转移相关蛋白与乳腺癌转移潜能的相关性分析
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Investigation of the correlation between a group of metastasisassociated proteins and metastatic potency in breast carcinoma
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    摘要:

    目的:探讨与肿瘤转移相关的蛋白在乳腺浸润性导管癌中的表达及其意义。方法:应用组织芯片技术及SP免疫组化方法检测247例乳腺浸润性导管癌中αB晶体蛋白,CD44v6, MMP2,TIMP2的表达,并分析它们与乳腺癌临床病理特征的关系。结果:(1) 在浸润性导管癌中, αB晶体蛋白,CD44v6,MMP2,TIMP2的阳性表达率分别为70.0%,61.5%, 57.5%,57.1%;与正常组织比较差异有统计学意义(P<0.001);(2)单因素分析显示αB晶体蛋白,CD44v6,MMP2的表达与淋巴结转移呈正相关(r=0.317,0.623,0.705),而TIMP2的表达与之呈负相关(r=-0.532);(3)多因素分析显示淋巴结转移与αB晶体蛋白,CD44v6,MMP2,TIMP2的表达相关,该4项指标联合对淋巴结转移的预测率达89.5%。结论:αB晶体蛋白,CD44v6, MMP2,TIMP2的表达情况与乳腺浸润性导管癌的转移密切相关,通过对原发瘤多种转移相关蛋白的检测可以预测乳腺癌的转移能力。

    Abstract:

    Objective:To investigate the expression and the significance of a group of metastasisassociated proteins in invasive ductal breast carcinoma (IDC).Methods :Tissue microarray containing 247 IDC specimens was constructed. The expressions of αB crystallin, CD44v6, MMP2 and TIMP2 were detected by immunohistochemistry, and the relation between the expression of these proteins and the clinicopathologic character was analyzed.Results:(1) The expression rates of αB crystallin, CD44v6, MMP2 and TIMP2 in IDC were 70.0%, 61.5%, 57.5% and 57.1% respectively, and significantly higher than those of normal breast tissues (P<0.001); (2) Univariate analysis indicated that there were significant positive correlations between the expression of αB crystallin, CD44v6, MMP2 and lymph node metastasis of breast carcinomas(r value is 0.317,0.623 and 0.705 respectively), and significant negative correlations with TIMP2 (r=-0.532). (3) Logistic stepwise regression analysis indicated that the expression of αB crystallin, CD44v6, MMP2 and TIMP2 were significantly related with the lymph node metastasis, and the predicted percentage for the metastasis was 89.5% by these four proteins together.Conclusions:The expressions of αB crystallin, CD44v6, MMP2 and TIMP2 was significantly correlated with the metastasis of IDC. It is possible to estimate the metastatic potency of breast carcinoma by testing metastasisassociated proteins.

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房爱菊, 高永生, 李盛梅, 刘文君, 孟斌.转移相关蛋白与乳腺癌转移潜能的相关性分析[J].中国普通外科杂志,2008,17(11):10-108.
DOI:10.7659/j. issn.1005-6947.2008.11.010

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  • 在线发布日期: 2008-11-25