Zhao Hua, Chen Daozhen, Wang Jiayuan, Yin Yongxiang, Gao Qiong, Zhang Ye
Department of Pathology, The Affiliated Maternity and Child Health Hospital of Nanjing Medical University Wuxi, China.
Department of Gynecology, The Affiliated Maternity and Child Health Hospital of Nanjing Medical University Wuxi, China.
Int J Clin Exp Pathol. 2014 Jan 15;7(2):670-6. eCollection 2014.
FoxD3 is a transcription factor of the forkhead gene family. We investigated its expression in invasive ductal carcinomas (IDC) of the breast and its association with metastasis. The expression of FoxD3, human epidermal growth factor receptor-2 (HER-2), estrogen receptor (ER), progesterone receptor (PR) and Ki67 was examined by immunohistochemistry in samples from 121 patients with IDC. Non-tumorous breast adenosis tissues served as controls. HER2 expression was confirmed by fluorescence in situ hybridization (FISH). The expression levels of FoxD3 in IDC tissues and the breast cancer cell lines MCF-7 and MDA-MB-231 were additionally measured by western blotting. A greater percentage of total IDC patients and patients with lymph node metastases showed reduced FoxD3 expression compared to adenosis controls (p<0.05). Overall, FoxD3 was associated with metastatic status of IDC but not with age, pathological or clinical staging, or status of HER-2, ER, or PR. In particular, FoxD3 protein expression was down-regulated in the tumor epithelia of IDC samples from patients with metastases. Furthermore, FoxD3 protein expression was decreased in the metastatic MDA-MB-231 breast cancer cell line relative to the non-metastatic cell line, MCF-7. A greater number of patients with invasive, triple-negative breast cancer were also negative for FoxD3 expression than in other, non-triple-negative tumor types. These results suggest an inverse relationship between FoxD3 expression and tumor metastasis and warrants further investigation.
FoxD3是叉头基因家族的一种转录因子。我们研究了它在乳腺浸润性导管癌(IDC)中的表达及其与转移的关系。通过免疫组织化学检测了121例IDC患者样本中FoxD3、人表皮生长因子受体2(HER-2)、雌激素受体(ER)、孕激素受体(PR)和Ki67的表达。非肿瘤性乳腺腺病组织作为对照。通过荧光原位杂交(FISH)确认HER2表达。另外通过蛋白质印迹法检测了FoxD3在IDC组织以及乳腺癌细胞系MCF-7和MDA-MB-231中的表达水平。与腺病对照相比,总的IDC患者以及有淋巴结转移的患者中,FoxD3表达降低的比例更高(p<0.05)。总体而言,FoxD3与IDC的转移状态相关,但与年龄、病理或临床分期,或HER-2、ER或PR状态无关。特别是,转移患者的IDC样本肿瘤上皮中FoxD3蛋白表达下调。此外,相对于非转移细胞系MCF-7,转移的MDA-MB-231乳腺癌细胞系中FoxD3蛋白表达降低。与其他非三阴性肿瘤类型相比,侵袭性三阴性乳腺癌患者中FoxD3表达阴性的人数也更多。这些结果表明FoxD3表达与肿瘤转移之间呈负相关,值得进一步研究。