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CD44+/CD24-表型与BRCA1及basal-like乳腺癌的相关性

Relationship between CD44+/CD24- Phenotype and BRCA1,basal-like Breast Cancer

  • 摘要: 目的:探讨CD44+/CD24-表型与BRCA1及basal-like乳腺癌的相关性。方法:收集经病理诊断为乳腺癌患者的手术切除石蜡标本共217例,根据免疫学标志物把217例乳腺癌划分为5类分子亚型:basal-like型、luminal A型、luminal B 型、Her2过表达型和normal breast-like型。应用免疫组织化学检测CK5/6、BRCA1和CD44/CD24双染的情况,分析CD44+/CD24-表型与basal-like乳腺癌及BRCA1相关性乳腺癌的关系。结果:217例乳腺癌标本例中,luminal A型130例、luminal B型15例、HER2过表达型21例、basal-like型29例、Normal breast-like型22例。BRCA1相关性乳腺癌57例。basal-like乳腺癌组织中BRCA1缺失率86%(25/29),明显高于乳腺癌其他分子亚型(P<0.001)。basal-like乳腺癌组织中含CD44+/CD24-肿瘤细胞者20例(20/29,69%),明显高于乳腺癌其他分子亚型(P=0.003);BRCA1相关性乳腺癌中含CD44+/CD24-肿瘤细胞者53例(53/57,93%)。结论:BRCA1基因突变与basal-like乳腺癌有关;CD44+/CD24-干细胞表型主要存在于basal-like乳腺癌及BRCA1相关性乳腺癌中。

     

    Abstract: Objective:To study the expression of CD44+/CD24- phenotype and its association with the basal-like breast cancer and BRCA1 in breast cancer.Methods:Using immunostaining ER,PR,HER2 and CK5/6 to classify the material into five tumor subgroups: basal-like subgroup,Luminal A subgroup,Luminal B subgroup,Her2 over- expressing subgroup and normal breast-like subgroup.Double-staining immunohistochemistry (IHC) was applied to the detection of CD44+/CD24-cells and single-staining(IHC) for CK5/6,BRCA1.The correlations of the expression of the CD44+/CD24- to basal-like and BRCA1-associated breast cancer were analyzed. Results :In 217 cases of breast cancer, Luminal A subgroup: 130 cases,Luminal B subgroup: 15 cases,Her2 over-expressing subgroup: 21 cases,basal-like subgroup:29 cases,Normal breast-like subgroup:22 cases.BRCA1-associated breast cancer:57 cases.The expression rates of BRCA1 was low in basal-like breast cancer, which was significantly different from the other subgroups (P<0.001).The expression rates of CD44+/CD24- phenotype was high in basal-like breast cancer (20/29,69%)and BRCA1-associated breast cancer(53/57,93%), which was significantly different from the other subgroups (P=0.003). Conclusion :The mutation of BRCA1 is association with basal-like breast cancer;and the CD44+/CD24- breast cancer stem cells in tumor tissue is association with BRCA1-associated breast cancer and basal-like breast cancer.

     

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