Chang Chi-Son, Shim Jung In, Byeon Sun-Ju, Lee Eun Jin, Lee Yoo-Young, Kim Tae-Joong, Lee Jeong-Won, Kim Byoung-Gie, Choi Chel Hun
Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.
Department of Pathology, Hallym University Dongtan Sacred Heart Hospital, Hwasung 18450, Korea.
Cancers (Basel). 2022 Apr 25;14(9):2139. doi: 10.3390/cancers14092139.
HER3 has been recognized to have an oncogenic role in various types of cancer. However, its prognostic significance has not been elucidated in cervical cancer. The aim of this study was to investigate the prognostic significance of HER3 expression in cervical cancer using immunohistochemistry (IHC). HER3 immunohistochemical staining was performed on the tumor tissue samples of 336 cervical cancer patients. The association between the clinicopathological characteristics and patient survival analysis was assessed according to HER3 expression. HER3 IHC staining was positive in 31.0% (104/336) of the cervical cancer patients. A higher proportion of adeno-/adenosquamous carcinoma was observed in the HER3-positive group (34.6%) than in the HER3-negative group (18.8%). In survival analysis, HER3 expression was significantly associated with poorer disease-free survival (DFS) and overall survival (OS) (p < 0.001 and p = 0.002, respectively). Multivariate analysis also indicated that HER3 expression was an independent prognostic factor for DFS (hazard ratio (HR) = 2.58, 95% confidence interval (CI) 1.42−4.67, p = 0.002) and OS (HR = 3.21, 95% CI, 1.26−8.14, p = 0.014). HER3 protein expression was a poor prognostic factor of survival in patients with cervical cancer. This finding could help to provide individualized management for these patients.
HER3已被认为在各种类型的癌症中具有致癌作用。然而,其在宫颈癌中的预后意义尚未阐明。本研究的目的是使用免疫组织化学(IHC)研究HER3表达在宫颈癌中的预后意义。对336例宫颈癌患者的肿瘤组织样本进行了HER3免疫组织化学染色。根据HER3表达评估临床病理特征与患者生存分析之间的关联。31.0%(104/336)的宫颈癌患者HER3 IHC染色呈阳性。HER3阳性组中腺癌/腺鳞癌的比例(34.6%)高于HER3阴性组(18.8%)。在生存分析中,HER3表达与较差的无病生存期(DFS)和总生存期(OS)显著相关(分别为p < 0.001和p = 0.002)。多变量分析还表明,HER3表达是DFS(风险比(HR)= 2.58,95%置信区间(CI)1.42−4.67,p = 0.002)和OS(HR = 3.21,95% CI,1.26−8.14,p = 0.014)的独立预后因素。HER3蛋白表达是宫颈癌患者生存的不良预后因素。这一发现有助于为这些患者提供个体化管理。