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三阴性乳腺癌中的p63亚型:ΔNp63与基底样表型相关,而TAp63与雄激素受体、无BRCA突变、PTEN以及生存期改善相关。

p63 isoforms in triple-negative breast cancer: ΔNp63 associates with the basal phenotype whereas TAp63 associates with androgen receptor, lack of BRCA mutation, PTEN and improved survival.

作者信息

Coates Philip J, Nenutil Rudolf, Holcakova Jitka, Nekulova Marta, Podhorec Jan, Svoboda Marek, Vojtesek Borivoj

机构信息

RECAMO, Masaryk Memorial Cancer Centre, Zluty kopec 7, 656 53, Brno, Czech Republic.

Department of Comprehensive Cancer Care, Masaryk Memorial Cancer Institute, Zluty kopec 7, 656 53, Brno, Czech Republic.

出版信息

Virchows Arch. 2018 Mar;472(3):351-359. doi: 10.1007/s00428-018-2324-2. Epub 2018 Feb 27.

Abstract

The TP63 gene encodes two major protein variants that differ in their N-terminal sequences and have opposing effects. In breast, ΔNp63 is expressed by immature stem/progenitor cells and mature myoepithelial/basal cells and is a characteristic feature of basal-like triple-negative breast cancers (TNBCs). The expression and potential role of TAp63 in the mammary gland and breast cancers is less clear, partly due to the lack of studies that employ p63 isoform-specific antibodies. We used immunohistochemistry with ΔNp63-specific or TAp63-specific monoclonal antibodies to investigate p63 isoforms in 236 TNBCs. TAp63, but not ΔNp63, was seen in tumour-associated lymphocytes and other stromal cells. Tumour cells showed nuclear staining for ΔNp63 in 17% of TNBCs compared to 7.3% that were positive for TAp63. Whilst most TAp63 tumours also contained ΔNp63 cells, the levels of the two isoforms were independent of each other. ΔNp63 associated with metaplastic and medullary cancers, and with a basal phenotype, whereas TAp63 associated with androgen receptor, BRCA1/2 wild-type status and PTEN positivity. Despite the proposed effects of p63 on proliferation, Ki67 did not correlate with either p63 isoform, nor did they associate with p53 mutation status. ΔNp63 showed no association with patient outcomes, whereas TAp63 patients showed fewer recurrences and improved overall survival. These findings indicate that both major p63 protein isoforms are expressed in TNBCs with different tumour characteristics, indicating distinct functional activities of p63 variants in breast cancer. Analysis of individual p63 isoforms provides additional information into TNBC biology, with TAp63 expression indicating improved prognosis.

摘要

TP63基因编码两种主要的蛋白质变体,它们的N端序列不同且具有相反的作用。在乳腺中,ΔNp63由未成熟的干细胞/祖细胞和成熟的肌上皮/基底细胞表达,是基底样三阴性乳腺癌(TNBC)的一个特征。TAp63在乳腺和乳腺癌中的表达及潜在作用尚不清楚,部分原因是缺乏使用p63亚型特异性抗体的研究。我们使用ΔNp63特异性或TAp63特异性单克隆抗体进行免疫组织化学,以研究236例TNBC中的p63亚型。在肿瘤相关淋巴细胞和其他基质细胞中可见TAp63,但未见ΔNp63。在17%的TNBC中,肿瘤细胞显示出ΔNp63的核染色,而TAp63阳性的为7.3%。虽然大多数TAp63肿瘤也含有ΔNp63细胞,但两种亚型的水平相互独立。ΔNp63与化生癌和髓样癌以及基底表型相关,而TAp63与雄激素受体、BRCA1/2野生型状态和PTEN阳性相关。尽管p63对增殖有影响,但Ki67与任何一种p63亚型均无相关性,它们也与p53突变状态无关。ΔNp63与患者预后无关,而TAp63患者的复发较少,总生存期改善。这些发现表明,两种主要的p63蛋白亚型在具有不同肿瘤特征的TNBC中均有表达,表明p63变体在乳腺癌中具有不同的功能活性。对单个p63亚型的分析为TNBC生物学提供了额外信息,TAp63表达表明预后改善。

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