Expression of ADAM12L in the tissues of basal-like breast cancer and its clinical significance
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摘要: 目的 探讨ADAM12L在基底细胞样乳腺癌组织中的蛋白和核酸表达水平,并分析其临床意义。 方法 应用免疫组化法检测86例基底细胞样乳腺癌组织和20例良性乳腺纤维瘤组织的ADAM12L蛋白表达水平,并进一步采用实时荧光定量PCR方法检测60例基底细胞样乳腺癌组织及其配对癌旁组织的ADAM12L mRNA表达量。 结果 免疫组化染色显示,基底细胞样乳腺癌标本中ADAM12L蛋白阳性表达率(84.9%,73/86)显著高于良性纤维瘤组织样本中ADAM12L蛋白阳性表达率(45%,9/20),P<0.05;淋巴结转移阳性者的ADAM12L阳性率(73.8%,31/42)明显高于无淋巴结转移者(47.8%,21/44),χ2=5.073,P=0.024;临床分期Ⅲ~Ⅳ者,ADAM12L阳性率(74.5%,41/55)明显高于临床分期Ⅰ~Ⅱ者(35.5%,11/31),χ2=11.073,P<0.01。real-time PCR检测结果显示ADAM12L在基底细胞样乳腺癌组织中的表达量为2.07±0.95,显著高于配对癌旁组织的表达量(P<0.05)。 结论 基底细胞样乳腺癌组织的ADAM12L蛋白与核酸表达量均显著高于正常或良性乳腺组织,且与乳腺癌淋巴结转移和临床分期有着密切的联系。ADAM12L可能可以作为新的基底细胞样乳腺癌患者的个体化诊疗靶点。Abstract: Objective To investigate the expression of ADAM12L protein and its nucleic acid in basal-like breast cancer and analyze its clinical significance. Methods The expression of ADAM12L protein in 86 cases of basal-like breast cancer and 20 cases of benign mammary fibroma were detected by immunohistochemistry. The real-time PCR method was used to detect the expression of ADAM12L mRNA in 60 cases of basal-like breast cancer tissue and adjacent tissue. Results Immunohistochemical staining showed that the expression of ADAM12L protein (84.9%, 73/86) in basal-like breast cancer tissues was significantly higher than that in benign breast tissue samples (45%, 9/20), P<0.05. The positive rate of ADAM12L in patients without lymph node metastasis was 47.8%, it's lower than 73.8% the rate of the patients with positive lymph node metastasis (χ2=5.073, P=0.024). In clinical stage Ⅲ-Ⅳ, the positive rate of ADAM12L (74.5%, 41/55) was higher than that of clinical stage Ⅰ-Ⅱ (35.5%, 11/31), χ2=11.073, P<0.01. With real-time PCR, the expression level of ADAM12L in basal-like breast cancer tissues was 2.07±0.95, which was significantly higher than that in adjacent tissues (P<0.05). Conclusion The expression of ADAM12L protein and nucleic acid in basal-like breast cancer tissues is significantly higher than that in normal or benign breast tissues, and is closely related to lymph node metastasis and clinical stage. ADAM12L may be used as a new target for individual diagnosis and treatment of the basal-like breast cancer patients.
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Key words:
- Basal-like breast cancer /
- ADAM12L /
- Prognosis
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