Ahlin Cecilia, Gruhne Bettina, Holmqvist Marit, Zetterberg Anders, Fjällskog Marie-Louise
Department of Oncology, Radiology and Clinical Immunology, Uppsala University Hospital, Uppsala, Sweden.
Acta Oncol. 2008;47(8):1539-45. doi: 10.1080/02841860701856581.
Cyclin E is a cell cycle regulatory protein which occurs in G1, peaks in late G1 and is degraded in early S-phase. Cyclin E overexpression appears to be an independent prognostic factor for overall survival in breast cancer. Nuclear cyclin A is a reliable marker for S-and G2-phases. Consequently, aberrant expression of cyclin E can be detected by simultaneous immunostainings for cyclin A and cyclin E. Studies have shown that aberrant cyclin E might provide additional prognostic information compared to that of cyclin E alone. This study aimed to investigate cyclin E and aberrant cyclin E expression in low-risk node negative breast cancer.
We compared women that died from their breast cancer (n=17) with women free from relapse > 8 years after initial diagnosis (n=24). All women had stage I, low risk breast cancer. The groups were matched regarding tumour size, receptor status, adjuvant chemotherapy and tumour differentiation. Tumour samples were analysed regarding expression of cyclin A, cyclin E and double-stained tumour cells using immunoflourescence staining and digital microscopy.
No differences were seen regarding expression of cyclin E or aberrant cyclin E in cases compared to controls.
We conclude that neither cyclin E nor aberrant cyclin E is a prognostic factor in low-risk node negative breast cancer patients.
细胞周期蛋白E是一种细胞周期调节蛋白,出现在G1期,在G1期末达到峰值,并在S期早期降解。细胞周期蛋白E的过表达似乎是乳腺癌总体生存的一个独立预后因素。核细胞周期蛋白A是S期和G2期的可靠标志物。因此,通过对细胞周期蛋白A和细胞周期蛋白E进行同步免疫染色,可以检测到细胞周期蛋白E的异常表达。研究表明,与单独的细胞周期蛋白E相比,异常的细胞周期蛋白E可能提供额外的预后信息。本研究旨在调查低风险淋巴结阴性乳腺癌中细胞周期蛋白E和异常细胞周期蛋白E的表达情况。
我们将死于乳腺癌的女性(n = 17)与初次诊断后8年以上无复发的女性(n = 24)进行了比较。所有女性均患有I期低风险乳腺癌。两组在肿瘤大小、受体状态、辅助化疗和肿瘤分化方面进行了匹配。使用免疫荧光染色和数字显微镜分析肿瘤样本中细胞周期蛋白A、细胞周期蛋白E的表达以及双染肿瘤细胞。
与对照组相比,病例组在细胞周期蛋白E或异常细胞周期蛋白E的表达方面没有差异。
我们得出结论,细胞周期蛋白E和异常细胞周期蛋白E都不是低风险淋巴结阴性乳腺癌患者的预后因素。