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NDRG2调控IRE1α-XBP1介导内质网应激逆转ER+乳腺癌他莫昔芬耐药
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作者 王守莹 杜彦艳 +5 位作者 曹鹏 刘文宇 齐俊愉 石炜业 张春晓 周晓雷 《中国生物化学与分子生物学报》 CAS CSCD 北大核心 2024年第10期1409-1416,共8页
他莫昔芬(tamoxifen,TAM)作为雌激素受体阳性(estrogen receptor,ER+)乳腺癌的一线化疗药物使大多数患者受益,但原发性和继发性耐药问题严重影响临床治疗效果。深入研究ER+乳腺癌TAM耐药机制,改善治疗效果是当前亟待解决的问题。抑癌因... 他莫昔芬(tamoxifen,TAM)作为雌激素受体阳性(estrogen receptor,ER+)乳腺癌的一线化疗药物使大多数患者受益,但原发性和继发性耐药问题严重影响临床治疗效果。深入研究ER+乳腺癌TAM耐药机制,改善治疗效果是当前亟待解决的问题。抑癌因子NDRG2(N-myc downstream regulated gene 2,NDRG2)在肿瘤发生发展中发挥重要作用,但是否参与ER+乳腺癌TAM耐药尚不清楚。本研究旨在探明NDRG2在ER+乳腺癌TAM耐药中发挥的作用和机制。通过RT-PCR与免疫印迹分析对比TAM敏感型和耐药型ER+乳腺癌细胞发现,NDRG 2的mRNA转录水平和蛋白质翻译水平在TAM耐药细胞中表达显著下调,且与耐药能力负相关(P<0.001);CCK-8细胞毒性实验和软琼脂克隆形成实验证实,在耐药细胞中过表达NDRG2可显著降低TAM药物半抑制浓度IC 50和软琼脂克隆形成率(P<0.001),逆转耐药表型。分子机制上,X-box结合蛋白1(X-box binding protein 1,XBP1)mRNA剪切实验与内质网相关降解(endoplasmic-reticulum associated degradation,ERAD)报告蛋白的结果显示,过表达NDRG2可增强耐药细胞中剪切型XBP1s mRNA转录与ERAD报告蛋白CD3ε-YFP表达(P<0.001),引发耐药细胞内质网强应激反应;免疫印迹检测结果显示,过表达NDRG2可显著提高耐药细胞中内质网应激感受器肌醇需要激酶1α(inositol requiring enzyme 1,IRE1α)的磷酸化水平及其下游因子,例如内质网EIP辅助因子(endoplasmic reticulum-localized DnaJ 4,ERdj4)、PKR蛋白激酶的细胞抑制剂(cellular Inhibitor of the PKR protein kinase,P58 IPK)、α甘露糖苷酶样应激蛋白(er degradation enhancingαmannosidase likeprotein,EDEM)和蛋白质二硫键异构酶家族A成员5(protein disulfide isomerase family a member 5,PDIA5)的表达水平(P<0.001)。小鼠异种移植瘤研究进一步证实,在耐药细胞中过表达NDRG2可增强TAM治疗效果,显著抑制耐药移植瘤生长(P<0.001)。以上研究结果表明,通过提高耐药细胞中NDRG2表达,增强TAM治疗引发的内质网强烈应激,可逆转ER+乳腺癌细胞耐药性,改善TAM治疗效果。研究结果为解决ER+乳腺癌TAM耐药问题提供了新的思路和有价值的潜在药物靶点。 展开更多
关键词 雌激素受体阳性乳腺癌 N-myc下游调节基因2 他莫昔芬 耐药 内质网应激
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Association between estrogen receptor β gene Rsa1 polymorphism and depressive disorder in peri-menopausal and menopausal women 被引量:3
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作者 于学文 任永惠 +4 位作者 李学成 高成阁 李芬 韩蓁 李旭 《Journal of Medical Colleges of PLA(China)》 CAS 2005年第2期102-105,共4页
Objective: To investigate estrogen receptor β (ERβ) gene Rsa1 polymorphism and concentration of estrogen, FSH and LH in serum in peri-menopausal and menopausal women with depressive disorder. Methods: Seventy-four p... Objective: To investigate estrogen receptor β (ERβ) gene Rsa1 polymorphism and concentration of estrogen, FSH and LH in serum in peri-menopausal and menopausal women with depressive disorder. Methods: Seventy-four peri-menopausal and menopausal women with depressive disorder met ICD-10 and CCMD-3 assessment criteria for depressive disorder were recruited. ERβ gene Rsa1 polymorphism was analyzed with PCR-RFLP. Serum levels of estrogen, FSH and LH were measured by magnetism-ELISA. Results: The respective frequency of ERβ gene Rsa1 polymorphism was no significant difference between women with depressive disorder and the healthy women (χ 2=1.106,P>0.05). The serum level of estrogen was lower in women with depressive disorder than in the healthy women (P<0.05). No difference was found for FSH and LH between two groups. Conclusion: ERβ gene Rsa1 polymorphism may be not associated with depressive disorder in the peri-menopausal and menopausal women. The serum level of estrogen is associated with depressive disorder in the peri-menopausal and menopausal women. 展开更多
关键词 depressive disorder estrogen estrogen receptor β (erβ) restriction fragment length polymorphism (RFLP)
