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性别决定区 Y 框 30 与乳腺癌肿瘤特征的相关性及其预后价值。

Correlation of sex-determining region Y-box 30 with tumor characteristics and its prognostic value in breast cancer.

机构信息

Comprehensive Department, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

J Clin Lab Anal. 2020 Jun;34(6):e23232. doi: 10.1002/jcla.23232. Epub 2020 Mar 10.

Abstract

OBJECTIVE

Sex-determining region Y-box 30 (SOX30) suppresses progression of several cancers, whereas its role in breast cancer is unclear. Therefore, we aimed to determine the correlation of SOX30 with tumor characteristics and prognosis in breast cancer patients.

METHODS

The tumor samples of 510 breast cancer patients who underwent resection were obtained, and SOX30 expression was analyzed by immunohistochemistry. Clinical characteristics, disease-free survival (DFS), and overall survival (OS) of breast cancer patients were recorded.

RESULTS

There were 368 breast cancer patients in SOX30 low-expression group and 142 in SOX30 high-expression group. SOX30 was negatively correlated with tumor size (P = .010), tumor (T) stage (P < .001), node (N) stage (P = .001), and tumor, node, metastasis (TNM) stage (P < .001) in breast cancer patients. For prognosis, patients in SOX30 high-expression group had prolonged DFS (P = .011) and OS (P = .002); moreover, increased SOX30 grade (assessed by semi-quantitative scoring method assessment) was correlated with better DFS (P = .015) and OS (P = .014). Univariate Cox's regression analysis disclosed that SOX30 high expression was correlated with enhanced DFS (P = .012, hazard ratio (HR) = 0.582) and OS (P = .002, HR = 0.389); however, multivariate Cox's regression analysis revealed that SOX30 could not independently predict DFS (P = .224, HR = 0.766) or OS (P = .087, HR = 0.582) in breast cancer patients, indicating it might interact with other independent predictive factors (such as pathological differentiation, T stage, and N stage) to influence DFS and OS in breast cancer patients.

CONCLUSION

Sex-determining region Y-box 30 is a potential prognostic biomarker in breast cancer, which might contribute to the better outcome of breast cancer patients.

摘要

目的

性决定区 Y 框 30(SOX30)抑制多种癌症的进展,而其在乳腺癌中的作用尚不清楚。因此,我们旨在确定 SOX30 与乳腺癌患者肿瘤特征和预后的相关性。

方法

收集了 510 例接受切除术的乳腺癌患者的肿瘤样本,并通过免疫组织化学分析 SOX30 的表达。记录了乳腺癌患者的临床特征、无病生存(DFS)和总生存(OS)。

结果

SOX30 低表达组有 368 例乳腺癌患者,SOX30 高表达组有 142 例。SOX30 与乳腺癌患者的肿瘤大小(P=.010)、肿瘤(T)分期(P<.001)、淋巴结(N)分期(P=.001)和肿瘤、淋巴结、转移(TNM)分期(P<.001)呈负相关。在预后方面,SOX30 高表达组患者的 DFS(P=.011)和 OS(P=.002)更长;此外,半定量评分法评估的 SOX30 分级增加与更好的 DFS(P=.015)和 OS(P=.014)相关。单因素 Cox 回归分析显示,SOX30 高表达与改善 DFS(P=.012,风险比(HR)=0.582)和 OS(P=.002,HR=0.389)相关;然而,多因素 Cox 回归分析显示,SOX30 不能独立预测乳腺癌患者的 DFS(P=.224,HR=0.766)或 OS(P=.087,HR=0.582),表明它可能与其他独立的预测因素(如病理分化、T 分期和 N 分期)相互作用,影响乳腺癌患者的 DFS 和 OS。

结论

性决定区 Y 框 30 是乳腺癌潜在的预后生物标志物,可能有助于改善乳腺癌患者的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d45/7307353/6416b8d7ef46/JCLA-34-e23232-g001.jpg

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