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MYC扩增与TERT表达在乳腺肿瘤进展中的作用

MYC amplification and TERT expression in breast tumor progression.

作者信息

Bodvarsdóttir Sigríthur K, Steinarsdóttir Margrét, Hilmarsdóttir Hólmfríthur, Jónasson Jón G, Eyfjörd Jorunn E

机构信息

Department of Medicine, University of Iceland, Vatnsmýrarvegi 16, 101 Reykjavik, Iceland.

出版信息

Cancer Genet Cytogenet. 2007 Jul 15;176(2):93-9. doi: 10.1016/j.cancergencyto.2007.04.002.

Abstract

The complex roles of genomic instability, MYC oncogene amplification, activation of telomerase, and p53 function still remain to be fully described in breast tumors. MYC stimulates the telomerase catalytic subunit, TERT, which interacts with p53. Oncogene MYC amplification analysis was performed on 27 paraffin-embedded breast tumor samples by fluorescence in situ hybridization, selected on the basis of chromosomal instability. TERT immunostaining was performed on a larger group of breast tumor sections. All tumor samples were analyzed for TP53 mutation, genomic index, S-phase fraction, and pathological stages. Amplification of MYC was detected in 16 of 27 tumors (59%) and found to be associated with TNM stages I and II (P = 0.018), genomic index > 1.5 (P = 0.033), and S-phase fraction > 5% (P = 0.020). No association was found between MYC amplification and TERT immunostaining or TP53 mutations. Analysis of TERT in 103 primary breast tumors showed > 50% nuclei immunostaining in 58% of cases. High TERT immunostaining associated with genomic index > 1.5 (P = 0.017), high S-phase fraction (P = 0.056), and TP53 mutations (P = 0.030). No association was found between TERT staining and TNM stages. This study supports early involvement of MYC amplification in breast tumor progression. Both MYC amplification and TERT expression appear to be associated with high genomic instability and proliferation. TERT association with TP53 mutations indicates that TERT activity is downregulated by functional p53 protein in breast tumors.

摘要

基因组不稳定、MYC癌基因扩增、端粒酶激活和p53功能在乳腺肿瘤中的复杂作用仍有待充分描述。MYC刺激端粒酶催化亚基TERT,后者与p53相互作用。通过荧光原位杂交对27例石蜡包埋的乳腺肿瘤样本进行了癌基因MYC扩增分析,这些样本是根据染色体不稳定性选择的。对更大一组乳腺肿瘤切片进行了TERT免疫染色。对所有肿瘤样本分析了TP53突变、基因组指数、S期分数和病理分期。在27例肿瘤中的16例(59%)检测到MYC扩增,发现其与TNM I期和II期(P = 0.018)、基因组指数>1.5(P = 0.033)以及S期分数>5%(P = 0.020)相关。未发现MYC扩增与TERT免疫染色或TP53突变之间存在关联。对103例原发性乳腺肿瘤中的TERT分析显示,58%的病例中>50%的细胞核有免疫染色。高TERT免疫染色与基因组指数>1.5(P = 0.017)、高S期分数(P = 0.056)和TP-53突变(P = 0.030)相关。未发现TERT染色与TNM分期之间存在关联。本研究支持MYC扩增在乳腺肿瘤进展中的早期参与。MYC扩增和TERT表达似乎都与高基因组不稳定性和增殖相关。TERT与TP53突变的关联表明,在乳腺肿瘤中功能性p53蛋白下调了TERT活性。

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