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Increased Cellular Invasion and Proliferation via Estrogen Receptor after 17-<i>β</i>-Estradiol Treatment in Breast Cancer Cells Using Stable Isotopic Labeling with Amino Acids in Cell Culture (SILAC) 被引量:1
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作者 Alimatou M. Tchafa Zhijiu Zhong +2 位作者 Rong Meng Judy N. Quong Andrew A. Quong 《Advances in Breast Cancer Research》 2013年第2期32-43,共12页
17-β-estradiol (estrogen) is a steroid hormone important to human development;however, high levels of this molecule are associated with increased risk of breast cancer primarily due to estrogen’s ability to bind and... 17-β-estradiol (estrogen) is a steroid hormone important to human development;however, high levels of this molecule are associated with increased risk of breast cancer primarily due to estrogen’s ability to bind and activate the estrogen receptor (ER) and initiate gene transcription. Currently, estrogen mechanisms of action are classified as genomic and non-genomic and occur in an ER-dependent and ER-independent manner. In this study, we examine estrogen signaling pathways, by measuring changes in protein expression as a function of time of exposure to estrogen in both ER-positive (MCF-7) and ER-negative (MDA-MB-231) cell lines. Using a robust experimental design utilizing isotopic labeling, two-dimensional LC-MS, and bioinformatics analysis, we report genomic and non-genomic ER regulated estrogen responsive proteins. We find a little over 200 proteins differentially expressed after estrogen treatment. Cell proliferation, transcription, actin filament capping and cell to cell signaling are significantly enriched in the MCF-7 cell line alone. Translational elongation and proteolysis are enriched in both cell lines. Subsets of the proteins presented in this study are for the first time directly associated with estrogen signaling in mammary carcinoma cells. We find that estrogen affected the expression of proteins involved in numerous processes that are related to tumorigenesis such as increased cellular division and invasion in an ER-dependent manner. Moreover, we identified negative regulation of apoptosis as a non-genomic process of estrogen. This study complements gene expression studies and highlights the need for both genomic and proteomic analyses in unraveling the complex mechanisms by which estrogen affects progression of breast cancer. 展开更多
关键词 17-Β-ESTRADIOL Breast Cancer estrogen receptor Mass Spectrometry SILAC
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Increased Midkine and Estrogen Receptor-β Expression in Human Non-Small Cell Lung Cancer 被引量:1
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作者 Shi-hua Zhang Guang-feng Zhao +2 位作者 Ya-hong Huang Kai-hua Lu Ya-yi HOU 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2009年第4期255-264,共10页
