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p-STAT3 在乳腺癌中的表达与肿瘤大小和 HER2 状态呈负相关。

p-STAT3 expression in breast cancer correlates negatively with tumor size and HER2 status.

机构信息

Department of Medical Oncology.

Department of Pathology, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, People's Republic of China.

出版信息

Medicine (Baltimore). 2021 Mar 12;100(10):e25124. doi: 10.1097/MD.0000000000025124.

Abstract

Although some studies have reported the expression and clinical significance of phosphorylated signal transducer and activator of transcription 3 (p-STAT3) in breast cancer tissues, it is still controversial whether p-STAT3 play a role in promoting or suppressing cancer. Here, we used immunohistochemistry analysis to explore expression of p-STAT3 in 407 cases of breast cancer, and analyzed the relationship between p-STAT3 expression and the clinicopathological characteristics and prognosis of breast cancer patients. Positive p-STAT3 expression was seen in 112 cases (27.5%) of breast cancer. p-STAT3 expression was negatively correlated with tumor size, tumor stage and human epidermal growth factor receptor 2 (HER2) status, and the positive rate of p-STAT3 was lowest in HER2-enriched subtype breast cancer (15.3%), while other subtypes were luminal B (23.0%), luminal A (30.2%), and triple-negative breast cancer (TNBC) (37.5%). Logistic regression model multivariate analysis showed that the independent correlation factor of p-STAT3 expression in breast cancer was tumor size (OR = 0.187, 95% CI = 0.042-0.839, P = .029) and HER2 status (OR = 0.392, 95% CI = 0.216-0.710, P = .002). In this study, no clear relationship was observed between patients' prognosis and expression of p-STAT3. Therefore, we suggest that p-STAT3 expression in breast cancer is negatively correlated with tumor size and HER2 status, but appears to have no effect on survival.

摘要

尽管一些研究已经报道了磷酸化信号转导和转录激活因子 3(p-STAT3)在乳腺癌组织中的表达及其临床意义,但 p-STAT3 是否在促进或抑制癌症中发挥作用仍存在争议。在这里,我们使用免疫组织化学分析方法研究了 407 例乳腺癌组织中 p-STAT3 的表达,并分析了 p-STAT3 表达与乳腺癌患者临床病理特征和预后的关系。在 407 例乳腺癌中,有 112 例(27.5%)的乳腺癌组织中存在 p-STAT3 的阳性表达。p-STAT3 的表达与肿瘤大小、肿瘤分期和人表皮生长因子受体 2(HER2)状态呈负相关,且在 HER2 富集型乳腺癌中 p-STAT3 的阳性率最低(15.3%),而其他亚型为 luminal B(23.0%)、luminal A(30.2%)和三阴性乳腺癌(TNBC)(37.5%)。多因素 logistic 回归模型分析显示,乳腺癌中 p-STAT3 表达的独立相关因素是肿瘤大小(OR = 0.187,95%CI = 0.042-0.839,P = .029)和 HER2 状态(OR = 0.392,95%CI = 0.216-0.710,P = .002)。在本研究中,未观察到患者预后与 p-STAT3 表达之间存在明确的关系。因此,我们认为乳腺癌中 p-STAT3 的表达与肿瘤大小和 HER2 状态呈负相关,但似乎对生存没有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f16/7969220/4b741e4e8c8c/medi-100-e25124-g001.jpg

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