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AIB1 的过表达对手术切除的非小细胞肺癌患者的生存产生负面影响。

Overexpression of AIB1 negatively affects survival of surgically resected non-small-cell lung cancer patients.

机构信息

State Key Laboratory of Oncology in South China; Department of Radiotherapy.

Department of Medical Oncology.

出版信息

Ann Oncol. 2010 Aug;21(8):1675-1681. doi: 10.1093/annonc/mdp592. Epub 2010 Jan 11.

Abstract

BACKGROUND

The amplified in breast cancer 1 (AIB1) gene has been considered to play an oncogenic role in human cancers, but its clinical/prognostic significance in non-small-cell lung cancer (NSCLC) is still unclear.

PATIENTS AND METHODS

The methods of immunohistochemistry and FISH were utilized to examine protein expression and amplification of AIB1 in 230 informative surgically resected NSCLCs and in 30 samples of normal lung tissues.

RESULTS

Overexpression and amplification of AIB1 were found in 48.3% and 8.2% of NSCLCs, respectively. AIB1 overexpression was associated with AIB1 gene amplification and cell proliferation but not related to estrogen receptor (ER)-alpha, ER-beta, progesterone receptor or androgen receptor status. A positive correlation between AIB1 overexpression and an ascending pathologic node stage in lung adenocarcinoma (ADC) was observed (P = 0.043). Univariate survival analysis demonstrated a significant association of AIB1 overexpression with shortened patient survival, especially for those with stage III disease (P < 0.001). Importantly, AIB1 expression was evaluated as the most significant predictor for survival in multivariate analysis (hazards ratio = 2.069, P < 0.001).

CONCLUSION

Overexpression of AIB1 might provide a selective advantage for lymph node metastasis of lung ADC and serve as a useful biomarker for poor prognosis for NSCLC patients.

摘要

背景

扩增的乳腺癌 1 基因(AIB1)被认为在人类癌症中发挥致癌作用,但它在非小细胞肺癌(NSCLC)中的临床/预后意义尚不清楚。

患者和方法

采用免疫组织化学和 FISH 方法检测 230 例信息完整的手术切除 NSCLC 组织和 30 例正常肺组织中 AIB1 的蛋白表达和扩增。

结果

AIB1 的过表达和扩增分别在 48.3%和 8.2%的 NSCLC 中发现。AIB1 过表达与 AIB1 基因扩增和细胞增殖相关,但与雌激素受体(ER)-α、ER-β、孕激素受体或雄激素受体状态无关。在肺腺癌(ADC)中,AIB1 过表达与逐渐升高的病理淋巴结分期呈正相关(P = 0.043)。单因素生存分析表明,AIB1 过表达与患者生存时间缩短显著相关,尤其是在 III 期疾病患者中(P < 0.001)。重要的是,AIB1 表达在多因素分析中被评估为生存的最显著预测因子(风险比=2.069,P < 0.001)。

结论

AIB1 的过表达可能为肺 ADC 的淋巴结转移提供选择性优势,并作为 NSCLC 患者预后不良的有用生物标志物。

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