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在 ER 阳性和 HER2 阳性乳腺癌中,MET 的蛋白低表达。

Low protein expression of MET in ER-positive and HER2-positive breast cancer.

机构信息

Associate Professor; Institute of Cancer Research, Department of Medicine I, Comprehensive Cancer Center, Medical University of Vienna, Borschkegasse 8a, A-1090 Vienna, Austria.

出版信息

Anticancer Res. 2014 Mar;34(3):1227-31.

Abstract

AIM

The mesenchymal-epithelial transition factor (MET) is a receptor tyrosine kinase that plays a key role in cell survival, growth, angiogenesis and metastasis. Because its expression is frequently altered in tumors, MET is currently under investigation as a potential target for anticancer therapy. The purpose of the present study was to determine the prognostic value of tumor MET expression levels in patients with estrogen receptor (ER)-positive and human epidermal growth factor receptor 2 (HER2)-positive breast cancer, in order to strengthen the rationale for targeted therapy using MET inhibitors in this breast cancer subpopulation.

MATERIALS AND METHODS

We determined the expression of MET in formalin-fixed paraffin-embedded surgical specimens of ER- and HER2-positive breast cancer by immunohistochemistry.

RESULTS

Comparisons of MET expression with clinical parameters, including survival of the patients, were performed with MET expression as a dichotomized variable classified as high or low. Out of 78 tumors, 3 (3.8%) showed high MET expression. The analysis examining the association between MET and survival did not yield any statistically significant result regarding overall survival or disease-free survival.

CONCLUSION

ER- and HER2-positive breast carcinomas do not exhibit high MET expression. This null finding, the first to be reported in the literature, is of great importance, since it indicates that this sub-group population is not proper candidate for clinical trials with MET inhibitors.

摘要

目的

间质-上皮转化因子(MET)是一种受体酪氨酸激酶,在细胞存活、生长、血管生成和转移中发挥关键作用。由于其在肿瘤中的表达经常发生改变,因此 MET 目前正在作为一种潜在的抗癌治疗靶点进行研究。本研究旨在确定肿瘤 MET 表达水平在雌激素受体(ER)阳性和人表皮生长因子受体 2(HER2)阳性乳腺癌患者中的预后价值,以便为在该乳腺癌亚群中使用 MET 抑制剂进行靶向治疗提供更充分的依据。

材料和方法

我们通过免疫组织化学法测定了 ER 和 HER2 阳性乳腺癌福尔马林固定石蜡包埋手术标本中 MET 的表达。

结果

将 MET 表达作为高或低的二分类变量进行比较,与患者的生存等临床参数进行比较。在 78 例肿瘤中,有 3 例(3.8%)显示 MET 高表达。分析 MET 与生存之间的关系,在总生存或无病生存方面均未得出任何统计学显著结果。

结论

ER 和 HER2 阳性乳腺癌并不表现出高 MET 表达。这一首次在文献中报道的阴性发现非常重要,因为它表明该亚组人群不适合进行 MET 抑制剂的临床试验。

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