癌基因iASPP在乳腺浸润性小叶癌中的表达及其意义
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王长松 E-mail:wangtmmu@yahoo.com.cn

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Expression and significance of iASSP in invasive lobular breast carcinoma
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    摘要:

    目的:探讨p53凋亡刺激蛋白基因(ASPP)的抑制蛋白iASPP在乳腺浸润性小叶癌中的表达及其临床意义。
    方法:采用RT-PCR技术扩增乳腺浸润性小叶癌组织中iASPP mRNA;同时应用Quality One 软件分析iASPP扩增产物的相对含量,分析iASPP-mRNA与临床病理因素之间的关系。
    结果:39例浸润性小叶癌组织中有34例表达iASPP(87.2%),5例不表达(12.8%);癌旁组织中均不表达iASPP。iASPP-mRNA在乳腺浸润性小叶癌中的表达明显增高,与癌旁组织相比差异具有显著性(P<0.01)。不同的年龄组iASPP-mRNA的表达差异也有显著性;TNM Ⅲ、Ⅳ期乳腺癌组织中iASPP-mRNA的表达显著高于Ⅰ、Ⅱ期患者(P<0.01);有淋巴结转移的癌组织中iASPP-mRNA的表达也高于无淋巴结转移者;iASPP-mRNA的表达与雌、孕激素受体的表达无关。
    结论:iASPP-mRNA在乳腺浸润性小叶癌中高表达。检测iASPP可以为乳腺癌的诊断、个体化治疗及预后提供参考。

    Abstract:

    Objective:To study the level of inhibitory member of the ASPP family (iASPP) in invasive lobular breast carcinoma (ILBC) and its clinical significance.
    Methods:The expression of iASPP-mRNA in the ILBC was analyzed by RT-PCR, then the average optional density of RT-PCR products was assayed by Quality one soft-ware. The relationship between the level of iASPP-mRNA and clinical pathological factors was analyzed.
    Results:The iASPP-mRNA was expressed in 34 cases of ILBC (87.2%), but there were no expression in adjacent tissues of the tumor. The expression of iASPP-mRNA in cancer tissues was markedly higher than that in adjacent tissues (P<0.01).  There  was significant difference between the  patients aged≤45 years group and >45 years group (P<0.01), between TNM stage Ⅲ、Ⅳ cases and stage Ⅰ、Ⅱ cases (P<0.01), and between lymph node metastasis cases and none lymph node metastasis cases (P<0.01). There was no difference between the expression of iASPP-mRNA and the expression of estrogen receptor (ER) or progesterone receptor (PR).
    Conclusions:iASPP-mRNA is over-expressed in ILBC, and the detection of iASPP may be useful in the diagnosis, individual treatment and predicting the prognosis of ILBC.

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陈燕平| 孙良起| 黄本成| 王长松.癌基因iASPP在乳腺浸润性小叶癌中的表达及其意义[J].中国普通外科杂志,2010,19(11):1223-1226.
DOI:10.7659/j. issn.1005-6947.2010.11.016

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  • 收稿日期:2010-03-12
  • 最后修改日期:2010-10-08
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  • 在线发布日期: 2010-11-15