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紧密连接蛋白-1、3、4在乳腺癌患者中的表达及其临床意义

Clinical significance of claudin-1, 3, 4 protein in breast carcinoma

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目的 探讨紧密连接蛋白(claudin)-1、3、4在乳腺癌患者中的表达及其临床意义.方法 收集2013年5月-2014年4月首都医科大学附属北京潞河医院病理科标本,其中乳腺癌组织和对应的癌旁正常乳腺组织均81例,分析claudin-1、3、4与乳腺癌患者年龄、部位、大小、激素受体状态、Ki67增殖活性、淋巴结转移、脉管侵犯及临床分期的关系.结果 claudin-1、3、4在癌组织中的阳性表达均低于癌旁正常组织,claudin-1在癌组织的表达(79.0%)与癌旁组织的表达(84.0%)比较差异无统计学意义(χ2=0.655,P>0.05).claudin-3、4在癌组织中的表达(54.3%、77.8%)与癌旁组织中的表达(85.2%、92.6%)比较差异均有统计学意义(χ2=18.290、7.043,P<0.01);claudin-3、4在淋巴结转移组的表达(82.8%、93.1%)高于淋巴结无转移组的表达(42.3%、61.5%),二者比较差异有统计学意义(χ2=0.365、0.322,P<0.05);claudin-3在临床分期亚组的表达(16.7%)与II/III亚组中的表达(44.4%)比较差异有统计学意义(χ2=0.284,P<0.05);claudin-1的表达在不同临床病理因素间差异无统计学意义.结论 claudin-3、4蛋白在乳腺癌的发生、浸润、转移过程中发挥重要作用,可以作为癌瘤发生、发展及评估预后的生物学标记物.
Objective To study the clinical significance of claudin-1, 3, 4 protein in breast carcinoma (BC).Methods From May 2013 to April 2014, Luhe hospital pathology specimens, including breast cancer (BC) tissues and corresponding normal breast tissues (NB) in 81 cases were collected, claudin-1, 3, and 4 of breast cancer patients' age, location, size, hormone receptor status, Ki67 proliferation, lymph node metastasis, vascular invasion and clinical stage were analyzed.Results The expression of claudin-1, 3, 4 in BC was lower than that of in NB.The expression of Claudin-1 in cancer (79.0%) and paraneoplastic expression (84.0%) showed no statistically significant differences (χ2=0.655,P>0.05).The expression of claudin-3, 4 had a statistic significance between BC(54.3%,77.8%)and NB (85.2%,92.6%)(χ2=18.290,χ2=7.043,P<0.01).Compared with the expression in no lymph node metastasis group(42.3%,61.5%), claudin-3, 4 highly expressed in lymph node metastasis group(82.8%,93.1%), and had a statistically significant difference between the two groups (χ2=0.365,χ2=0.322,P<0.05).The expression of claudin-3 also had a statistical difference between stage I (16.7%)and stage II/III(44.4%)(χ2=0.284,P<0.05);the expression of claudin-1 was not related with clinicopathologic factors.Conclusion Claudin 3, 4 protein have a vital role in promoting the tumorigenesis, invasion and metastasis of BC, and can be act as a biological marker of BC development, progression, and prognostic evaluation.

Claudin proteinBreast carcinomaClinical significance

骆丽、马国荣、刘凤阁、刘彤、胡艳萍

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101149 首都医科大学附属北京潞河医院病理科

紧密连接蛋白-1 紧密连接蛋白-3 紧密连接蛋白-4 乳腺癌 临床意义

2017

疑难病杂志
中国医师协会

疑难病杂志

CSTPCD
影响因子:1.171
ISSN:1671-6450
年,卷(期):2017.16(6)
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