乳腺癌术后患者CyclinA1、A2、D1、E1表达及其临床意义
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国家自然科学基金资助(30840093)


Expressions and significances of cyclinA1?cyclinA2,cyclinD1 and cyclinE1 in postoperative reocurring patients with breast cancer
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    目的:探讨细胞周期蛋白cyclinA1-cyclinA2- cyclinD1及cyclinE1在乳腺癌术后复发患者中的表达及其临床意义-方法:选择81例乳腺癌术后患者,研究组为41例术后5年随访期内出现复发者,对照组为40例5年未复发仍存活者-取患者标本石蜡切片,应用实时定量RT-PCR芯片技术平行检测细胞周期蛋白cyclinA1-cyclinA2- cyclinD1及cyclinE1的表达情况,进行单因素Cox回归分析-结果:cyclinA1-cyclinA2- cyclinD1及cyclinE1中cyclinA2- cyclinD1在乳腺癌术后复发患者中呈现高表达,两组间比较有显著性差异(P < 0.05),其OR值-95%CI分别为3.600(2.337~5.574)-2.604(1.726~3.927),cyclinA2-cyclinD1为乳腺癌术后复发的危险性因素-cyclinA1-cyclinE1表达两组间无显著性差异(P > 0.05)-结论:细胞周期蛋白cyclinA2-cyclinD1在乳腺癌术后复发患者中呈现高表达,可作为判断乳腺癌术后复发及预后的重要参考指标-

    Abstract:

    Objective:To study expressions of cyclinA1,cyclinA2,cyclinD1 and cyclinE1 in postoperative reocurring patients of breast cancer and their clinical significances. Methods:Total 81 patients with breast cancer were selected,including 41 cases that developed a recurrence during 5-year follow-up as a study group,and 40 cases that were still alive without a recurrence as a control group. The total RNAs were extracted and identified from the paraffin-embedded tissues of all the cases. The expressions of cyclinA1,cyclinA2,cyclinD1 and cyclinE1 were studied by real-time quantitative RT-PCR array and analyzed by univariate cox regression. Results:The high expression were observed in cyclinA2 and cyclinD1. The positive rates of cyclinA2 and cyclinD1 were higher in postoperative reocurring patients of breast cancer than in postoperative non-reocurring patients,and there were statistical significance(P < 0.05). Their odds ratioes with 95% CI were 3.600(2.337-5.574)and 2.604(1.726-3.927)respectively. CyclinA2 and cyclinD1 were risk factors of postoperative reocurring patients of breast cancer. Conclusion:The high expressions of cyclinA2 and cyclinD1 played an important role in postoperative reocurring patients of breast cancer. They can be used as important referenced indexes of prognosis.

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吉爱军,唐金海.乳腺癌术后患者CyclinA1、A2、D1、E1表达及其临床意义[J].南京医科大学学报(自然科学版),2010,(9):1290-1294

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  • 收稿日期:2010-05-11
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