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中国临床药理学与治疗学 ›› 2017, Vol. 22 ›› Issue (5): 551-555.

• 临床药理学 • 上一篇    下一篇

乳腺癌组织中CD73表达及其与临床病理特征的相关性研究

虞 昆,倪 超,宋向阳,袁宏钧,孙可望   

  1. 浙江省人民医院乳腺甲状腺外科,杭州 310003,浙江
  • 收稿日期:2017-02-13 修回日期:2017-03-15 出版日期:2017-05-26 发布日期:2017-05-27
  • 通讯作者: 孙可望,女,硕士,主任医师,研究方向:甲状腺乳腺外科。 Tel: 13777885332 E-mail: sunkewangwk@hotmail.com
  • 作者简介:虞昆,男,硕士,主治医师,研究方向:乳腺甲状腺外科。 Tel: 13989463951 E-mail:cail0623@163.com
  • 基金资助:

    浙江省科技厅公益项目(2015C33097); 国家自然科学基金青年基金(81502463);浙江省医药卫生科技计划(2017KY019)

Expression of CD73 in breast cancer and the correlation with its clinicopathological features

YU Kun, NI Chao, SONG Xiangyang, YUAN Hongjun, SUN Kewang   

  1. Department of Breast and Thyroid Surgery, Zhejiang Province People's Hospital, Hangzhou 310003, Zhejiang,China
  • Received:2017-02-13 Revised:2017-03-15 Online:2017-05-26 Published:2017-05-27

摘要:

目的: 探讨乳腺癌组织中CD73表达及其与临床病理特征的相关性。方法: 对2015年4月至2016年10月期间100例乳腺癌的肿瘤组织及60例正常乳腺组织石蜡标本进行切片,采用免疫组化法对切片进行CD73染色检测;同时采用免疫组化法检测乳腺组织雌激素受体(ER)、孕激素受体(PR)、癌基因人表皮生长因子受体(HER-2)、P53和Ki-67表达情况。分析CD73表达情况及与组织Ki-67、P53、ER、PR、HER-2表达相关性,与临床病理特征的相关性。结果: 乳腺癌组织中CD73高表达发生率为76.0%,正常乳腺组织中CD73高表达率为21.7%,差异有统计学意义(P<0.05);CD73高表达与年龄、组织学分级、肿瘤大小、肿瘤位置等临床病理特征无显著相关(P>0.05),CD73高表达与TNM分期、淋巴结转移、PR、ER、HER-2、Ki-67、P53阳性表达密切相关(P<0.05);Ki-67、P53、PR、HER2阳性表达是CD73高表达的影响因素(OR分别为:8.233,5.091,4.670,3.000),ER阳性表达是CD73高表达的保护因素(OR为:0.291)。结论: 乳腺癌组织中CD73高表达,且与TNM分期、淋巴结转移、PR、HER-2、Ki-67、P53阳性表达相关,对临床治疗及预后判断具有重要意义。

关键词: CD73, 乳腺癌, 临床病理特征, 生物学指标

Abstract:

AIM: To investigate the expression of CD73 in breast cancer and the correlation with its clinicopathological features.  METHODS: Biopsy of the tumor tissue specimens from 100 cases of breast cancer from April 2015 to October 2016 were included; Paraffin sections were obtained from 60 normal breast tissues; CD73 staining was used to detect the sections by immunohistochemistry; Immunohistochemical method was used to detect the expression of Ki-67, P53, ER, PR and HER-2 in breast tissues. The expression of CD73 and its correlation with Ki-67, P53, ER, PR and HER-2 as well as correlation with clinicopathological features were analyzed. RESULTS:The high expression occurrence rate of CD73 in breast cancer tissues was 76%, while in normal breast tissue was 21.7% (P<0.05);There was no significant correlation between CD73 expression and age, histological grade, tumor size and tumor location (P>0.05);The high expression of CD73 was correlated with TNM stage, lymph node metastasis, PR positive expression, ER positive expression, HER-2 positive expression, Ki-67 positive expression and P53 positive expression (P<0.05);The positive expression of Ki-67, P53, PR and HER-2 was the influencing factor of the high expression of CD73(OR:8.233,5.091,4.670,3.000); The positive expression of ER was a protective factor of high expression of CD73 (OR: 0.291). CONCLUSION: The high expression of CD73 in breast cancer and TNM staging, lymph node metastasis, the positive expression of PR, HER-2, Ki-67 and P53 are referential for clinical treatment and prognosis.

Key words: CD73, breast cancer, clinicopathological characteristics, biological indexes

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