田延锋,刘 擘,李 芳.HIF-1α表达与乳腺癌预后的关系[J].肿瘤学杂志,2016,22(6):457-461.
HIF-1α表达与乳腺癌预后的关系
The Relationship of HIF-1α Expression and Prognosis of Breast Cancer
投稿时间:2015-11-14  
DOI:10.11735/j.issn.1671-170X.2016.06.B005
中文关键词:  HIF-1α  Her-2  乳腺肿瘤  预后
英文关键词:HIF-1α  Her-2  breast neoplasms  prognosis
基金项目:河北省科技计划项目(14277755D)
作者单位
田延锋 河北医科大学第一医院 
刘 擘 河北医科大学第一医院 
李 芳 河北医科大学第一医院 
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中文摘要:
      摘 要:[目的] 探讨缺氧诱导因子-1α蛋白(HIF-1α)在乳腺癌中的表达情况及其与乳腺癌临床特征和预后的关系。[方法] 选择56例女性原发性乳腺癌患者的癌组织标本。采用免疫组化法检测癌组织中HIF-1α蛋白的表达状况,分析HIF-1α蛋白表达与各临床特征以及乳腺癌预后的相关性。[结果] HIF-1α蛋白在乳腺癌组织中的阳性表达率(73.2%)及高表达率(41.1%)均明显高于乳腺良性肿瘤组织(P<0.05)。HIF-1α蛋白表达与乳腺癌淋巴结转移、病理学分期及组织学分级有关(P<0.05)。乳腺癌组织中HIF-1α高表达病例5年存活率为29.2%,明显低于HIF-1α低表达病例(81.2%)(P=0.000)。HIF-1α蛋白与Her-2蛋白同时阳性组的患者预后最差(P<0.0001)。 [结论] 乳腺癌组织中HIF-1α的高表达与预后差、生存期短有关,HIF-1α的高表达是乳腺癌的危险因素,有助于判断肿瘤的侵袭性和转移能力。HIF-1α蛋白与Her-2蛋白均为乳腺癌的影响因素,在乳腺癌的进展中可能具有协同作用。
英文摘要:
      Abstract:[Objective] To investigate the expression of HIF-1α in breast cancer and its relationship with clinical features and prognosis of breast cancer.[Methods] The 56 cases of cancer tissue specimens were selected from women with primary breast cancer. The expression level of HIF-1α protein was detected by immunohistochemistry method. The relationship between HIF-1α protein and clinical features were analyzed. [Results] The positive rate(73.2%) and high expression rate(41.1%) of HIF-1α protein expression in breast cancer were significantly higher than those in benign breast tumor group(P<0.05). The expression of HIF-1α protein was correlated with lymph node status,pathobiology stage and histological class(P<0.05). The 5-year survival rate of breast cancer patients in the high expression of HIF-1α was 29.2%,significantly lower than that in the low expression of HIF-1α group(81.2%) (P=0.000). HIF-1α protein and Her-2 protein both positive were correlated with the worst prognosis(P<0.0001). [Conclusions] The high expression of HIF-1α might be associated with poor prognosis and short survival in breast cancer patients significantly. The high expression of HIF-1α is a risk factor for breast cancer,and may be helpful to determine the invasion and metastasis ability of tumor.
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