Objective: Midkine (MK), a new member of the heparin-binding growth factor family, has been found recently to have a high expression level in many tumor specimens including lung carcinoma. Estrogens may be involved... Objective: Midkine (MK), a new member of the heparin-binding growth factor family, has been found recently to have a high expression level in many tumor specimens including lung carcinoma. Estrogens may be involved in lung carcinogenesis, and estrogen receptors, mainly estrogen receptor-β (ER-β), are present and functional in normal lung and tumor cell lines and tissues. In addition, estrogens and growth factors may promote the progression of human non-small cell lung cancer (NSCLC). Previously, we have immunohistochemically demonstrated that MK and ER-β proteins were overexpressed in NSCLC and their expression levels were both significantly negatively correlated with the pathological classification. The purpose of this study was to further verify their expression and its correlation with NSCLC. Methods: Taking NSCLC tissues and their corresponding paraneoplastic and normal lung as research objects, we further examined the expression of MK and ER-β by meas of RT-PCR, in situ hybridization and Western blot analyses at the levels of messenger RNA (mRNA) and protein, respectively. Results: The increased MK and ER-β mRNA expression was found in NSCLC by RT-PCR and in situ hybridization analyses. Furthermore, Western blot analysis also displayed increased expression of MK and ER-β proteins in NSCLC. Finally, their correlation analysis at the levels of mRNA and protein expression in NSCLC demonstrated that MK protein level was significantly correlated to estrogen receptor-β (P〈0.01, rs=0.535); in spite of their correlation at the mRNA level, there was no remarkable difference between MK and ER-β (P〉0.05, rs=0.178). Conclusion: All these results in the present study confirmed that MK and ER-β were overexpressed in human NSCLC. 展开更多
关键词 Midkine (MK) estrogen receptor-β er-β) Non-small cell lung cancer (NSCLC)
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Correlation of Hormonal Receptors Estrogen Receptor, Progesterone Receptor and Her-2/Neu with Tumor Characteristics in Breast Carcinoma: Study of 100 Consecutive Cases
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作者 Priyadarshini Biswal Susmita Behera +4 位作者 Asaranti Kar Dilleswari Pradhan Pradeep Kumar Behera Subrat Burma Chandraprava Mishra 《International Journal of Clinical Medicine》 2015年第12期961-966,共6页
Introduction-Breast cancer is the most common cancer and leading cause of death in women. In India, its incidence is rapidly rising over last few decades. Present study is aimed to study the pattern of expression of h... Introduction-Breast cancer is the most common cancer and leading cause of death in women. In India, its incidence is rapidly rising over last few decades. Present study is aimed to study the pattern of expression of hormonal receptors and Her-2/neu in invasive breast carcinoma and to correlate estrogen receptor (ER), progesterone receptor (PR) and Her-2/neu expressions with various clinicopathological parameters. Material and methods: The present study was carried out in Department of Pathology, S.C.B. Medical College, Cuttack in the year 2013 taking consecutive 100 cases. Routine H&E staining for histological diagnosis and IHC analysis for ER, PR and Her 2/neu was carried out in all 100 cases of breast malignancies. Results: 99% of cases are invasive breast carcinoma, not otherwise specify (IDC-NOS). The age ranges from 23 years to 72 years. Majority of tumors are of grade 2 (70%) followed by grade 3 (30%). ER PR and Her-2/neu expression are seen in 45%, 35% and 30% respectively. Triple negative cases comprise 