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[浸润性乳腺癌中雄激素受体表达与替代分子亚型之间的相关性]

[Correlation between androgen receptor expression and surrogate molecular subtypes in invasive breast carcinoma].

作者信息

Sun X J, Zuo K, Tang S X, Lu H F, Shui R H, Yu B H, Xu X L, Cheng Y F, Tu X Y, Bi R, Yang W T

机构信息

Department of Pathology, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China.

出版信息

Zhonghua Bing Li Xue Za Zhi. 2017 Jul 8;46(7):476-480. doi: 10.3760/cma.j.issn.0529-5807.2017.07.006.

Abstract

To investigate androgen receptor(AR)expression in invasive breast carcinoma and the correlation with surrogate molecular breast carcinoma subtypes. Immunohistochemical staining of AR and other biomarkers was performed in a cohort of 870 cases of primary invasive breast carcinomas collected from August to December, 2016. The association of AR expression with different histological and surrogate molecular subtypes was analyzed. The positive expression rate of AR in the immunohistochemistry-based surrogate subtypes was 96.3%(207/215) for Luminal A, 89.8%(378/421) for Luminal B, 82.4%(75/91) for HER2 overexpression and 37.1%(53/143) for triple negative breast carcinoma, with significant differences among the four groups (<0.01). AR correlated positively with the expression of ER(<0.01), PR(<0.01), HER2(=0.007), GATA3(<0.01), GCDFP15(<0.01)and mammaglobin(<0.01), while negatively with the expression of Ki-67(<0.01), CK5/6(<0.01)and CK14(<0.01). AR exhibits a high expression in invasive breast carcinoma, which is mainly correlated with ER-positive breast carcinoma. Regardless of the relatively low expression rate, AR is a potential therapeutic target in triple negative breast carcinoma.

摘要

研究雄激素受体(AR)在浸润性乳腺癌中的表达及其与替代分子乳腺癌亚型的相关性。对2016年8月至12月收集的870例原发性浸润性乳腺癌病例进行AR及其他生物标志物的免疫组织化学染色。分析AR表达与不同组织学和替代分子亚型的相关性。基于免疫组织化学的替代亚型中,AR的阳性表达率在Luminal A型中为96.3%(207/215),Luminal B型中为89.8%(378/421),HER2过表达型中为82.4%(75/91),三阴性乳腺癌中为37.1%(53/143),四组之间存在显著差异(<0.01)。AR与ER(<0.01)、PR(<0.01)、HER2(=0.007)、GATA3(<0.01)、GCDFP15(<0.01)和乳腺珠蛋白(<0.01)的表达呈正相关,而与Ki-67(<0.01)、CK5/6(<0.01)和CK14(<0.01)的表达呈负相关。AR在浸润性乳腺癌中高表达,主要与ER阳性乳腺癌相关。尽管AR表达率相对较低,但它是三阴性乳腺癌的潜在治疗靶点。

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