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CD10 在浸润性乳腺癌中的基质表达及其与肿瘤分期、分级、ER、PR 和 HER2 状态的关系。

Stromal expression of CD10 in invasive breast carcinoma and its association with tumour stage, grade, ER, PR and HER2 status.

机构信息

Universiti Kebangsaan Malaysia Medical Centre, Faculty of Medicine, Department of Pathology, Kuala Lumpur, Malaysia.

Universiti Kebangsaan Malaysia Medical Centre, Hospital Canselor Tuanku Muhriz, Department of Laboratory Diagnostic Services, Kuala Lumpur, Malaysia.

出版信息

Malays J Pathol. 2021 Dec;43(3):389-396.

Abstract

INTRODUCTION

Tumour microenvironment (TME) has been postulated to be involved in cancer development and disease progression. Studies have shown CD10 expressed in cancer-associated fibroblasts (CAF) within TME is associated with aggressive biological behaviour and poor prognosis. The aim of this study was to evaluate stromal CD10 expression in invasive breast cancer and its correlation with tumour stage, grade, Estrogen receptor (ER), Progesterone receptor (PR) and HER2 status.

MATERIALS AND METHODS

A total of 226 invasive breast carcinoma cases were selected and assembled into tissue microarrays (TMAs). The stromal expression of CD10 was immunohistochemically analysed.

RESULTS

Stromal CD10 was positive in 67 (29.6%) cases of invasive breast carcinoma. The frequency of positive stromal staining was significantly higher in the cases with ER-negative (P=0.000). CD10 stromal negativity was significantly higher in luminaltype cases (P=0.001). However, there was no correlation between stromal CD10 expression with tumour grade, stage, PR and HER2 status.

CONCLUSION

Positive CD10 stromal expression correlates with ER-negative invasive breast carcinomas, while negative CD10 stromal expression correlates with luminal type invasive breast carcinomas. This demonstrates that stromal CD10 expression within the TME constitutes a potential prognostic marker and therapeutic target. Future studies are necessary to evaluate other stromal markers within the TME immunohistochemically as well as its molecular basis in order to confirm the definite role of stromal CD10.

摘要

简介

肿瘤微环境(TME)被认为参与了癌症的发生和疾病的进展。研究表明,TME 中的癌症相关成纤维细胞(CAF)中表达的 CD10 与侵袭性生物学行为和不良预后相关。本研究旨在评估浸润性乳腺癌中基质 CD10 的表达及其与肿瘤分期、分级、雌激素受体(ER)、孕激素受体(PR)和 HER2 状态的相关性。

材料与方法

选择了 226 例浸润性乳腺癌病例,并组装成组织微阵列(TMA)。用免疫组织化学法分析 CD10 的基质表达。

结果

在 226 例浸润性乳腺癌病例中,有 67 例(29.6%)CD10 基质呈阳性。ER 阴性(P=0.000)的病例中阳性基质染色的频率明显更高。CD10 基质阴性在 luminal 型病例中明显更高(P=0.001)。然而,基质 CD10 表达与肿瘤分级、分期、PR 和 HER2 状态之间无相关性。

结论

阳性 CD10 基质表达与 ER 阴性浸润性乳腺癌相关,而阴性 CD10 基质表达与 luminal 型浸润性乳腺癌相关。这表明 TME 中的基质 CD10 表达可能是一种潜在的预后标志物和治疗靶点。为了证实基质 CD10 的明确作用,有必要进一步评估 TME 中其他基质标志物的免疫组织化学表达及其分子基础。

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