在乳腺小叶癌和乳腺导管癌中雌激素受体 α、β1 和 β2 的差异表达。

Differential expression of estrogen receptor α, β1, and β2 in lobular and ductal breast cancer.

机构信息

Center for Nuclear Receptors and Cell Signaling, University of Houston, Houston, TX 77204.

出版信息

Proc Natl Acad Sci U S A. 2014 Feb 4;111(5):1933-8. doi: 10.1073/pnas.1323719111. Epub 2014 Jan 21.

Abstract

The role of estrogen receptor (ER) α as a target in treatment of breast cancer is clear, but those of ERβ1 and ERβ2 in the breast remain unclear. We have examined expression of all three receptors in surgically excised breast samples from two archives: (i): 187 invasive ductal breast cancer from a Japanese study; and (ii) 20 lobular and 24 ductal cancers from the Imperial College. Samples contained normal areas, areas of hyperplasia, and in situ and invasive cancer. In the normal areas, ERα was expressed in not more than 10% of epithelium, whereas approximately 80% of epithelial cells expressed ERβ. We found that whereas ductal cancer is a highly proliferative, ERα-positive, ERβ-negative disease, lobular cancer expresses both ERα and ERβ but with very few Ki67-positive cells. ERβ2 was expressed in 32% of the ductal cancers, of which 83% were postmenopausal. In all ERβ2-positive cancers the interductal space was filled with dense collagen, and cell nuclei expressed hypoxia-inducible factor 1α. ERβ2 expression was not confined to malignant cells but was strong in stromal, immune, and endothelial cells. In most of the high-grade invasive ductal cancers neither ERα nor ERβ was expressed, but in the high-grade lobular cancer ERβ was lost and ERα and Ki67 expression were abundant. The data show a clear difference in ER expression between lobular and ductal breast cancer and suggest (i) that tamoxifen may be more effective in late than in early lobular cancer and (ii) a potential role for ERβ agonists in preventing in situ ductal cancers from becoming invasive.

摘要

雌激素受体 (ER)α 作为治疗乳腺癌的靶点作用明确,但 ERβ1 和 ERβ2 在乳腺中的作用仍不清楚。我们在两个档案中检查了手术切除的乳腺样本中所有三种受体的表达:(i):来自日本研究的 187 例浸润性导管乳腺癌;和 (ii):来自帝国学院的 20 例小叶癌和 24 例导管癌。样本包含正常区域、增生区域以及原位癌和浸润性癌。在正常区域,ERα 在不超过 10%的上皮细胞中表达,而大约 80%的上皮细胞表达 ERβ。我们发现,导管癌是一种高度增殖、ERα 阳性、ERβ 阴性的疾病,而小叶癌表达 ERα 和 ERβ,但 Ki67 阳性细胞很少。ERβ2 在 32%的导管癌中表达,其中 83%为绝经后患者。在所有 ERβ2 阳性癌症中,管间空间充满致密的胶原,细胞核表达缺氧诱导因子 1α。ERβ2 的表达不仅局限于恶性细胞,而且在基质、免疫和内皮细胞中表达强烈。在大多数高级别浸润性导管癌中,既不表达 ERα 也不表达 ERβ,但在高级别小叶癌中 ERβ 丢失,而 ERα 和 Ki67 的表达丰富。这些数据显示出小叶癌和导管癌之间 ER 表达的明显差异,并表明 (i) 他莫昔芬在晚期小叶癌中可能比早期更有效,以及 (ii) ERβ 激动剂在预防原位导管癌发展为浸润性癌方面具有潜在作用。

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