RESUMO
Objective To detect the expression of islet amyloid polypeptide (IAPP) in the pancreatic tissues of patients with pancreatic cancer,and to explore the relation between diabetes and pancreatic cancer.Methods Surgically-removed 28 pancreatic cancer samples and adjacent normal pancreatic tissues were studied.Among these patients there were 12 patients complicated with diabetes while other 16 patients did not.Immunohistoehemieal method and Western blot method were used to detect the expression of IAPP in different tissue specimens.Results lAPP expressed in human pancreatic islet cell cytoplasm.Immanohistochcmical index of pancreatic cancer and adjacent normal pancreatic specimens of patients with diabetes,and pancreatic cancer and adjacent normal pancreatic specimens of patients without diabetes were 283 305±91 627,122 874±86 917,154 032±81 097 and 105 797±67 593,respectively;the relative IAPP expressions were (173.1±23.5) %,( 119.4±18.4) %,( 148.7±28.3 ) % and 100%.Irrespective of the presence of diabetes,expression of IAPP in pancreatic cancer specimens was significantly higher than that in adjacent normal pancreatic specimens ( P ＜ 0.01 );expression of IAPP in pancreatic cancer plus diabetes specimens was significantly higher than that in pancreatic cancer specimens without diabetes (P ＜0.01 );expression of IAPP in adjacent pancreatic specimens complicated with diabetes was significantly higher than that in adjacent pancreatic specimens without diabetes ( P ＜ 0.05).Conclusions LAPP participated in the course of diabetes and pancreatic cancer,and may be the common pathogenesis of the two diseases.