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聚焦于经形态学鉴定为大汗腺分化癌的乳腺癌中雄激素受体与雄激素受体相关蛋白表达之间的关系。

Relationship between androgen receptor and androgen receptor-related protein expression in breast cancers focusing on morphologically identified carcinoma with apocrine differentiation.

作者信息

Nishida Haruto, Kato Ami, Kaimori Ryo, Kawamura Kazuhiro, Daa Tsutomu

机构信息

Department of Diagnostic Pathology, Faculty of Medicine, Oita University, 1-1, Idaigaoka, Hasamamachi, Oita, 879-5593, Oita, Japan.

出版信息

Sci Rep. 2025 Jan 23;15(1):2892. doi: 10.1038/s41598-025-87403-y.

Abstract

Breast cancer (BC) is classified based on the expression of histopathological markers, namely, estrogen receptor (ER), progesterone receptor (PgR), and human epidermal growth factor receptor 2 (HER2). Carcinomas with apocrine differentiation (CAD) are classified based on morphology. Androgen receptor (AR) is highly expressed in CAD; however, no study has comprehensively examined AR-related proteins in CAD. Therefore, we examined the expression of AR-related proteins and AR, compared protein expression patterns between morphologically identified CAD and other BC subtypes, and investigated CAD characteristics. We performed immunohistochemistry for AR and various AR-related proteins in 66 invasive ductal carcinoma (32 ER+/PgR+/HER2-, 8 ER+/PgR+/HER2+, 12 ER-/PgR-/HER2+, and 14 ER-/PgR-/HER2- [triple-negative breast cancer)), 21 invasive lobular carcinoma, and 27 CAD cases. In the CAD group, all cases were AR-positive; some AR-related proteins were highly expressed. Nuclear phosphorylated-mammalian target of rapamycin was highly expressed in CAD cases compared with that in other BC groups, with a 33.3% sensitivity and 97.7% specificity. AR-expressing CAD cases exhibited high expression of other AR-related proteins. Specifically, the combination of AR+, GCDFP15+, and ER - or AR+, FOXA1+, and ER - may be useful for the diagnosis and treatment of AR-positive BC and CAD. These results may assist in androgen-related molecular targeted therapy research.

摘要

乳腺癌(BC)是根据组织病理学标志物的表达进行分类的,即雌激素受体(ER)、孕激素受体(PgR)和人表皮生长因子受体2(HER2)。具有大汗腺分化的癌(CAD)是根据形态学进行分类的。雄激素受体(AR)在CAD中高表达;然而,尚无研究全面检测CAD中与AR相关的蛋白。因此,我们检测了与AR相关的蛋白和AR的表达,比较了形态学鉴定的CAD与其他BC亚型之间的蛋白表达模式,并研究了CAD的特征。我们对66例浸润性导管癌(32例ER+/PgR+/HER2-、8例ER+/PgR+/HER2+、12例ER-/PgR-/HER2+和14例ER-/PgR-/HER2- [三阴性乳腺癌])、21例浸润性小叶癌和27例CAD病例进行了AR及各种与AR相关蛋白的免疫组织化学检测。在CAD组中,所有病例AR均为阳性;一些与AR相关的蛋白高表达。与其他BC组相比,核磷酸化雷帕霉素靶蛋白在CAD病例中高表达,敏感性为33.3%,特异性为97.7%。表达AR的CAD病例表现出其他与AR相关蛋白的高表达。具体而言,AR+、GCDFP15+和ER-或AR+、FOXA1+和ER-的组合可能有助于AR阳性BC和CAD的诊断和治疗。这些结果可能有助于雄激素相关分子靶向治疗的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/edc0/11754918/d9d69a65adf6/41598_2025_87403_Fig1_HTML.jpg

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