Bölke E, Orth K, Gerber P A, Lammering G, Mota R, Peiper M, Matuschek C, Budach W, Rusnak E, Shaikh S, Dogan B, Prisack H B, Bojar H
Department of Radiation Therapy and Radiation Oncology, University of Düsseldorf, Hans-Günther-Sohl-Str. 12, 40235 Düsseldorf, Germany.
Eur J Med Res. 2009 Aug 12;14(8):359-63. doi: 10.1186/2047-783x-14-8-359.
Breast cancer (BC) represents one of the leading causes of cancer related deaths worldwide. New tools for diagnostic staging and therapeutic monitoring are needed to improve individualized therapies and improve clinical outcome. The analyses of circulating tumour cells may provide important prognostic information in the clinical setting.
Circulating tumour cells (CTC) of 63 BC patients were isolated from peripheral blood (PB) through immunomagnetic separation. Subsequently, RT-PCR or mPCR for the genes ga733.2, muc-1, c-erbB2, mgb-1, spdef and c-erbB2 were performed. Subsequently, expression data were correlated with the tumour stages. Fourteen healthy individuals served as controls.
Significant correlations with tumour stages were found in single gene analyses of ga733.2, muc-1 and in multi-gene analyses of ga733.2/muc-1/mgb1/ spdef. Furthermore, a significant correlation of Ca 15-3 and all studied genes was also observed.
Herein, we demonstrated a positive correlation of a gene signature consisting of ga733.2, muc-1, mgb1 and spdef and advanced stages of BC. Moreover, all studied genes and gene patterns revealed a significant correlation with Ca 15-3 positive cases.
乳腺癌是全球癌症相关死亡的主要原因之一。需要新的诊断分期和治疗监测工具来改善个体化治疗并提高临床疗效。循环肿瘤细胞分析可能在临床环境中提供重要的预后信息。
通过免疫磁珠分离法从63例乳腺癌患者的外周血中分离循环肿瘤细胞。随后,对ga733.2、muc-1、c-erbB2、mgb-1、spdef和c-erbB2基因进行逆转录聚合酶链反应(RT-PCR)或多重聚合酶链反应(mPCR)。随后,将表达数据与肿瘤分期相关联。14名健康个体作为对照。
在ga733.2、muc-1的单基因分析以及ga733.2/muc-1/mgb1/spdef的多基因分析中发现与肿瘤分期有显著相关性。此外,还观察到Ca 15-3与所有研究基因之间存在显著相关性。
在此,我们证明了由ga733.2、muc-1、mgb1和spdef组成的基因特征与晚期乳腺癌呈正相关。此外,所有研究的基因和基因模式均显示与Ca 15-3阳性病例存在显著相关性。