乳腺癌细胞中p16,p53,CDK4/cyclinD1的表达和预后的关系
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田兴松

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The relation between expression of p16,p53,CDK4/cyclinD1 and prognosis in breast cancer
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    摘要:
    目的 探讨p16,p53,CDK4/cyclinD1在乳腺癌组织中的表达和与预后的关系。
    方法 检测86例术前均未作放化疗的乳腺癌组织中p16,p53,CDK4,cyclinD1的表达,分析其与临床病理参数的关系。
    结果 1)p16,p53,CDK4在I,II级浸润性导管癌中p16,p53,CDK4的阳性表达存在差异,cyclinD1无差异;淋巴结阴性组与淋巴结阳性组中的阳性表达均存在差异;年龄≤50岁组和>50岁组阳性表达无差异;ER阴性和阳性组p53 阳性表达存在差异,p16,CDK4,cyclinD1表达无差异;PR阴性和阳性组p53阳性表达存在差异,余无差异。(2)p16与p53表达、与CDK4表达、与cyclinD1表达相关(P均<0.01);CDK4与cyclinD1表达相关(P<0.05),p53和CDK4与cyclinD1不相关。(3)单因素分析提示,影响总生存率的因素有:组织学分级,淋巴结转移,ER,PR,p16,p53,CDK4/cyclinD1的表达(P<0.05)。(4)多因素生存分析结果表明,p16和淋巴结转移是影响乳腺癌患者总生存率的独立预后因素(P<0.01))。
    结论 p16,p53,CDK4/cyclinD1与乳腺癌的发生,发展密切相关,可作为判断肿瘤浸润转移,指导治疗和估计预后的参考指标,特别是p16蛋白的表达水平及淋巴结转移可能是判断乳腺癌术后生存的独立有效指标,而综合应用上述指标可能更有助于预后的判断。

    Abstract:

    Abstract:Objective To study the expression levels of p16,p53,CDK4/cyclinD1 protein in breast cancer and their relationship to prognosis. 〖WTHZ〗Methods〓〖WTBZ〗The expression of p16,p53,CDK4 and cyclinD1 in breast cancer tissues of 86 patients who did not receive preoperative chemotherapy were examined,and the relationship of their expression to clinicopathological data were analyzed.〖WTHZ〗Results〓〖WTBZ〗(1)p16,p53,CDK4:The positive expression of p16,p53 and CDK4 were significantly different in stages I and II infiltrating ductal carcinoma,but cyclin D showed no difference;their positive expression in lymph node negative and lymph node positive groups were significantly different;their positive expression for patients′age≤50 years and>50 years showed no significat difference;there was significant difference of p53 expression between ER negative and ER positive groups,but p16,CDK4 and cyclin D expression showed no difference;p53 expression was significantly different in ER negative and PR positive groups,but the levels of the other proteins were not significantly different.(2)There were significant differences between the expression of p16 and p53

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田兴松 ,周文红.乳腺癌细胞中p16,p53,CDK4/cyclinD1的表达和预后的关系[J].中国普通外科杂志,2005,14(4):6-.
DOI:10.7659/j. issn.1005-6947.2005.04.006

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  • 收稿日期:2004-08-20
  • 最后修改日期:2005-01-31
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  • 在线发布日期: 2005-04-25