Xiao Jidong, Zhou Yuanquan, Zhu Wenhui
Department of Diagnostic Ultrasound, Third Xiangya Hospital, Central South University Changsha City 410013, Hunan Province, China.
Int J Clin Exp Pathol. 2015 Jun 1;8(6):6458-65. eCollection 2015.
Nasopharyngeal carcinoma-associated gene 6 (NGX6) is a newly discovered tumor suppressor gene. It contains one epidermal growth factor (EGF)-like domain. Many studies have shown that proteins contain (EGF)-like domain structure affect a variety of biological actions. However, little is known about the relationships between NGX6 expression and biological behaviors in invasive ductal breast carcinoma (IDBC). The study discussed the association of ultrasonographic features with NGX6 expression and prognosis in IDBC.
Ultrasonographic feature and clinical data in 122 patients with IDBC were retrospectively analyzed. NGX6 expression of IDBC was measured using immunohistochemistry methods.
The incidence of the burr sign, lymph node metastasis and abundance blood flow in NGX6 expression negative groups were higher than those in positive groups. Kaplan-Meier analysis showed that the association between NGX6 positive expression and higher disease-free survival (DFS) or higher overall survival (OS); Lymph node metastasis is associated with lower DFS or lower OS; Lower blood flow grade is associated with higher DFS. In univariate and multivariate survival analysis, NGX6 expression, lymph node metastasis, TNM and the blood flow grade were the independent prognostic factors for DFS and OS of IDBC.
ultrasonographic features are associated with NGX6 expression in IDBC. NGX6 is involved in the invasion and metastasis activity of IDBC. Our results suggest that NGX6 may be employed as a promising prognostic factor and useful therapeutic target for IDBC. Combination of ultrasonic findings and NGX6 detection may yield clinically useful information for IDBC prognosis.
鼻咽癌相关基因6(NGX6)是一种新发现的抑癌基因。它包含一个表皮生长因子(EGF)样结构域。许多研究表明,含有(EGF)样结构域的蛋白质会影响多种生物学行为。然而,关于NGX6表达与浸润性导管癌(IDBC)生物学行为之间的关系知之甚少。本研究探讨了IDBC超声特征与NGX6表达及预后的相关性。
回顾性分析122例IDBC患者的超声特征和临床资料。采用免疫组织化学方法检测IDBC中NGX6的表达。
NGX6表达阴性组毛刺征、淋巴结转移及血流丰富的发生率高于阳性组。Kaplan-Meier分析显示,NGX6阳性表达与较高的无病生存率(DFS)或较高的总生存率(OS)相关;淋巴结转移与较低的DFS或较低的OS相关;较低的血流分级与较高的DFS相关。在单因素和多因素生存分析中,NGX6表达、淋巴结转移、TNM分期及血流分级是IDBC患者DFS和OS的独立预后因素。
IDBC的超声特征与NGX6表达相关。NGX6参与IDBC的侵袭和转移活动。我们的结果表明,NGX6可能是一种有前景的IDBC预后因素和有用的治疗靶点。超声检查结果与NGX6检测相结合可能为IDBC预后提供临床有用信息。