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抑制素/激活素-βC 亚基在人子宫内膜癌中不代表预后参数。

Inhibin/activin-betaC subunit does not represent a prognostic parameter in human endometrial cancer.

机构信息

1st Department of Obstetrics and Gynaecology, Ludwig-Maximilians-University Munich, Munich, Germany.

出版信息

Arch Gynecol Obstet. 2011 Jul;284(1):199-207. doi: 10.1007/s00404-010-1614-y. Epub 2010 Aug 4.

Abstract

INTRODUCTION

Inhibins, dimeric peptide hormones composed of an α subunit and one of two possible β subunits (betaA or betaB), exhibit substantial roles in human reproduction and in endocrine-responsive tumors. Recently, two novel inhibin-beta subunits, defined as betaC and betaE, have been identified in humans. However, the prognostic significance and clinical implications of the novel inhibin-betaC subunit in endometrial cancers is still quite unclear.

MATERIALS AND METHODS

A series of 296 uterine endometrial carcinomas were immunohistochemically analyzed with specific antibody against the inhibin-betaC subunit. The staining reactions were correlated with several clinicopathological characteristics and the clinical outcome.

RESULTS

Endometrial cancer tissue demonstrated an immunolabelling against the inhibin-betaC subunit. The inhibin-betaC expression in endometrial carcinoma samples revealed a significant association with hemangiosis. However, the expression of this inhibin subunit did not affect patients' progression-free, cause-specific and overall survival.

CONCLUSION

Overall, inhibin-betaC subunit was demonstrated in endometrial cancer tissue. This novel betaC subunit demonstrated a significant association with hemangiosis although without any impact on the patients' survival. Moreover, the inhibin-betaC subunits did not constitute an independent prognostic parameter in endometrial cancer patients. Therefore, the isolated analysis of this subunit might be of minor prognostic value in identifying high-risk patients.

摘要

简介

抑制素是由一个α亚基和两个β亚基(βA 或βB)中的一个组成的二聚肽激素,在人类生殖和内分泌反应性肿瘤中具有重要作用。最近,在人类中发现了两种新的抑制素-β亚基,分别定义为βC 和βE。然而,新型抑制素-βC 亚基在子宫内膜癌中的预后意义和临床意义仍不清楚。

材料和方法

用针对抑制素-βC 亚基的特异性抗体对 296 例子宫子宫内膜癌进行了一系列免疫组织化学分析。将染色反应与几种临床病理特征和临床结果相关联。

结果

子宫内膜癌组织对抑制素-βC 亚基有免疫标记。在子宫内膜癌样本中,抑制素-βC 的表达与血管生成有显著关联。然而,这种抑制素亚基的表达并不影响患者的无进展生存期、特异性生存期和总生存期。

结论

总的来说,在子宫内膜癌组织中检测到了抑制素-βC 亚基。这种新型的βC 亚基与血管生成有显著的关联,尽管对患者的生存没有任何影响。此外,抑制素-βC 亚基在子宫内膜癌患者中并不是一个独立的预后参数。因此,单独分析这个亚基在识别高危患者方面可能只有较小的预后价值。

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