtained from fresh NPC biopsies confirmed the quasi-constant association of EBV with undifferenciated carcinoma nasopharyngeal type.

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