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表皮生长因子受体(ErbB1)在前列腺癌进展中的表达:与雄激素非依赖性的相关性。

Epidermal growth factor receptor (ErbB1) expression in prostate cancer progression: correlation with androgen independence.

作者信息

Shah Rajal B, Ghosh Debashis, Elder James T

机构信息

Department of Pathology, University of Michigan Medical School, Ann Arbor, Michigan 48109-0932, USA.

出版信息

Prostate. 2006 Sep 15;66(13):1437-44. doi: 10.1002/pros.20460.

Abstract

BACKGROUND

The role of the epidermal growth factor receptor (ErbB1) in the progression of prostate cancer is incompletely understood.

METHODS

Tissue microarrays from hormone-naive and advanced androgen-independent tumors were used to investigate the role of ErbB1 in prostate cancer progression.

RESULTS

ErbB1 expression in tumor tissues was strongly associated with hormone-refractory status (odds ratio = 6.67, 95% CI = (2.6, 17.4), P = 0.0001). However, ErbB1 overexpression was not a statistically significant covariate in a multivariate proportional hazards model for biochemical failure of hormone-naïve prostate cancer. Moreover, ErbB1 overexpression was not associated with tumor differentiation (P = 0.44), positive margins (P = 0.53), seminal vesicle invasion (P = 0.69), extraprostatic extension (P = 0.10), or preoperative PSA (P = 0.18) in the hormone-naïve group.

CONCLUSIONS

These findings are consistent with a model in which ErbB1 expression increases during the development of the androgen-independent state, and suggest that drugs targeted toward ErbB signaling could be of therapeutic relevance in the management of advanced prostatic carcinoma.

摘要

背景

表皮生长因子受体(ErbB1)在前列腺癌进展中的作用尚未完全明确。

方法

利用来自未经激素治疗及晚期雄激素非依赖肿瘤的组织芯片,研究ErbB1在前列腺癌进展中的作用。

结果

肿瘤组织中ErbB1表达与激素难治状态密切相关(优势比=6.67,95%可信区间=(2.6, 17.4),P = 0.0001)。然而,在未经激素治疗的前列腺癌生化复发的多变量比例风险模型中,ErbB1过表达并非具有统计学意义的协变量。此外,在未经激素治疗组中,ErbB1过表达与肿瘤分化(P = 0.44)、切缘阳性(P = 0.53)、精囊侵犯(P = 0.69)、前列腺外扩展(P = 0.10)或术前前列腺特异抗原(P = 0.18)均无关联。

结论

这些发现与雄激素非依赖状态发展过程中ErbB1表达增加的模型一致,并提示针对ErbB信号的药物在晚期前列腺癌治疗中可能具有治疗意义。

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