实用肿瘤学杂志 ›› 2013, Vol. 27 ›› Issue (1): 60-64.doi: 10.3969/j.issn.1002-3070.2013.01.013

• 论著 • 上一篇    下一篇

CD44+CD24-/low在基底样乳腺癌中过表达与其恶性预后的相关性研究

于晓宇, 耿敬姝, 宋鸿涛, 冯迪, 蒋旸   

  1. 哈尔滨医科大学附属第三医院病理科(哈尔滨 150081)
  • 收稿日期:2012-08-02 出版日期:2013-02-28 发布日期:2013-03-07
  • 通讯作者: 耿敬姝, E-mail:jingshugeng@me.com
  • 作者简介:于晓宇, 女, (1982-), 硕士, 住院医师, 从事肿瘤病理诊断与侵袭转移研究

Human breast cancer stem cell maker CD44+CD24-/low enriched in basal-like breast carcinoma

YU Xiaoyu, GENG Jingshu, SONG Hongtao, FENG Di, JIANG Yang   

  1. Department of Pathology, The Third Affiliated Hospital of Harbin Medical University, Harbin 150081, China
  • Received:2012-08-02 Online:2013-02-28 Published:2013-03-07

摘要: 目的探讨乳腺癌干细胞样标志物CD44+CD24-/low在基底样乳腺癌(basal-like breast carcinoma, BLBC)中过表达与BLBC恶性预后的相关性。方法 在乳腺癌基因表达分型的基础上, 根据雌激素受体(ER)、孕激素受体(PR)、人类表皮生长因子受体2(Her-2)免疫表型的表达选取乳腺癌组织四组:管腔A组、管腔B/C组、Her-2高表达组及三阴性组;对三阴性组检测CK5/6、EGFR, 分为正常乳腺样型和BLBC型两组;对上述5组进行免疫组化Envision法染色, 选用抗体为CD44、CD24, 观察CD44+CD24-/low表型表达并比较BLBC组与其它各组的差异。结果 (1)三阴性组共60例, CK5/6和或EGFR阳性者41例(68.3%), 确定为BLBC;CK5/6、EGFR阴性者19例(31.7%), 确定为正常乳腺样组;(2)CD44+CD24-/low表型在BLBC组中占78.0%(32/41), 相对于管腔A组37.9%(11/29)、管腔B组25.9%(7/27)、Her-2高表达组17.2%(5/29)、正常乳腺样组26.3%(5/21), 表达增高并具有显著性(P<0.05);(3)所有150例乳腺癌中(可评价145例)具有CD44+CD24-/low免疫表型者其Ki-67指数增高相对于非CD44+CD24-/low表型具有统计学差异(P<0.001)。结论 BLBC型乳腺癌表达乳腺癌干细胞样标志物CD44+CD24-/low显著高于其它各型乳腺癌, CD44+CD24-/low与BLBC独特的恶性生物学行为相关。

Abstract: Objective To study the expression of breast cancer stem cell-like markers CD44+CD24-/low in basal-like breast carcinoma(BLBC)and their relation with the prognosis of BLBC.Methods We classified breast carcinomas into 4 groups:luminal A, luminal B/C, Her-2 over-expressing and triple-negative subtype with the expressions of ER, PR and Her-2, respectively.We classified triple-negative subtype into 2 groups:BLBC and normal breast-like group with the expression of CK5/6 and EGFR, respectively.Immunohistochemical(Envision method)was performed to all of the 5 groups, with the selection of antibodies for CD44 and CD24.Results (1)triple-negative group were 60 cases in all, expressed CK5/6 and EGFR in 41cases(68.3%), which was identified as BLBC;low expressed CK5/6 and EGFR in 19 cases(31.7%), which identified as the normal breast-like group.(2)32 cases expressed CD44+CD24-/low phenotype in 41 cases of BLBC78.0%(32/41), compared with luminal A group of 37.9%(11/29), luminal B of25.9%(7/27), Her-2 over-expression group of 17.2%(5/29)and normal breast-like group of 26.3%(5/21)in BLBC(P<0.05).(3)In all cases of breast cancer which can be evaluated in 145 cases with CD44+CD24-/low immun-phenotype, Ki-67 index was higher and statistically significant(P<0.05).Conclusion The expression of human breast cancer stem cell markers CD44+CD24-/low in BLBC was significantly higher than other types of breast cancer.Then, we can suppose an association between the prognosis of BLBC and the presence of CD44+CD24-/low cell.

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