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三阴性乳腺癌中雄激素受体的表达:一项阿尔及利亚人群研究。

Androgen receptor expression in triple negative breast cancer: an Algerian population study.

作者信息

Hedjem Amel, Kouchkar Amal, Ladjeroud Amel, Zerrouki Nacera, Benaissa Fatima, Ibrahim Nasir A, Aleissa Mohammed Saad, Basher Nosiba S, Derguini Assia, Idres Takfarinas, Houali Karim

机构信息

Department of Biology, Faculty of Sciences, University M'hamed Bougara, Boumerdes, Algeria.

Department of Pathology, Pierre and Marie Curie Cancer Center, Algiers, Algeria.

出版信息

Libyan J Med. 2025 Dec;20(1):2535778. doi: 10.1080/19932820.2025.2535778. Epub 2025 Jul 20.

Abstract

Triple-negative breast cancer (TNBC) is a molecular subtype of breast cancer characterized by the absence of estrogen and progesterone receptors and the lack of HER2 overexpression. TNBC is highly heterogeneous, complicating the identification of new therapeutic targets. However, the expression of the androgen receptor (AR) in the luminal androgen receptor (LAR TNBC) subgroup has opened the door to alternative therapeutic approaches. This study aimed to assess AR expression and correlate it with clinicopathological factors in 160 early-stage TNBC patients treated from February 2015 to February 2017. Our findings reveal that AR expression is observed in 16.87% (27/160) of ≥1% AR positivity cases. Moreover, a significant 12.5% (20/160) was found in ≥10% AR positive cases. Positive AR expression was inversely correlated with a high Ki-67 proliferation index and with the basal immunophenotype. The five-year survival rate for our cohort was 83.12%, and no significant association between AR expression and overall survival was observed ( = 0.77). The study highlights the potential role of AR expression in TNBC and its implications for therapeutic strategies, although no significant association with overall survival was found.

摘要

三阴性乳腺癌(TNBC)是乳腺癌的一种分子亚型,其特征是缺乏雌激素和孕激素受体且不存在HER2过表达。TNBC高度异质性,这使得新治疗靶点的识别变得复杂。然而,雄激素受体(AR)在腔面雄激素受体(LAR TNBC)亚组中的表达为替代治疗方法打开了大门。本研究旨在评估160例在2015年2月至2017年2月接受治疗的早期TNBC患者的AR表达,并将其与临床病理因素相关联。我们的研究结果显示,在AR阳性率≥1%的病例中,16.87%(27/160)观察到AR表达。此外,在AR阳性率≥10%的病例中,有显著的12.5%(20/160)。AR阳性表达与高Ki-67增殖指数和基底免疫表型呈负相关。我们队列的五年生存率为83.12%,未观察到AR表达与总生存率之间存在显著关联(P = 0.77)。该研究强调了AR表达在TNBC中的潜在作用及其对治疗策略的影响,尽管未发现与总生存率有显著关联。

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