三阴性乳腺癌组织亲嗜性病毒整合位点1 和核转运蛋白基因2 的表达及与临床病理特征和预后的关系
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白建平,E-mail: baijp1@126.com

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Relationship of EVI1 and KPNA2 expression with clinicopathological features and prognosis in triple negative breast cancer
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    摘要:

    目的 探讨亲嗜性病毒整合位点1(EVI1)、核转运蛋白基因2(KPNA2)在三阴性乳腺癌(TNBC) 的表达,分析EVI1、KPNA2 表达与临床病理特征及预后的关系。方法 选取2012 年1 月—2015 年1 月中国人 民解放军联勤保障部队第983 医院收集的73 例TNBC 患者手术切除的癌组织、癌旁组织及70 例正常乳腺组织 (对照组)的石蜡标本,采用免疫组织化学法检测EVI1、KPNA2 的阳性表达。收集相关临床病理资料,分析 EVI1、KPNA2 表达与TNBC 患者临床病理特征的关系,采用Kaplan-Meier 生存曲线分析不同EVI1、KPNA2 表 达下TNBC 患者无进展生存时间(PFS)及总生存时间(OS)差异。结果 癌组织、癌旁组织和对照组EVI1、 KPNA2 阳性表达率比较,差异有统计学意义(P<0.05),TNBC 癌组织中EVI1、KPNA2 阳性表达率高于癌旁组 织和对照组(P <0.05),癌旁组织和对照组EVI-1、KPNA2 阳性表达率比较,差异无统计学意义(P >0.05)。不 同组织学分级、淋巴结、Ki-67 表达、脉管内癌栓TNBC 患者的EVI1 阳性表达率比较,差异有统计学意义(P < 0.05),淋巴结是否转移的TNBC 患者的KPNA2 阳性表达率比较,差异有统计学意义(P <0.05)。Kaplan-Meier 生存分析结果显示EVI1 阳性表达、KPNA2 阳性表达患者PFS、OS 生存率均低于EVI1 阴性表达、KPNA2 阴性表 达患者(P <0.05)。结论 EVI1、KPNA2 阳性表达与TNBC 患者肿瘤恶性侵袭行为和预后不良有关,评价 EVI1、KPNA2 表达可为TNBC 患者预后预测提供一定的依据。

    Abstract:

    Objective To investigate the expression of ecotropic virus integration site 1 (EVI1) and karyopherin-α2 (KPNA2) in three negative breast cancer (TNBC), and their relationship with the clinicopathological characteristics and prognosis. Methods Seventy three paraffin samples of cancer tissues and paracancerous tissues from TNBC patients and 70 normal breast tissue (control group) from January 2012 to January 2015 were collected. The expression of EVI1 and KPNA2 were detected by immunohistochemistry. The relevant clinicopathological data were collected, and the correlation between the expression of EVI1, KPNA2 and the clinicopathological parameters of TNBC were analyzed. Kaplan-Meier survival analysis was used to analyze the difference of progression free survival (PFS) and overall survival (OS) of TNBC patients under different expression of EVI1 and KPNA2. Results The positive expression rates of EVI1 and KPNA2 in the cancer tissues, adjacent tissues and the control group were statistically significant (P < 0.05). The positive expression rates of EVI1 and KPNA2 in TNBC cancer tissues were higher than those in the adjacent tissues and the control group (P < 0.05), while the difference in the positive expression rates of EVI-1 and KPNA2 in the adjacent tissues and the control group was not statistically significant (P > 0.05). The positive expressions of EVI1 of TNBC patients with the different histological grade, lymph nodes and tumor thrombus were significantly different (P < 0.05), and the expression of KPNA2 between TNBC patients with lymph nodes metastasis or not were significantly different (P < 0.05). The results of Kaplan-Meier survival analysis showed that the survival rate of PFS and OS in patients with positive expression of EVI1 and KPNA2 were lower than those in patients with negative expression (P < 0.05). Conclusion The positive expression of EVI1 and KPNA2 are related to the malignant invasion and poor prognosis of TNBC patients. Valuating the expression status of EVI1 and KPNA2 can provide a certain basis for the prognosis prediction of TNBC patients.

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牛悦,石磊,张霆,孙新增,白建平.三阴性乳腺癌组织亲嗜性病毒整合位点1 和核转运蛋白基因2 的表达及与临床病理特征和预后的关系[J].中国现代医学杂志,2021,(5):8-14

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  • 收稿日期:2020-10-01
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  • 在线发布日期: 2021-03-15
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