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子宫内膜样子宫内膜癌中E-钙黏蛋白和β-连环蛋白的免疫表达

E-cadherin and β-catenin immunoexpression in endometrioid endometrial carcinoma.

作者信息

Florescu Mirela Marinela, Pirici Daniel, Simionescu Cristiana Eugenia, Stepan Alex Emilian, Mărgăritescu Claudiu, Tudorache Ştefania, Ciurea Raluca Niculina

机构信息

Department of Obstetrics and Gynecology, University of Medicine and Pharmacy of Craiova, Romania;

出版信息

Rom J Morphol Embryol. 2016;57(4):1235-1240.

Abstract

E-cadherin and β-catenin are two molecules implicated in cellular adhesion. The reduced expression of β-catenin and E-cadherin is associated with the tumoral epithelial-mesenchymal transition process, a key event in the development of endometrial carcinoma. The aim of our study was to investigate the association between the immunoexpression of β-catenin÷E-cadherin and the tumor differentiation degree, presence of lymph nodes, depth of tumor invasion and pTNM stage of endometrioid endometrial carcinomas in order to enhance the potential aggressiveness of these tumors. Our results revealed significant differences in the expression of β-catenin, when grouping for the tumor stage, invasion in the myometrium and degree of differentiation, as well as significant differences in the expression of E-cadherin for tumor degrees of differentiation. E-cadherin and β-catenin expression was stronger in well-differentiated tumors, superficial myometrium invasion and early tumor stages I or II, thus was associated with better prognostic forms of endometrioid endometrial carcinoma. Our study indicated that decreased of the E-cadherin and β-catenin expression is useful for the assessment of tumor aggressivity.

摘要

E-钙黏蛋白和β-连环蛋白是参与细胞黏附的两种分子。β-连环蛋白和E-钙黏蛋白表达降低与肿瘤上皮-间质转化过程相关,这是子宫内膜癌发生发展中的关键事件。我们研究的目的是调查β-连环蛋白÷E-钙黏蛋白的免疫表达与子宫内膜样腺癌的肿瘤分化程度、淋巴结转移情况、肿瘤浸润深度和pTNM分期之间的关联,以评估这些肿瘤的潜在侵袭性。我们的结果显示,根据肿瘤分期、肌层浸润情况和分化程度对β-连环蛋白的表达进行分组时存在显著差异,并且根据肿瘤分化程度对E-钙黏蛋白的表达进行分组时也存在显著差异。E-钙黏蛋白和β-连环蛋白在高分化肿瘤、浅肌层浸润以及肿瘤早期I期或II期表达更强,因此与子宫内膜样腺癌较好的预后形式相关。我们的研究表明,E-钙黏蛋白和β-连环蛋白表达降低有助于评估肿瘤的侵袭性。

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