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乳腺癌组织中LRP2表达及临床意义

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目的 探讨乳腺癌组织中LRP2 表达与淋巴结转移及预后的影响.方法 采用实时荧光定量PCR(qPCR)和免疫组化染色法检测LRP2 基因和蛋白表达.分析LRP2 表达与乳腺癌临床病理特征的关系,采用Kaplan-Meier法绘制生存曲线,生存差异行Log-rank检验.结果 从GSE42568 数据集筛出LRP2 是乳腺癌中的差异表达基因.免疫组化染色结果显示,乳腺癌组织中LRP2 染色评分低于癌旁正常组织(P<0.05);有淋巴结转移组(LMP)LRP2 染色评分低于无淋巴结转移组(LMN),差异有统计学意义(P<0.05).qPCR 检测结果显示,LMP组LRP2 基因表达水平显著低于LMN组,差异有统计学意义(P<0.05).LRP2 蛋白表达与T分期、淋巴结转移以及TNM分期有关(P<0.05),与年龄、分化程度无关(P>0.05).分析TIMER 2.0 数据库中乳腺癌患者的RNA测序数据发现LRP2 低表达患者的总生存率显著低于LRP2 高表达的患者(HR= 0.75,P<0.05).结论 LRP2 在乳腺癌组织中的低表达,其低表达与肿瘤淋巴结转移、预后不良有关.
Expression of LRP2 in breast cancer and its clinical significance
Objective To investigate the effect of LRP2 expression on lymph node metastasis and prognosis in breast cancer.Methods Real-time fluorescence quantitative PCR(qPCR)and immunohistochemical staining were used to detect the expression of LRP2 gene and protein.The relationship between LRP2 expression and clinicopathological features of breast cancer was analyzed.Kaplan-Meier method was used to draw the survival curve,and the survival difference was tested by Log-rank.Results LRP2 was screened as a differential gene in breast cancer expression from GSE42568 data set.Immunohistochemical staining showed that the LRP2 staining score in breast cancer tissues was lower than that in adjacent normal tissues(P<0.05).The LRP2 staining score in the group with lymph node metastasis(LMP)was lower than that in the group without lymph node metastasis(LMN),and the difference was statistically significant(P<0.05).The result of qPCR showed that the expression level of LRP2 gene in LMP group was significantly lower than that in LMN group,and the difference was statistically significant(P<0.05).The expression of LRP2 protein was correlated with T stage,lymph node metastasis and TNM stage(P<0.05),but not with age and differentiation degree(P>0.05).Analysis of RNA sequencing data of breast cancer patients in the TIMER 2.0 database showed that the overall survival rate of patients with low LRP2 expression was significantly lower than that of patients with high LRP2 expression(HR=0.75,P<0.05).Conclusion The low expression of LRP2 in breast cancer tissues is associated with lymph node metastasis and poor prognosis.

Breast cancerLRP2Lymph node metastasisPrognosisBiomarker

孔秋梅、王帅兵、郭鹏

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065000 河北廊坊 廊坊市人民医院肿瘤科

065000 河北中石油中心医院肿瘤科

乳腺癌 低密度脂蛋白相关受体2(LRP2) 淋巴结转移 预后 标志物

河北省省级科技计划自筹经费资助项目

182777147

2024

临床肿瘤学杂志
解放军第八一医院

临床肿瘤学杂志

CSTPCD
影响因子:1.583
ISSN:1009-0460
年,卷(期):2024.29(3)
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