MCM2、MCM4 和 MCM6 在乳腺癌中的作用:诊断和预后的临床应用。

MCM2, MCM4, and MCM6 in Breast Cancer: Clinical Utility in Diagnosis and Prognosis.

机构信息

Institute for Research in Immunology and Cancer (IRIC), Université de Montréal, Montréal, Quebec, Canada H3T 1J4.

The University of Montreal Hospital Research Centre, Montréal, Quebec, Canada H2X 0A9.

出版信息

Neoplasia. 2019 Oct;21(10):1015-1035. doi: 10.1016/j.neo.2019.07.011. Epub 2019 Aug 30.

Abstract

Breast cancer is a heterogeneous disease comprising the estrogen receptor (ER)-positive luminal subtype which is subdivided into luminal A and luminal B and ER-negative breast cancer which includes the triple-negative subtype. This study has four aims: 1) to examine whether Minichromosome Maintenance (MCM)2, MCM4, and MCM6 can be used as markers to differentiate between luminal A and luminal B subtypes; 2) to study whether MCM2, MCM4, and MCM6 are highly expressed in triple-negative breast cancer, as there is an urgent need to search for surrogate markers in this aggressive subtype, for drug development purposes; 3) to compare the prognostic values of these markers in predicting relapse-free survival; and 4) to compare the three approaches used for scoring the protein expression of these markers by immunohistochemistry (IHC). MCM2, MCM4, MCM6, and MKI67 mRNA expression was first studied using in silico analysis of available breast cancer datasets. We next used IHC to evaluate their protein expression on tissue microarrays using three scoring methods. MCM2, MCM4, and MCM6 can help in distinction between luminal A and luminal B whose therapeutic management and clinical outcomes are different. MCM2, MCM4, MCM6, and Ki-67 are highly expressed in breast cancer of high histological grades that comprise clinically aggressive tumors such as luminal B, HER2-positive, and triple-negative subtypes. Low transcript expression of these markers is associated with increased probability of relapse-free survival. A positive relationship exists among the three scoring methods of each of the four markers. An independent validation cohort is needed to confirm their clinical utility.

摘要

乳腺癌是一种异质性疾病,包括雌激素受体(ER)阳性的腔A型和腔 B 型,以及 ER 阴性的乳腺癌,包括三阴性亚型。本研究有四个目的:1)研究微小染色体维持(MCM)2、MCM4 和 MCM6 是否可用于区分腔 A 和腔 B 亚型;2)研究 MCM2、MCM4 和 MCM6 是否在三阴性乳腺癌中高表达,因为迫切需要在这种侵袭性亚型中寻找替代标志物,用于药物开发目的;3)比较这些标志物预测无复发生存率的预后价值;4)比较三种免疫组织化学(IHC)评分方法对这些标志物蛋白表达的评分。首先使用可用乳腺癌数据集的计算机分析研究 MCM2、MCM4、MCM6 和 MKI67 的 mRNA 表达。接下来,我们使用 IHC 方法在组织微阵列上评估它们的蛋白表达,使用三种评分方法。MCM2、MCM4 和 MCM6 可帮助区分腔 A 和腔 B,它们的治疗管理和临床结果不同。MCM2、MCM4、MCM6 和 Ki-67 在组织学分级较高的乳腺癌中高表达,包括临床侵袭性肿瘤,如腔 B、HER2 阳性和三阴性亚型。这些标志物的低转录表达与无复发生存率增加相关。四种标志物的三种评分方法之间存在正相关关系。需要独立验证队列来确认它们的临床实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee61/6726925/77f0400a2f35/gr1.jpg

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