女性乳腺癌组织ERα、ERβ的表达及其意义

    Expression and its significance of estrogen receptor α and estrogen receptor β in female breast cancer

    • 摘要: 目的: 研究雌激素受体α(ERα)与ERβ mRNA及ERα蛋白在女性乳腺癌组织中的表达,并探讨ER亚型的表达与乳腺癌临床病理特征之间的关系及其表达意义。方法: 采用R T-PCR及免疫组化S-P法,检测52例乳腺癌组织及19例乳腺纤维腺瘤组织中ERα与ERβ mRNA及ERα蛋白的表达。结果: ERβ mRNA总表达率在乳腺癌组织中为51.9%,高于其在乳腺纤维腺瘤组织中的表达率21.1%(P<0.05);ERαmRNA单独表达率在乳腺纤维腺瘤组织中为63.2%,高于其在乳腺癌组织中的表达率25.0%(P<0.05);ERα与ERβ mRNA共表达表型在乳腺癌组织中的表达率为51.9%,高于其在乳腺纤维腺瘤组织中的表达率15.8%(P<0.05);在乳腺癌组织中ERα与ERβ共表达表型与淋巴结转移有一定关系(P<0.05),并趋向于更高的肿瘤病理学分级;ERα蛋白在乳腺癌及乳腺纤维腺瘤两种组织中的表达率相似。结论: 在乳腺癌组织中ERα与ERβ共同表达可能是乳腺癌患者预后不良的指标。

       

      Abstract: Objective: To study the expression of estrogen receptor subtype ERα/β gene mRNA and ERα protein in female breast cancer,and to investigate the expression significance of ER subtype by analyzing the relationship between the expression of ER subtype and the clinic pathologic behavior of breast cancer.Methods: Reverse transcription polymerase chain reaction and immunohistochemistry S-P methods were used to detect the expression of ERα/β gene mRNA and ERα protein in 52 fresh breast cancer samples and 19 fresh breast fibroadenoma samples.Results: The total positive rate of ERβ mRNA was 51.9% in breast cancer,which was significantly higher than that in breast fibroadenoma(P<0.05).The positive rate of ERα mRNA alone in breast fibroadenoma was 63.2%,which was significantly higher than that in breast cancer(P<0.05).The coexpression rate of ERα and ERβ mRNA in breast cancer was 51.9%,higher than that(15.8%) in breast fibroadenoma(P<0.05).The phenotype of coexpression ERα and ERβ in breast cancer was associated with positive lymph node(P<0.05),and there was a trend toward higher grade.There was no significant difference between the positive rate of ERα protein in breast cancer and breast fibroadenoma.Conclusions: The coexpression of ERαand ERβ in breast cancer may be a poor prognostic factor for patients with breast cancer.

       

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