临床肿瘤学杂志

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Axl及其配体在乳腺癌组织中的表达及临床意义

张明帅,朱丽萍,欧江华,吐鲁洪·沙比尔,倪多,张国庆   

  1. 830011 乌鲁木齐 新疆医科大学附属肿瘤医院乳腺外科
  • 收稿日期:2013-08-20 修回日期:2013-11-11 出版日期:2014-01-31 发布日期:2014-01-31
  • 通讯作者: 张国庆

Expression and clinical significance of Axl and its ligand in breast cancer

ZHANG Mingshuai,ZHU Liping,OU Jianghua,TULUHONG Shabier,NI Duo,ZHANG Guoqing   

  1. Department of Breast Surgery,Affiliated Tumor Hospital,Xinjiang Medical University,Urumq 830011,China
  • Received:2013-08-20 Revised:2013-11-11 Online:2014-01-31 Published:2014-01-31
  • Contact: zgqprofessor@sina.com

摘要: 目的 探讨Axl 及其配体Gas6蛋白在乳腺癌组织中的表达及其与临床病理特征的关系。方法 收集55例女性乳腺癌患者的新鲜癌组织及配对癌旁组织,另收集新鲜良性乳腺增生组织标本20例作为对照。Western blotting及免疫组化PV-9000法分别检测上述标本中Axl及其配体Gas6的表达情况,分析其表达在良恶性组织间的差异及与腋窝淋巴结转移的关系。结果 Axl在乳腺癌组织中的相对表达量和阳性表达率均高于癌旁组织及良性乳腺增生组织(0.272±0.052、0.134±0.008和0.116±0.007,60.0%、36.4%和40.0%),差异有统计学意义(P<0.05);Gas6在乳腺癌组织中的相对表达量和阳性表达率均高于癌旁组织及良性乳腺增生组织(1.147±0.078、0.490±0.078和0.474±0.078,58.1%、21.8%和20.0%),差异有统计学意义(P<0.05);癌旁组织及良性乳腺增生组织间Axl及Gas6蛋白表达的差异无统计学意义(P>0.05)。淋巴结转移组中Axl和Gas6蛋白的相对表达量和阳性表达率均高于无淋巴结转移组(0.408±0.007 vs. 0.298±0.041,1.277±0.195 vs.0.880 ±0.037;80.0% vs.48.0%,76.7% vs.40.0%),差异有统计学意义(P<0.05)。乳腺癌组织中Axl 与Gas6蛋白表达呈正相关(r=0.612,P=0.041)。结论 乳腺癌组织中Axl 及Gas6蛋白表达与乳腺癌的发生、发展有关,两者表达促进了乳腺癌腋窝淋巴结转移。

Abstract: Objective To detect the expression of Axl and its ligand Gas6 protein in malignant breast tissues and the correlation of its expression with clinical features. Methods Fresh samples of breast cancer and paracancerous tissues of 55 women patients and the fresh tissues of 20 benign controls were collected. The expression of Axl and Gas6 was detected by Western blotting and immunohistochemical PV-9000 method. The expression levels between the benign and malignant tissues,and correlation of Axl and Gas6 with axillary lymph node metastasis were analyzed. Results The relative quantity and positive rate of Axl in malignant tissues were higher than paracancerous tissues and benign controls(0.272±0.052,0.134±0.008 and 0.116±0.007,60.0%, 36.4% and 40.0%)with statistical significance(P<0.05). Similarly,the relative quantity and positive rate of Gas6 in malignant tissues were higher than paracancerous tissues and benign controls(1.147± 0.078,0.49 ±0.078 and 0.474±0.078,58.1%, 21.8% and 20.0%) with statistical significance(P<0.05). Between paracancerous tissues and benign controls,the difference had no statistical significance(P>0.05). The expression level of Axl and Gas6 protein in lymph node metastasis group was higher than those without metastasis(0.408±0.007 vs.0.298±0.041,1.277±0.195 vs.0.880 ±0.037;80.0% vs.48.0%,76.7% vs.40.0%)with statistical significance(P<0.05). The expression of Axl was positively correlated to Gas6(r=0.612,P=0.041). Conclusion Axl and Gas6 play an important role in the occurrence and development of breast cancer,and they promote axillary lymph node metastasis of breast cancer.

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