35%. Higher number of grade 2 tumor shows ER, PR positivity as compared to grade 3 tumors. Her-2/neu expression does not show any significant correlation with age or lymph node status of the patient. Conclusion: ER and PR expression in breast cancers in the current study are found to be comparable to the findings of other authors, but the frequency of HER-2/neu expression is slightly higher. Significant correlation is observed between hormonal receptor status and the grade of the tumor. Inverse relationship is found between Her-2/neu expression and ER, PR receptor status. Her-2/neu expression is increased with size and high grade of tumor. 展开更多
关键词 Breast Carcinoma estrogen receptor (er) PROGESTerONE receptor (PR) Her-2/NEU IMMUNOHISTOCHEMISTRY
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The Effect of GnRHa Induced Superovulation on Endometrial Morphology and Estrogen Receptor and Progesterone Receptor in Mouse 被引量:2
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作者 Yong-MiaoPAN Yi-FuSHI 《Journal of Reproduction and Contraception》 CAS 2002年第3期152-157,共6页
To evaluate the effect of GnRHa induced superovulation protocol on endometrial morphology and function. Material & Methods Forty ICR mice were randomly allocated into 4 groups, among them, 2 experimental gro... To evaluate the effect of GnRHa induced superovulation protocol on endometrial morphology and function. Material & Methods Forty ICR mice were randomly allocated into 4 groups, among them, 2 experimental groups were injected with GnRHa+HMG+hCG, another 2 groups were given saline of same volume as control group. The uterine tissues were investigated at 24 h and 48 h after administration (experimental group) or ovulation (control group).The endometrial thickness, the size of gland and glandular lumen, the total area of glandular cells, the average height of glandular epithelium were measured from routine histological slides using computerized image analysis. The SP immunohistochemistry techniques with monoclonal antibodies were employed to semi quantitatively analize the estrogen receptor (ER) and progesterone receptor (PR) in glandular cells. Results The endometrial thickness was not significantly different between experimental groups and control groups at 24 h and 48 h (P>0.05).The average area, perimeter, maximal diameter of single gland and glandular lumen, the total area, average height of glandular epithelium in experimental groups were significantly smaller than those of in control groups at equivalent time stages (all P<0.01). The asynchronous development of gland epithelium and stroma cells, namely, pesudostratified glandular epithelium and predecidual changes of stroma cells were seen at same time in experimental groups. The positive percentage (%) and expression intense of ER and PR in glandular epithelium cells were significantly lower in experimental groups than in control groups (P<0.05). Conclusion The protocol with GnRHa had a negative effect on endometrial histological structure and down regulated the express of ER and PR, suggesting that this protocol effect on the endometrial morphology and function and could not facilitate the formation of a physiologic endometrium completely, which may be one of the causes of low pregnancy rates. 展开更多
