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乳腺癌中cyclinD2 、CDK4 的表达及其临床意义

Clinical Significance and Expression of cyclin D2, CDK4 in Human Breast Carcinoma

  • 摘要: 目的 研究乳腺癌组织中细胞周期蛋白D2(cyclinD2)、细胞周期蛋白依赖性激酶4(cyclin-dependentkinase4,CDK4)的表达,探讨它们与p27kip1蛋白表达、与临床病理指标的关系及其预后意义。方法 应用免疫组化SP法,检测96例乳腺癌、18例癌旁正常乳腺组织石蜡切片中cyclinD2、CDK4的表达,比较它们与p27 kip1蛋白表达、与临床病理学指标之间的关系。结果 ①96例乳腺癌组织中cyclinD2、CDK4和p27kip1表达率分别为41.7%、54.2%和38.5%,与正常乳腺组织相比有显著性差异(P〈0.001)。②cyclinD2、CDK4的表达与乳腺癌的组织学分级,核分裂数有关(P〈0.001),和局部复发有关(P〈0.05),而与患者年龄、肿瘤大小、组织类型无关(P〉0.05),CDK4的表达与乳腺癌的淋巴结转移,雌激素受体状态也有密切关系(P〈0.01)。③p27^kip1的表达缺失,与肿瘤大小、组织学分级,核分裂数,有无淋巴结转移以及局部复发均有关系(P〈0.05),而且p27 kip1的表达与eyelinD2、CDK4的表达呈显著负相关(P〈0.叭)。结论 cyclinD2和CDK4的表达与乳腺癌的发生、发展有关,而p27 kip1的表达缺失和CDK4的异常表达与乳腺癌的侵袭、转移及复发有关,可作为判断乳腺癌生物学行为和预后的重要指标。

     

    Abstract: Objective  To investigate the expression level of cyclinD2 and CDK4 protein in breast carcinoma, and their relationship to p27kip1protein and clinicopathological factors as well as the prognostic factors in breast carcinoma. Methods  The SP immunohistochemical technique was used to detect the expressions of cyclinD2, CDK4 and p27kip1in 96 cases of breast carcinoma and 18 cases of adjacent nontumor normal breast tissue. The relationship between cyclinD2, CDK4 to p27kip1protein expression and clinicopathological factors were analyzed. Results  ①The positive expressions of cyclinD2, CDK4 and p27kip1 protein in 96 cases of breast carcinoma were 41. 7 %, 54. 2 % and 38. 5 % respectively. There was a significant difference between carcinoma and normal breast tissue ( P < 0. 001) . ②The expression level of both cyclinD2, and CDK4 protein in breast carcinoma was significantly associated with histological classification, mitotic index, and local recurrence ( P < 0. 05), and little associated with age, tumor size and histological type ( P > 0. 05) . The expression level of CDK4 in breast carcinoma was related to Lymph node metastases and ER status ( P < 0. 01) . ③The loss of p27kip1protein expression in breast carcinoma was significantly associated with tumor size, histological classification, mitotic index, Lymph node metastases and local recurrence ( P < 0. 05), There was a negative correlation between p27kip1 and cyclinD2 as well as CDK4 expression in breast carcinoma ( P < 0. 01) . Conclusion  The expression of cyclinD2 and CDK4 protein may play a important role in the carcinogenesis and progression of breast carcinoma. The loss p27kip1expression and over-expressed CDK4 was associated with the invasion, metastases and local recurrence, and may be as the indications of biological behavior and prognosis of breast carcinoma.

     

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