Lee Youngseok, Cho Sujin, Seo Jae Hong, Shin Bong Kyung, Kim Han Kyeom, Kim Insun, Kim Aeree
Department of Pathology, Korea University Guro Hospital and Korea Lung Tissue Bank, Seoul, Korea.
Am J Clin Pathol. 2007 Dec;128(6):1041-9. doi: 10.1309/GA5VRFQFY5D0MVKD.
The prognostic impact of epidermal growth factor receptor (EGFR) family members in breast carcinoma was evaluated through the analysis of 378 cases of invasive ductal carcinoma to determine the relationship between EGFR family members and clinical outcome. It was found that 13.8% of the cases were positive for erbB-3. Expression of erbB-3 was inversely correlated with EGFR and erbB-4 expression (P = .012 and P = .046). Expression of erbB-3 was correlated with positive estrogen and progesterone receptor status and inversely correlated with histologic grade. Expression of erbB-3 was correlated with longer disease-free survival (DFS; P = .028). Within the erbB-3-expressing group, there was a tendency for the coexpressing group to have shorter DFS compared with the single-expressing group. This study revealed that erbB-3 expression was associated with better prognosis. In an era of personalized targeted therapy, erbB-3 expression and its coexpressive pattern with other EGFR family members could be an important determinant for therapeutic plans for breast cancer treatment.
通过对378例浸润性导管癌病例进行分析,评估表皮生长因子受体(EGFR)家族成员在乳腺癌中的预后影响,以确定EGFR家族成员与临床结局之间的关系。结果发现,13.8%的病例erbB-3呈阳性。erbB-3的表达与EGFR和erbB-4的表达呈负相关(P = 0.012和P = 0.046)。erbB-3的表达与雌激素和孕激素受体阳性状态相关,与组织学分级呈负相关。erbB-3的表达与更长的无病生存期(DFS;P = 0.028)相关。在erbB-3表达组中,与单表达组相比,共表达组有DFS较短的趋势。本研究表明,erbB-3表达与较好的预后相关。在个性化靶向治疗时代,erbB-3表达及其与其他EGFR家族成员的共表达模式可能是乳腺癌治疗方案的重要决定因素。