关键词 GNRHA SUPerOVULATION ENDOMETRIUM HISTOLOGY estrogen receptor (er) progesterone receptor (PR) mice
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Estrogen affects neuropathic pain through upregulating N-methyl-D-aspartate acid receptor 1 expression in the dorsal root ganglion of rats 被引量:8
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作者 Chao Deng Ya-juan Gu +1 位作者 Hong Zhang Jun Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第3期464-469,共6页
Estrogen affects the generation and transmission of neuropathic pain,but the specific regulatory mechanism is still unclear.Activation of the N-methyl-D-aspartate acid receptor 1(NMDAR1) plays an important role in t... Estrogen affects the generation and transmission of neuropathic pain,but the specific regulatory mechanism is still unclear.Activation of the N-methyl-D-aspartate acid receptor 1(NMDAR1) plays an important role in the production and maintenance of hyperalgesia and allodynia.The present study was conducted to determine whether a relationship exists between estrogen and NMDAR1 in peripheral nerve pain.A chronic sciatic nerve constriction injury model of chronic neuropathic pain was established in rats.These rats were then subcutaneously injected with 17β-estradiol,the NMDAR1 antagonist D(-)-2-amino-5-phosphonopentanoic acid(AP-5),or both once daily for 15 days.Compared with injured drug na?ve rats,rats with chronic sciatic nerve injury that were administered estradiol showed a lower paw withdrawal mechanical threshold and a shorter paw withdrawal thermal latency,indicating increased sensitivity to mechanical and thermal pain.Estrogen administration was also associated with increased expression of NMDAR1 immunoreactivity(as assessed by immunohistochemistry) and protein(as determined by western blot assay) in spinal dorsal root ganglia.This 17β-estradiol-induced increase in NMDAR1 expression was blocked by co-administration with AP-5,whereas AP-5 alone did not affect NMDAR1 expression.These results suggest that 17β-estradiol administration significantly reduced mechanical and thermal pain thresholds in rats with chronic constriction of the sciatic nerve,and that the mechanism for this increased sensitivity may be related to the upregulation of NMDAR1 expression in dorsal root ganglia. 展开更多
关键词 nerve regeneration peripheral nerve injury estrogen 17Β-ESTRADIOL N-rnethyl-D-aspartic acid receptor 1 pain sciatic nerve chronic constriction injury neuropathic pain D(-)-2-amino-5-phosphonopentanoic acid dorsal root ganglion spinal cord IMMUNOREACTIVITY western blot assay neural regeneration
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Effects of Estrogen on ER, NGF, and ChAT Expression in Cerebellum of Aging Female Sprague-Dawley Rat 被引量:1
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作者 CHEN Zheng-li FAN Guang-li +2 位作者 LUO Qi-hui ZHU Chun-mei HUANG Yi-dan 《Agricultural Sciences in China》 CAS CSCD 2007年第3期368-374,共7页
