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雌激素硫酸转移酶(SULT1E1)在乳腺癌中的表达及临床生物学意义
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摘要
目的:探讨雌激素硫酸转移酶(SULT1E1)在乳腺癌中的表达,及其与雌激素受体和临床病理学特征的关系。
     方法:采用逆转录多聚酶链式反应( RT-PCR)以及免疫组化方法分别检测37例乳腺癌组织、37例癌旁正常乳腺组织及10例乳腺纤维腺瘤组织的SULT1E1mRNA及蛋白的表达;免疫组化法检测乳腺癌组织雌激素受体( ER)的蛋白表达。
     结果:SULTlElmRNA在乳腺癌组织、癌旁正常乳腺组织和乳腺纤维腺瘤组织中的表达分别为(0.47±0.30)、(0.69±0.30)*、(0.74±0.60)﹟(*和﹟分别和乳腺癌组比较p<0.01)。
     SULTlElmRNA在早期(Ⅰ+Ⅱ期)和局部晚期(IIIA+IIIB+IIIC)乳腺癌的表达分别为(0.45±0.22)、(0.52±0.5) , (P>0.05) ;在高分化和低分化乳腺癌的表达分别为(0.47±0.17)、(0.46±0.31),(P>0.05);在直径<3cm组和直径≥3cm组乳腺癌的表达为(0.49±0.27)、(0.43±0.33),(P>0.05);在淋巴结转移组和无淋巴结移组乳腺癌表达分别为(0.48±0.26)、(0.45±0.33),(P>0.05);绝经前后乳腺癌患者表达分别为(0.44±0.27)、(0.48±0.32),(P>0.05)。
     ER阳性和ER阴性乳腺癌中SULTlElmRNA的表达分别为(0.37±0.17)、(0.47±0.30),(P <0.05)。ER阳性乳腺癌亚组中,直径<3cm组和直径≥3cm组SULTlElmRNA的表达为(0.45±0.16)、(0.29±0.16),(P<0.05);淋巴结转移组和无淋巴结转移组的SULTlElmRNA表达分别为(0.30±0.15)、(0.44±0.17),(P>0.05)。
     SULTlEl蛋白均表达于细胞浆,在乳腺癌组织、癌旁正常乳腺组织和乳腺纤维腺瘤组织的表达率分别为48.6%(18/37)、81.1%(30/37)*、90%(9/10)
     ,(*/
     分别和乳腺癌组比较p<0.01)。ER阳性和阴性乳腺癌的SULTlEl蛋白表达率分别为为33.3% (7/21)、68.75%(11/16),(P<0.05)。ER阳性乳腺癌亚组中,SULTlEl蛋白在直径<3cm组和直径≥3cm组的表达率分别为66.7% (12/18)、31.6% (6/19),(P<0.05);淋巴结转移组和无淋巴结转移组分别为38.9%(7/18)、57.9%(11/19)(p>0.05)。
     结论:1、SULTlEl蛋白在正常人乳腺组织、乳腺纤维腺瘤组织和乳腺癌组织均表达于细胞浆。
     2、乳腺癌SULTlElmRNA和蛋白的表达均低于癌旁正常乳腺组织。ER阳性乳腺癌SULTlEl mRNA和蛋白的表达均低于ER阴性乳腺癌和癌旁正常乳腺组织,ER阴性乳腺癌SULT1E1表达与癌旁正常乳腺组织相仿。提示SULTlElmRNA和蛋白表达下降可能和激素敏感型乳腺癌的发生有关。
Objective: To investigate estrogen sulfate transferase (SULT1E1) expression in breast cancer, and the relationship between estrogen receptor and its clinicopathological features.
     Methods:Reverse transcription polymerase chain reaction (RT-PCR) and immunohisto- chemistry were used to detect estrogen sulfate transferase (SULT1E1) mRNA and protein expression, and immunohistochemical method to detect breast cancer in estrogen receptor (ER) protein expression.
     The expression of SULTlElmRNA in breast cancer tissue, adjacent normal breast tissue and breast fibroadenoma tissues were (0.47±0.30), (0.69±0.30) *, (0.74±0.60)# respectively (* and #, were campared to the breast cancer group respectively, p <0.01). The expression of SULTlElmRNA in the early (Ⅰ+Ⅱ) breast cancer (0.45±0.22) and in advanced (IIIA + IIIB + IIIC) breast cancer (0.52±0.5)(P> 0.05). The expression of SULTlElmRNA in well and poorly differentiated breast cancer in the relative levels were 0.47±0.17; 0.46±0.31,the differences had no stastistical significance (P> 0.05). The expression of SULTlElmRNA in diameter <3cm group of breast cancer (0.49±0.27),in diameter> 3cm group expression (0.43±0.33)(P> 0.05). The expression of SULTlElmRNA in breast cancer With lymph node metastasis (0.48±0.26) and the shift of breast cancer without lymph node (0.45±0.33) compared to no significant difference (P> 0.05). The expression of SULTlElmRNA in premenopausal and postmenopausal breast cancer patients were (0.44±0.27), (0.48±0.32)respectively(P> 0.05).
     Breast cancer, adjacent normal breast tissue and fibroadenoma tissue SULTlEl protein expression rates were 48.6% (18/37), 81.1% (30/37) * 90% (9 / 10)
     , * respectively. and * was compared to the breast cancer p <0.01,
     was compared to the adjacent normal breast tissue P> 0.05).
     SULTlEl protein in the ER receptor-positive breast cancer rate (7 / 21 33.3%), was lower than the ER receptor negative breast cancer (11/16 68.75%), the difference had stastistical significance (P <0.05). SULTlEl protein expression of breast cancer with lymph node metastasis (7 / 18 38.9%) and the shift of breast cancer without lymph node metastasis (11/19 57.9%) compared to no statistically significant difference (p> 0.05).The SULTlEl protein expression in breast cancer tissue with tumor diameter> 3cm (6 / 19 31.6%)was lower than the tumor diameter <3cm (12/18 66.7%), (P <0.05).
     Conclusion: 1.SULTlEl protein in normal breast tissue, breast fibroadenoma tissue and cancer tissue expressed in the cytoplasm.
     The expression of SULTlElmRNA and protein in breast cancer are lower than normal breast tissue, the differences had stastistical significance (P <0.05). The SULTlElmRNA and protein levels of ER-positive breast cancer are relatively lower than the ER-negative breast cancer, the expression of SULTlElmRNA and protein in ER-negative breast cancer tissue and normal breast tissue are similar. Tip SULTlElmRNA and decreased protein expression may be related to the occurrence of the hormone-sensitive breast cancer .
引文
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