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人乳腺癌循环 TGF-β 水平的筛查及其临床病理意义。

Screening of circulating TGF-β levels and its clinicopathological significance in human breast cancer.

机构信息

Laboratory of Pathophysiology and Free Radicals, Department of General Pathology-Center of Biological Sciences, State University of Londrina, 86051-990 Londrina, Brazil.

出版信息

Anticancer Res. 2013 Feb;33(2):737-42.

PMID:23393376
Abstract

BACKGROUND

Transforming growth factor beta-1 (TGF-β1) participation in breast cancer development and metastasis is well-established, however, the clinical meaning of its circulating levels in women with breast cancer is poorly understood.

AIM

To characterize the levels of TGF-β1 in plasma from women with breast cancer and to associate them with the main clinical factors associated with disease prognosis.

PATIENTS AND METHODS

TGF-β1 levels were measured by Enzyme-linked immunoassay (ELISA). Clinicopathological data were also assessed.

RESULTS

Women bearing triple-negative tumors presented significantly reduced levels of this cytokine when compared to the other subtypes (p=0.0338). Patients with metastases exhibited lower levels of TGF-β1 than the non-metastatic cohort (p=0.0442). Patients with early-onset disease had the highest plasma TGF-β1 levels (p=0.0036). Doxorubicin chemotherapy induced a reduction in TGF-β1 level, promptly after drug infusion (p=0.0494). Patients with TGF-β1 levels lower than 20 pg/ml exhibited a tendency to have a reduced overall survival in a 40-month follow-up.

CONCLUSION

Lower levels of circulating TGF-β1 are associated with a poor disease prognosis.

摘要

背景

转化生长因子-β1(TGF-β1)参与乳腺癌的发生和转移已得到充分证实,然而,其在乳腺癌女性患者循环水平的临床意义仍知之甚少。

目的

描述乳腺癌女性患者血浆中 TGF-β1 的水平,并将其与与疾病预后相关的主要临床因素相关联。

患者和方法

采用酶联免疫吸附试验(ELISA)测量 TGF-β1 水平。还评估了临床病理数据。

结果

与其他亚型相比,三阴性肿瘤患者的这种细胞因子水平显著降低(p=0.0338)。有转移的患者 TGF-β1 水平低于无转移组(p=0.0442)。发病早的患者血浆 TGF-β1 水平最高(p=0.0036)。阿霉素化疗后 TGF-β1 水平降低,在药物输注后即刻(p=0.0494)。在 40 个月的随访中,TGF-β1 水平低于 20pg/ml 的患者总生存率有降低的趋势。

结论

较低的循环 TGF-β1 水平与不良的疾病预后相关。

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