This article discusses the effects of estrogen on the expression of estrogen receptor (ER), nerve growth factor (NGF), and choline acetyltransferase (CHAT) in the cerebellum of rats. The model of aging female ra... This article discusses the effects of estrogen on the expression of estrogen receptor (ER), nerve growth factor (NGF), and choline acetyltransferase (CHAT) in the cerebellum of rats. The model of aging female rat was established to study the expression and distribution of ER, NGF, and ChAT in the cerebellum following 17β-estradiol treatment using the technique of immunohistochemical ultrasensitive SP in sprague-dawley rat. The immunoreactive productions were distributed in stratum Purkinje cell, nucleus dentatus, nucleus interpositus, and nucleus fastigii of cerebellum, and the ER positive production was mainly located in the plasma, cytoplasmic membrane, and neurite, and also existed in nucleus. The general tendency of the expression of ER, NGF, and ChAT positive production in the cerebellum cortex and nuclei of aging rat significantly decreases, while the intensity and quantity of the immunoreactive production ascends predominantly after 17β-estradiol treatment. Simultaneously, the positive neurite of Purkinje cell shows a similar tendency. The above- mentioned results suggest that the estrogen upregulates the expression of NGF and CHAT, and plays a vital role in sustaining and protecting the structure and function of cerebellum neurons. Furthermore, the similarity of their changing tendency implies that they were correlated and cooperated during the course in effect of estrogen on cerebellum. It also showed that the action of estrogen in cerebellum could be via genomic and nongenomic mechanism. 展开更多
关键词 estrogen receptor er) nerve growth factor (NGF) choline acetyltransferase (CHAT) immunohistochemical ultrasensitive SP CerEBELLUM rat
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The expression of estrogen receptors in thyroid cancer and its significance 被引量:1
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作者 Yuxuan Che Huamin Qin +2 位作者 Xiaolei Ding Xiuhua Sun Lifen Wang 《Oncology and Translational Medicine》 2017年第3期127-130,共4页
Objective The study aimed to detect the expression of estrogen receptors(ERs) in thyroid cancer and investigate the correlation between their expression and clinical features and different pathological types.Methods T... Objective The study aimed to detect the expression of estrogen receptors(ERs) in thyroid cancer and investigate the correlation between their expression and clinical features and different pathological types.Methods The expression of ERs in 56 samples of thyroid cancer tissues was detected by an immunochemical approach. The expression of ERs in thyroid cancer tissues and different pathological types were analyzed using the χ~2 test. Results The number of cases with positive expression of ER in thyroid cancer tissues was 36. The number of papillary thyroid cancers(PTCs) was 48, with positive expression of ERs in 32 cases. The number of follicular thyroid cancers was 4, with positive expression of ERs in 2 cases. The number of medullary thyroid cancers was 4, with negative expression of ERs in all cases. The difference between the expression and different pathological types showed statistical significance. The expression of ERs showed no correlation with sex, age, or TNM stage, with no statistical significance. However, the expression of ERs was correlated with metastasis of lymph nodes, which had statistical significance. The expression of ERs was negatively correlated with pathological types and metastasis of lymph nodes. The correlated coefficient index was –0.313 and –0.334, respectively. Conclusion The expression of ERs showed no correlation with sex, age, or TNM stage, but was negatively correlated with pathological types and metastasis of lymph nodes. 展开更多
