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信号转导与转录激活因子3(STAT3)和缺氧诱导蛋白——缺氧诱导因子-1α(HIF-1α)、促红细胞生成素(EPO)及促红细胞生成素受体(EPOR)与乳腺导管癌淋巴结转移中Bax和Bcl-xL的关系

STAT3 and hypoxia induced proteins--HIF-1alpha, EPO and EPOR in relation with Bax and Bcl-xL in nodal metastases of ductal breast cancers.

作者信息

Wincewicz Andrzej, Koda Mariusz, Sulkowska Mariola, Kanczuga-Koda Luiza, Wincewicz Dominik, Sulkowski Stanislaw

机构信息

Department of Medical, Collegium Pathologicum, Medical University of Bialystok, Waszyngtona St 13, 15-269 Bialystok, Poland.

出版信息

Folia Histochem Cytobiol. 2009 Jan;47(3):425-30. doi: 10.2478/v10042-009-0099-7.

Abstract

STAT3 contributes to increase of EPO expression which is also HIF-1 dependent. EPO receptor activates STAT3. Expressions of STAT3 and hypoxia induced proteins: HIF-1, EPO and EPOR show mutual correlations in primary ductal breast cancers, which suggest co-operation among these proteins. Moreover, EPO-EPOR signaling was reported to mediate cell survival by targeting Bcl-xL in competition with Bax-dependent apoptosis. Our present study was focused on immunohistochemical evaluation of STAT3, HIF-1alpha, EPO and EPOR in relation to apoptosis regulators, Bax and Bcl-xL in 39 metastases of ductal breast cancers to lymph nodes. The proteins were abundantly expressed by cancer cells. HIF-1alpha correlated with EPOR in all and in chemotherapy treated metastases (r=0.428, p=0.007 and r=0.462, p=0.040, respectively). HIF-1 associated significantly with EPO in chemotherapy spared metastases (r=0.549, p=0.015) and comparison between those proteins almost reached statistical significance in entire number of metastatic breast cancers (r=0.309, p=0.056). Metastases from T2 primary tumors had significantly higher expressions of HIF-1alpha, EPO and EPOR compared to T1 originating metastases (p=0.020, p=0.028, p=0.021, respectively). Bax correlated with EPO and EPOR in all studied nodal metastases (r=0.449, p=0.006 and r=0.421, p=0.011, respectively) and so did Bcl-xL with HIF-1alpha (r=0.440, p=0.007), EPO and EPOR (r=0.383, p=0.021, r=0.495, p=0.002, respectively). Metastatic breast cancers seem to be areas of intensive signaling by STAT3, HIF-1, EPO and EPOR. Strong Bax and Bcl-xL labeling reflects accelerated cell turnover in nodal metastases. By means of association with Bcl-xL, HIF-1alpha, EPO and EPOR could favor growth of nodal metastases and survival of breast cancers cells.

摘要

信号转导和转录激活因子3(STAT3)有助于促红细胞生成素(EPO)表达的增加,而EPO的表达也依赖于缺氧诱导因子-1(HIF-1)。EPO受体激活STAT3。在原发性乳腺导管癌中,STAT3与缺氧诱导蛋白HIF-1、EPO和EPO受体(EPOR)的表达呈现相互关联,这表明这些蛋白之间存在协同作用。此外,据报道EPO-EPOR信号通路通过靶向Bcl-xL介导细胞存活,与Bax依赖性凋亡相互竞争。我们目前的研究重点是对39例乳腺导管癌淋巴结转移灶中STAT3、HIF-1α、EPO和EPOR与凋亡调节因子Bax和Bcl-xL进行免疫组织化学评估。这些蛋白在癌细胞中大量表达。在所有转移灶以及化疗后的转移灶中,HIF-1α与EPOR相关(分别为r = 0.428,p = 0.007和r = 0.462,p = 0.040)。在未接受化疗的转移灶中,HIF-1与EPO显著相关(r = 0.549,p = 0.015),在所有转移性乳腺癌中这两种蛋白之间的比较几乎达到统计学显著性(r = 0.309,p = 0.056)。与源自T1期原发肿瘤的转移灶相比,T2期原发肿瘤的转移灶中HIF-1α、EPO和EPOR的表达显著更高(分别为p = 0.020,p = 0.028,p = 0.021)。在所有研究的淋巴结转移灶中,Bax与EPO和EPOR相关(分别为r = 0.449,p = 0.006和r = 0.421,p = 0.011),Bcl-xL与HIF-1α相关(r = 0.440,p = 0.007),与EPO和EPOR也相关(分别为r = 0.383,p = 0.021,r = 0.495,p = 0.002)。转移性乳腺癌似乎是STAT3、HIF-1、EPO和EPOR进行强烈信号传导的区域。强烈的Bax和Bcl-xL标记反映了淋巴结转移灶中加速的细胞更新。通过与Bcl-xL相关联,HIF-1α、EPO和EPOR可能有利于淋巴结转移灶的生长和乳腺癌细胞的存活。

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