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Yes 相关蛋白在配对原发性和局部复发性乳腺癌中的表达及其临床意义。

Yes-associated protein expression in paired primary and local recurrent breast cancer and its clinical significance.

机构信息

Radiology Department, Xiangya Hospital, Central South University, Changsha, China; Center for Molecular Medicine, Xiangya Hospital, Central South University, Changsha, China.

Department of Breast Surgery, Xiangya Hospital, Central South University, Changsha, China.

出版信息

Curr Probl Cancer. 2019 Oct;43(5):429-437. doi: 10.1016/j.currproblcancer.2018.12.005. Epub 2019 Jan 17.

Abstract

Yes-associated protein (YAP) protein acts as tumorigenic factor in many solid tumors, but the situation in breast cancer is under debate. Here, we would analyze its status in breast cancer. YAP expression in the 110 primary breast cancer and their paired local recurrent tumors was investigated. Clinicopathologic data for age, histologic grading, hormone status, lymph nodes and HER2 status were also gathered and analyzed. 46.4% (51/110) primary breast cancer tissues were positive for total YAP expression which was significantly higher than that in the recurrent tissues (10.9%; P < 0.05). The expression of total YAP protein in the primary breast cancer tissues was positively associated with the tumor size, especially in triple negative breast cancer (TNBC) subtype (P < 0.05). Higher total or nuclear YAP expression in the primary tumor was correlated with poor disease-free survival among patients with TNBC (P < 0.05). In the multivariate models, nuclear YAP expression was an independently prognostic factor in TNBC. High total or nuclear YAP expression predicts poor prognosis among patients with TNBC. It might be a therapeutic target for TNBC in the future.

摘要

Yes 相关蛋白 (YAP) 蛋白在许多实体肿瘤中充当致癌因子,但在乳腺癌中的情况仍存在争议。在这里,我们将分析其在乳腺癌中的地位。研究了 110 例原发性乳腺癌及其配对局部复发性肿瘤中 YAP 的表达情况。还收集并分析了年龄、组织学分级、激素状态、淋巴结和 HER2 状态的临床病理数据。原发性乳腺癌组织中总 YAP 表达阳性率为 46.4%(51/110),明显高于复发性组织(10.9%;P < 0.05)。原发性乳腺癌组织中总 YAP 蛋白的表达与肿瘤大小呈正相关,尤其是在三阴性乳腺癌(TNBC)亚型中(P < 0.05)。原发性肿瘤中总 YAP 或核 YAP 表达较高与 TNBC 患者无病生存不良相关(P < 0.05)。在多变量模型中,核 YAP 表达是 TNBC 的独立预后因素。高总 YAP 或核 YAP 表达预示着 TNBC 患者预后不良。它可能成为未来 TNBC 的治疗靶点。

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