关键词 thyroid cancer estrogen receptorer) pathological type
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Studies of the Expression of Estrogen Receptor Gene in the Rat Uterus during the Estrous Cycle and Periimplantational Period
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作者 张沅 秦武轩 +3 位作者 赵炳顺 范植明 邹继超 张永莲 《Journal of Reproduction and Contraception》 CAS 1995年第2期65-73,共9页
The correlation or serum estradiol concentrstion and uterine estrogen receptor (ER) gene expression (ERn and ERc quantitated by Dextrsn Coat Charcoal assay and ER mRNA by Northern blotting) was studied during the rat ... The correlation or serum estradiol concentrstion and uterine estrogen receptor (ER) gene expression (ERn and ERc quantitated by Dextrsn Coat Charcoal assay and ER mRNA by Northern blotting) was studied during the rat estrous cycle and early Pregnant stage (dl-d10). The ER gone expression was up - regulated by estrogen and the levels of ER mRNA synchronized with the changes of ER protein, suggesting that estrogen influenced the trsnscriPtional step of the ER gene. Post-coitum ER expression increased with the serum estrsdiol progressively, reached a peak on d4-ds (Just before implantation), but drastically dropped to the nadir on d6-d7 (during implantation) and then recovered. It was of interest to discover that ER mRNA level in the nonimplantstion sites (NIS) of uterus was much higher than that in the implantstion sites (IS). 展开更多
关键词 IMPLANTATION Estradiol (E_2) estrogen receptor (er) gene mRNA
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SAH抑制内皮细胞增殖和ER-α表达作用 被引量:2
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作者 余小平 刘驰 +3 位作者 夏敏 王庆 迟东升 凌文华 《中国公共卫生》 CAS CSCD 北大核心 2008年第1期119-121,共3页
目的探讨胞内S-腺苷同型半胱氨酸(SAH)升高抑制血管内皮细胞增殖和雌激素受体-α(ER-α)表达变化的关系。方法以永生化的人脐静脉内皮细胞(HUVEC)为研究对象,经不同浓度的S-腺苷同型半胱氨酸水解酶(SAHH)强效抑制剂3-deazaadenosine(DZA... 目的探讨胞内S-腺苷同型半胱氨酸(SAH)升高抑制血管内皮细胞增殖和雌激素受体-α(ER-α)表达变化的关系。方法以永生化的人脐静脉内皮细胞(HUVEC)为研究对象,经不同浓度的S-腺苷同型半胱氨酸水解酶(SAHH)强效抑制剂3-deazaadenosine(DZA)处理24,48,72 h。利用细胞计数法、流式细胞仪和脱氧核糖核酸转移酶缺口末端标记法(TUNEL)检测细胞的增殖凋亡能力,蛋白印迹法检测ER-α蛋白的表达,荧光定量-PCR(qRT-PCR)检测其mRNA表达,甲基化特异PCR法(MSP)检测ER-α基因启动子甲基化状态。结果经DZA处理后,HU-VEC增殖能力降低(主要受阻于G1/G0期),细胞凋亡率增加(P<0.05),ER-αmRNA和蛋白的相对表达量降低(P<0.05),但其启动子甲基化不发生改变。结论胞内SAH升高抑制HUVEC的增殖能力与ER-α的表达变化有关,但这种作用不是通过改变ER-α基因启动子的甲基化而实现。 展开更多
关键词 S-腺苷同型半胱氨酸 雌激素受体 人脐静脉内皮细胞 甲基化
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子宫内膜异位症伴不孕患者ER-α基因多态性与GnRH-a治疗效果的关系 被引量:3
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作者 李江鹏 王建锋 +2 位作者 杨晶洁 马文娟 王恒 《中国性科学》 2020年第5期88-91,共4页
目的探讨雌激素受体-α(ER-α)基因多态性与子宫内膜异位症合并不孕患者行促性腺激素释放激素激动剂(GnRH-a)治疗效果的关系,明确是否存在与疗效有关的基因型。方法选取2016年3月至2018年3月西安市第四医院妇产科诊治并手术的93例子宫... 目的探讨雌激素受体-α(ER-α)基因多态性与子宫内膜异位症合并不孕患者行促性腺激素释放激素激动剂(GnRH-a)治疗效果的关系,明确是否存在与疗效有关的基因型。方法选取2016年3月至2018年3月西安市第四医院妇产科诊治并手术的93例子宫内膜异位症伴不孕患者作为研究对象。进行ER-α基因多态性检测及基因分型,给予患者3个周期GnRH-a治疗,随访12个月比较不同ER-α基因型患者经GnRH-a治疗后妊娠成功率、复发率以及术后痛经评分差异。结果93例患者PvuⅡ-397 T>C多态位点3种基因型分别为:TT型27例(29.0%),TC型29例(31.2%),CC型37例(39.8%);XbaⅠ-351 A>G多态位点基因型分别为AA型18例(19.4%),AG型37例(39.8%),GG型38例(40.8%);PvuⅡ-397 T>C位点TT、TC、CC基因型患者妊娠成功、复发率、术后痛经评分比较,差异均无统计学意义(P>0.05);XbaⅠ-351 A>G位点AA、AG、GG基因型妊娠成功率、复发率、术后痛经评分比较,差异具有统计学意义(P<0.05)。结论ER-α基因XbaⅠ-351 A>G位点基因多态性与术后GnRH-a治疗子宫内膜异位症合并不孕患者疗效有关。 展开更多
