Department of General Surgery, Ankara Oncology Hospital, Turkey.
Future Oncol. 2010 Mar;6(3):471-7. doi: 10.2217/fon.10.6.
Presence of a relationship between autoimmunity and malignant diseases has been investigated for a long time. Anti-SS-B and anti-centromere protein (CENP)-B antibodies are used as serologic markers for autoimmune diseases. In this study, these autoantibodies were studied in breast cancer patients, and their effect on survival was evaluated.
PATIENTS & METHODS: Breast cancer patients treated between January and June 2003 were prospectively included in this study. Antibodies were studied by ELISA, and serum values of greater than 10 U/ml were accepted as positive.
In total, 55 patients with breast cancer were prospectively included in the study. Median follow-up time was 62 months. In univariate analysis, estrogen receptor status, anti-CENP-B antibody status and tumor size significantly affected disease-free survival, whereas overall survival was significantly dependent on tumor size and anti-CENP-B antibody status. In multivariate analysis, anti-CENP-B status was the independent prognostic factor for disease-free survival, whereas tumor size and anti-CENP-B status were independent prognostic factors for overall survival.
Anti-CENP-B autoantibodies in breast cancer patients prolong disease-free and overall survival.
自身免疫与恶性肿瘤之间的关系一直是研究的热点。抗 SS-B 和抗着丝点蛋白(CENP-B)抗体被用作自身免疫性疾病的血清学标志物。在这项研究中,我们研究了乳腺癌患者中的这些自身抗体,并评估了它们对生存的影响。
本研究前瞻性纳入了 2003 年 1 月至 6 月期间接受治疗的乳腺癌患者。采用 ELISA 法检测抗体,将血清值大于 10 U/ml 定义为阳性。
共前瞻性纳入了 55 例乳腺癌患者。中位随访时间为 62 个月。单因素分析显示,雌激素受体状态、抗 CENP-B 抗体状态和肿瘤大小显著影响无病生存期,而总生存期则显著依赖于肿瘤大小和抗 CENP-B 抗体状态。多因素分析显示,抗 CENP-B 状态是无病生存期的独立预后因素,而肿瘤大小和抗 CENP-B 状态是总生存期的独立预后因素。
乳腺癌患者中的抗 CENP-B 自身抗体可延长无病生存期和总生存期。