乳腺良、恶性病变组织中Kal-1 mRNA|Kiss-1 mRNA和MTA1的表达及其意义
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杨竹林

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Expression of KAI-1 mRNA, Kiss-1 mRNA and MTA1 in benign and malignant lesions of breast and its clinicopathological significance
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    摘要:

    目的:探讨乳腺癌和乳腺良性病变组织中KAI-1 mRNA,Kiss-1 mRNA和MTA1的表达水平及其临床病理意义。
    方法:检测60例乳腺癌和30例乳腺良性组织标本KAI-1 mRNA和Kiss-1 mRNA的表达情况。
    结果:乳腺癌KAI-1 mRNA和Kiss-1 mRNA表达阳性率及其评分明显低于乳腺良性病变(P<0.05或P<0.01);乳腺癌MTA1表达阳性率及其评分均明显高于乳腺良性病变(P<0.05或P<0.01);导管内癌、组织学分级I,II级、无淋巴结转移、ER阳性及CA15-3阴性患者Kal-1 mRNA及Kiss-1 mRNA表达阳性率及其评分明显高于浸润性导管癌、组织学分级III级、淋巴结转移、ER阴性及CA15-3阳性者(P<0.05或P<0.01),而MTA1表达阳性率及其评分则相反(P<0.05或P<0.01)。Kal-1 mRNA与Kiss-1 mRNA表达呈正相关(r=0.85,P=0.000);MTA1与Kal-1 mRNA及Kiss-1 mRNA两者表达均呈负相关(r=-0.64,r=-0.72,P=0.000)。Kal-1 mRNA和/或Kiss-1 mRNA表达阳性患者术后5年生存率及中位生存期均明显高于阴性者(P=0.000),而MTA1则相反(P=0.000)。
    结论:KAI-1 mRNA,Kiss-1 mRNA和MTA1表达可能是反映乳腺癌发生、进展、转移或侵袭潜力及评估预后的重要生物学标记物。

    Abstract:

    Objective:To study the expressive levels of KAI-1 mRNA,Kiss-1 mRNA and MTA1 in  the benign and malignant lesions of breast, and their clinicopathological significance.
    Methods:We detected the expression levels of KAI-1 mRNA,Kiss-1 mRNA and MTA1 in the  sections from 60 cases of breast cancer and 30 cases of benign lesions of breast.
    Results:The positive rates and scores of KAI-1 mRNA and Kiss-1 mRNA were significantly lower in breast cancer than those in benign lesions(P<0.05 or P<0.01); but MTA1 were the opposite(P<0.05 or P<0.01).  The positive rates and scores of KAI-1 mRNA and Kiss-1 mRNA were significantly higher in those with intra-ductal  breast cancer, histological tumor grade I or II, non-metastasis of lymph node, positive expression of ER, and negative expression of CA15-3 than in those with ductal invasive breast cancer, histological tumor grade III, metastasis of lymph node, negative expression of ER, and positive expression of CA15-3(P<0.05 or P<0.01) ;but MTA1 expression was the opposite(P<0.05  or P<0.01). Highly close correlations were found among the expressive levels of Kal-1 mRNA and Kiss-1 mRNA, but negative correlation between expression of MTA1 and expressions of Kal-1 mRNA and kiss-1 mRNA  in breast cancer tissues(P<0.01). The  Kaplan-Meier survival analysis showed the five-year survival rates and median survival times were significantly higher in the positive cases of Kal-1 mRNA or Kiss-1 mRNA expression than those in the negative ones of Kal-1 mRNA or Kiss-1 mRNA expression in the breast cancer(P<0.01); but those of  MTA1 were the opposite (P<0.01).
    Conclusions:The expressive levels of Kal-1 mRNA, Kiss-1 mRNA and MTA1 might be important biological markers on the carcinogenesis, progression, biologic behaviors and prognosis of  breast cancer.

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陈干农, 杨竹林.乳腺良、恶性病变组织中Kal-1 mRNA|Kiss-1 mRNA和MTA1的表达及其意义[J].中国普通外科杂志,2009,18(11):1161-1167.
DOI:10.7659/j. issn.1005-6947.2009.11.014

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  • 收稿日期:2009-08-19
  • 最后修改日期:2009-10-22
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  • 在线发布日期: 2009-11-15