Department of Histology and Embryology, Comenius University, Martin, Slovakia.
Neoplasma. 2012;59(1):30-7. doi: 10.4149/neo_2012_004.
The antiapoptotic protein survivin is widely expressed in most human cancers, including carcinomas of the breast. It is rarely detected in corresponding normal adult tissues. Therefore, survivin comes into the limelight as a promising diagnostic biomarker and prognostic parameter. Immunohistochemically, we examined the expression of this protein in 126 cases of ductal breast carcinoma to determine the association with clinicomorphological parameters such as age of patients, grade, stage and size of the primary tumor, lymph node metastasis, vascular invasion as well as estrogen and progesterone status. In each section, the subcellular location of survivin antigen, the intensity of staining and the percentage of labeled cells were assessed. Overall, survivin was expressed in 111 cases (88.1%). The statistical analysis revealed a significant correlation between the nuclear location of survivin and tumor grade 3. Furthermore, a significant relation was also found between vascular invasion and nuclear and combined nuclear and cytoplasmic survivin expression, together with a higher intensity of immunoreaction. However, no significant correlations were shown with other clinicomorphological parameters, such as stage and size of the tumor, lymph node metastasis, estrogen and progesterone receptors and age. Our findings revealed that survivin was frequently overexpressed in carcinoma cells, where it was present in different subcellular compartments. The nuclear positivity of survivin or combined nuclear and cytoplasmic expression was shown to be a poor prognostic parameter in ductal breast carcinoma.
凋亡抑制蛋白 survivin 在大多数人类癌症中广泛表达,包括乳腺癌。在相应的正常成人组织中很少检测到。因此,survivin 作为一种有前途的诊断生物标志物和预后参数引起了人们的关注。免疫组化检测了 126 例乳腺导管癌中这种蛋白的表达,以确定其与临床形态学参数的关系,如患者年龄、分级、分期和肿瘤大小、淋巴结转移、血管浸润以及雌激素和孕激素状态。在每个切片中,评估 survivin 抗原的亚细胞定位、染色强度和标记细胞的百分比。总体而言,111 例(88.1%)表达 survivin。统计分析显示 survivin 的核定位与肿瘤分级 3 之间存在显著相关性。此外,还发现血管浸润与核和核质共表达 survivin 以及免疫反应强度之间存在显著关系。然而,与其他临床形态学参数,如肿瘤分期和大小、淋巴结转移、雌激素和孕激素受体以及年龄,没有显示出显著相关性。我们的研究结果表明,survivin 在癌细胞中经常过表达,存在于不同的亚细胞区室中。核阳性或核质共表达 survivin 被证明是乳腺导管癌的一个不良预后参数。