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[c-erbB-2和int-2基因改变及DNA倍体模式对乳腺癌侵袭性的意义]

[The significance of c-erbB-2 and int-2 gene alterations and DNA ploidy pattern for aggressiveness of breast cancer].

作者信息

Nagayama K, Watatani M, Maeda S, Imanishi Y, Kurooka K, Wada T, Yasutomi M

机构信息

First Department of Surgery, Kinki University School of Medicine, Osaka-sayama, Japan.

出版信息

Nihon Geka Gakkai Zasshi. 1993 Oct;94(10):1144-52.

PMID:7901748
Abstract

We have analyzed amplification of the c-erbB-2 and int-2 genes, and restriction fragment length polymorphisms (RFLPs) of the int-2 gene in 105 primary breast carcinomas. In 90 of 105 samples, overexpression of the c-erbB-2 protein and the DNA ploidy pattern were also analyzed. Amplification of the c-erbB-2 and int-2 gene was found in 27% and in 17%, respectively. No statistical correlation between c-erbB-2 and int-2 genes amplification was observed. Overexpression of the c-erbB-2 protein was detected in 28% of samples. A correlation was observed between amplification of the c-erbB-2 gene and positive nodal status. Amplification of the int-2 gene showed no correlation with clinicopathological parameters, except that a significantly higher incidence of amplification was observed in breast carcinoma with more than 4 positive lymph nodes. Genotypes of the int-2 gene identified by RFLPs analysis revealed no correlation with clinicopathological parameters. DNA ploidy pattern, which showed neither correlation with c-erbB-2 nor int-2 genetic alterations, was associated with tumor size and TNM classification. Our result suggests that analysis of genetic alterations of the c-erbB-2 and int-2 genes and the DNA ploidy pattern may be a useful adjunct in the assessment of aggressiveness of breast carcinoma.

摘要

我们分析了105例原发性乳腺癌中c-erbB-2和int-2基因的扩增情况,以及int-2基因的限制性片段长度多态性(RFLP)。在105个样本中的90个样本中,还分析了c-erbB-2蛋白的过表达情况和DNA倍体模式。发现c-erbB-2和int-2基因的扩增分别为27%和17%。未观察到c-erbB-2和int-2基因扩增之间的统计学相关性。在28%的样本中检测到c-erbB-2蛋白的过表达。观察到c-erbB-2基因扩增与阳性淋巴结状态之间存在相关性。int-2基因的扩增与临床病理参数无关,只是在有4个以上阳性淋巴结的乳腺癌中观察到扩增发生率明显更高。通过RFLP分析确定的int-2基因基因型与临床病理参数无关。DNA倍体模式与c-erbB-2和int-2基因改变均无相关性,但与肿瘤大小和TNM分期有关。我们的结果表明,分析c-erbB-2和int-2基因的遗传改变以及DNA倍体模式可能是评估乳腺癌侵袭性的有用辅助手段。

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