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可药物作用靶点识别出与预后不良相关且呈现不同生物学过程的乳腺肿瘤。

Druggable Identifies Breast Tumours Associated with Poor Prognosis That Exhibit Different Biological Processes.

作者信息

Nguyen Van Long Flora, Lardy-Cleaud Audrey, Bray Susan, Chabaud Sylvie, Dubois Thierry, Diot Alexandra, Thompson Alastair M, Bourdon Jean-Christophe, Perol David, Bouvet Philippe, Diaz Jean-Jacques, Marcel Virginie

机构信息

Univ Lyon, Université Claude Bernard Lyon 1, INSERM 1052, CNRS 5286, Centre Léon Bérard, Centre de Recherche en Cancérologie de Lyon, CEDEX 08, 69373 Lyon, France.

Department of Clinical Research, Léon Bérard Cancer Centre, 28 rue Laennec, 69008 Lyon, France.

出版信息

Cancers (Basel). 2018 Oct 22;10(10):390. doi: 10.3390/cancers10100390.

Abstract

Nucleolin (NCL) is a multifunctional protein with oncogenic properties. Anti-NCL drugs show strong cytotoxic effects, including in triple-negative breast cancer (TNBC) models, and are currently being evaluated in phase II clinical trials. However, few studies have investigated the clinical value of and whether stratified cancer patients. Here, we have investigated for the first time the association of with clinical characteristics in breast cancers independently of the different subtypes. Using two independent series ( = 216; = 661), we evaluated the prognostic value of in non-metastatic breast cancers using univariate and/or multivariate Cox-regression analyses. We reported that mRNA expression levels are markers of poor survivals independently of tumour size and lymph node invasion status ( = 216). In addition, an association of expression levels with poor survival was observed in TNBC ( = 40, overall survival (OS) = 0.0287, disease-free survival (DFS) = 0.0194). Transcriptomic analyses issued from The Cancer Genome Atlas (TCGA) database ( = 661) revealed that breast tumours expressing either low or high mRNA expression levels exhibit different gene expression profiles. These data suggest that tumours expressing high mRNA levels are different from those expressing low mRNA levels. is an independent marker of prognosis in breast cancers. We anticipated that anti-NCL is a promising therapeutic strategy that could rapidly be evaluated in high -expressing tumours to improve breast cancer management.

摘要

核仁素(NCL)是一种具有致癌特性的多功能蛋白质。抗NCL药物显示出强大的细胞毒性作用,包括在三阴性乳腺癌(TNBC)模型中,目前正处于II期临床试验评估阶段。然而,很少有研究调查其临床价值以及它是否能对癌症患者进行分层。在此,我们首次独立于不同亚型研究了NCL与乳腺癌临床特征的关联。我们使用两个独立队列(n = 216;n = 661),通过单变量和/或多变量Cox回归分析评估了NCL在非转移性乳腺癌中的预后价值。我们报告称,NCL mRNA表达水平是独立于肿瘤大小和淋巴结浸润状态的不良生存标志物(n = 216)。此外,在TNBC中观察到NCL表达水平与不良生存之间存在关联(n = 40,总生存(OS)P = 0.0287,无病生存(DFS)P = 0.0194)。来自癌症基因组图谱(TCGA)数据库(n = 661)的转录组分析显示,NCL mRNA表达水平低或高的乳腺肿瘤表现出不同的基因表达谱。这些数据表明,NCL mRNA水平高的肿瘤与低水平的肿瘤不同。NCL是乳腺癌预后的独立标志物。我们预计抗NCL是一种有前景的治疗策略,可在高表达肿瘤中迅速进行评估,以改善乳腺癌的治疗。

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