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早期管腔型乳腺癌中 MMP-11 的表达:与临床、MRI、病理特征及无病生存的相关性。

MMP-11 expression in early luminal breast cancer: associations with clinical, MRI, pathological characteristics, and disease-free survival.

机构信息

Institute of Genetics and Molecular and Cellular Biology, Illkirch, France.

Centre National de la Recherche Scientifique, UMR 7104, Illkirch, France.

出版信息

BMC Cancer. 2024 Mar 4;24(1):295. doi: 10.1186/s12885-024-11998-0.

DOI:10.1186/s12885-024-11998-0
PMID:38438841
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10913243/
Abstract

BACKGROUND

Early hormone-positive breast cancers typically have favorable outcomes, yet long-term surveillance is crucial due to the risk of late recurrences. While many studies associate MMP-11 expression with poor prognosis in breast cancer, few focus on early-stage cases. This study explores MMP-11 as an early prognostic marker in hormone-positive breast cancers.

METHODS

In this retrospective study, 228 women with early hormone-positive invasive ductal carcinoma, treated surgically between 2011 and 2016, were included. MMP-11 expression was measured by immunohistochemistry, and its association with clinical and MRI data was analyzed.

RESULTS

Among the patients (aged 31-89, median 60, with average tumor size of 15.7 mm), MMP-11 staining was observed in half of the cases. This positivity correlated with higher uPA levels and tumor grade but not with nodal status or size. Furthermore, MMP-11 positivity showed specific associations with MRI features. Over a follow-up period of 6.5 years, only 12 oncological events occurred. Disease-free survival was linked to Ki67 and MMP-11.

CONCLUSION

MMP-11, primarily present in tumor-surrounding stromal cells, correlates with tumor grade and uPA levels. MMP-11 immunohistochemical score demonstrates a suggestive trend in association with disease-free survival, independent of Ki67 and other traditional prognostic factors. This highlights the potential of MMP-11 as a valuable marker in managing early hormone-positive breast cancer.

摘要

背景

早期激素阳性乳腺癌通常具有良好的预后,但由于存在晚期复发的风险,长期监测至关重要。尽管许多研究表明 MMP-11 表达与乳腺癌的不良预后相关,但很少有研究关注早期病例。本研究探讨了 MMP-11 作为激素阳性乳腺癌的早期预后标志物。

方法

在这项回顾性研究中,纳入了 2011 年至 2016 年间接受手术治疗的 228 例早期激素阳性浸润性导管癌女性患者。通过免疫组织化学检测 MMP-11 的表达,并分析其与临床和 MRI 数据的关联。

结果

在这些患者(年龄 31-89 岁,中位年龄 60 岁,平均肿瘤大小为 15.7mm)中,有一半病例观察到 MMP-11 染色阳性。这种阳性与较高的 uPA 水平和肿瘤分级相关,但与淋巴结状态或大小无关。此外,MMP-11 阳性与 MRI 特征具有特异性关联。在 6.5 年的随访期间,仅发生了 12 例肿瘤事件。无病生存与 Ki67 和 MMP-11 相关。

结论

MMP-11 主要存在于肿瘤周围的基质细胞中,与肿瘤分级和 uPA 水平相关。MMP-11 免疫组化评分与无病生存呈显著相关趋势,独立于 Ki67 和其他传统预后因素。这突显了 MMP-11 作为管理早期激素阳性乳腺癌的有价值标志物的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/d8457618c674/12885_2024_11998_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/b53cb1af71f7/12885_2024_11998_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/2e4864cfab55/12885_2024_11998_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/ecb35c1d41dc/12885_2024_11998_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/dc47645d11b0/12885_2024_11998_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/3612d60eba55/12885_2024_11998_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/7e9380e78eb5/12885_2024_11998_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/d8457618c674/12885_2024_11998_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/b53cb1af71f7/12885_2024_11998_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/2e4864cfab55/12885_2024_11998_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/ecb35c1d41dc/12885_2024_11998_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/dc47645d11b0/12885_2024_11998_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/3612d60eba55/12885_2024_11998_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/7e9380e78eb5/12885_2024_11998_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02bd/10913243/d8457618c674/12885_2024_11998_Fig7_HTML.jpg

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