关键词 子宫内膜异位症伴不孕 雌激素受体 基因多态性 促性腺激素释放激素激动剂
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新型雌激素受体ER-α36与乳腺癌 被引量:12
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作者 廉馨 史丹 李洪艳 《中国生物化学与分子生物学报》 CAS CSCD 北大核心 2015年第1期34-37,共4页
雌激素受体(estrogen receptor,ER)是诊断和治疗乳腺癌的分子标志和靶点.雌激素受体包括ER-α和ER-β,其中ER-α有ER-α66、ER-α46和ER-α36三种亚型.ER-α36作为新型雌激素受体,参与膜起始的雌激素信号或非基因组雌激素信号转导,在肿... 雌激素受体(estrogen receptor,ER)是诊断和治疗乳腺癌的分子标志和靶点.雌激素受体包括ER-α和ER-β,其中ER-α有ER-α66、ER-α46和ER-α36三种亚型.ER-α36作为新型雌激素受体,参与膜起始的雌激素信号或非基因组雌激素信号转导,在肿瘤细胞的增殖、分化、侵袭和转移等过程中发挥作用.胃癌、子宫内膜腺癌、前列腺癌、尤其是乳腺癌的发生发展与ER-α36密切相关.本文介绍了ER-α36的结构域特点,ER-α36介导的信号通路及ER-α36在乳腺癌治疗中的作用研究进展. 展开更多
关键词 雌激素受体 雌激素受体α36 乳腺癌
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ER、PR以及HER-2在乳腺癌原发灶及复发灶间表达差异及其临床意义 被引量:10
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作者 杜江 董朝 +1 位作者 钟红 马斌林 《新疆医科大学学报》 CAS 2013年第5期653-655,共3页
目的探讨复发转移乳腺癌病例原发灶与复发转移灶之间存在的受体差异及其临床意义。方法采用免疫组织化学方法检测45例复发转移乳腺癌病例中雌激素受体(estrogen receptor,ER)、孕激素受体(proges-terone receptor,PR)以及人表皮生长因... 目的探讨复发转移乳腺癌病例原发灶与复发转移灶之间存在的受体差异及其临床意义。方法采用免疫组织化学方法检测45例复发转移乳腺癌病例中雌激素受体(estrogen receptor,ER)、孕激素受体(proges-terone receptor,PR)以及人表皮生长因子受体2(human epidermal growth factor receptor-2,HER-2)在原发灶与复发转移灶之间的表达差异。结果在原发灶中,27例患者ER阳性,阳性率为60.00%,在复发转移灶中16例患者ER阳性,阳性率为35.56%,原发灶中ER阳性率高于复发转移灶ER的阳性率,差异有统计学意义(P<0.05);在45例乳腺癌病例原发病灶中,PR、HER-2阳性分别为23例(51.11%)、9例(20.00%),复发转移病灶中,PR、HER-2阳性分别为21例(46.67%)、10例(22.22%),原发灶与复发转移灶中PR、HER-2表达差异无统计学意义(P>0.05)。在45例乳腺癌病例中,ER由阳性转为阴性者共9例,由阴性转为阳性者2例,总的变化例数为11例,变化率为24.44%;PR由阳性转为阴性者共8例,由阴性性转为阳性者共5例,总的变化数为13例,变化率为28.89%;有4例HER2阴性患者在复发转移灶中过表达,另外有3例患者转化为转移灶的阴性或低表达,总的变化数为7例,变化率为15.56%。结论 ER在乳腺癌原发灶以及转移复发灶之间的表达存在差异,对于乳腺癌复发转移患者制定治疗方案时,应充分考虑到受体变化的影响。 展开更多
关键词 乳腺癌 雌激素受体(er) 孕激素受体(PR) 人表皮生长因子受体2(Her-2) 免疫组织化学
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ER/PR^+和HER2^-型乳腺癌患者免疫组化指标的列线图预后模型 被引量:6
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作者 吴莹 洪晏 +2 位作者 谢轶群 李曦洲 刘洋 《中国肿瘤生物治疗杂志》 CAS CSCD 北大核心 2018年第9期934-939,共6页
目的:探讨改良雌激素受体(estrogen receptor,ER)/孕激素受体(progesterone receptor,PR)阳性(^+)及人类表皮生长因子受体2(human epidermal growth factor receptor 2,HER2)阴性(-)(ER/PR^+、HER2-)型乳腺癌患者的传统预后模型,满足目... 目的:探讨改良雌激素受体(estrogen receptor,ER)/孕激素受体(progesterone receptor,PR)阳性(^+)及人类表皮生长因子受体2(human epidermal growth factor receptor 2,HER2)阴性(-)(ER/PR^+、HER2-)型乳腺癌患者的传统预后模型,满足目前的临床实际需求。方法:选取了2009年1月至2009年12月上海市黄浦区中心医院乳腺外科收治的335例ER/PR^+、HER2-型乳腺癌患者。将97个变量纳入模型,采用SCAD变量选择的方法,在充分考虑协变量是否存在对数线性关系、非对数线性关系(分段线性关系)临界值的合理确定、共线问题后,构建一个新的ER/PR^+、HER2-型乳腺癌患者传统免疫组化指标的Cox回归预后模型,并进一步建立其列线图模型;在此基础上建立了术后1、3和5年生存概率的列线图;并通过比较模型的区分度(discrimination)和校准度(calibration)来评价模型的预测能力。结果:通过乳腺癌预后建立Cox回归模型结果显示,患者的预后与组织级别、淋巴结转移、Ki67、PR和年龄等因素有关;其中组织级别和淋巴结转移对风险比的影响呈对数线性关系,Ki67、PR和年龄对风险比的影响呈非对数线性关系,其合理临界值分别为Ki67(60%)、PR(20%)和年龄(55岁)。该模型术后1、3和5年的ROC曲线下面积(AUC值)均高于0.85,说明该Cox回归模型具有较高的区分度。该模型Gr?nnesby-Borgan拟合优度检验统计量值为1.37、对应的P值为0.5,说明该Cox回归模型有较好的校准度。结论:通过改良ER/PR^+和HER2-型乳腺癌患者的传统预后模型,建立患者术后1、3和5年生存概率的列线图,能准确、直观、有效地预测患者的生存概率,对乳腺癌患者临床治疗有较好的指导意义。 展开更多
关键词 乳腺癌 雌激素受体 孕激素受体 人类表皮生长因子受体2 传统免疫组化指标 列线图 预后模型
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乳腺癌超声特征与ER、PR、C-erbB-2表达的相关性分析 被引量:9
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作者 陈剑琼 孙国平 王露 《安徽医学》 2011年第12期2058-2060,共3页
目的探讨乳腺癌超声表现与ER、PR和C-erbB-2表达的关系及其临床意义。方法对97例病理证实为乳腺癌患者的彩色多普勒超声表现与病理切片ER、PR、C-erbB-2免疫组织化学染色结果进行回顾性分析。结果①乳腺癌肿块的大小与ER、PR、C-erbB-2... 目的探讨乳腺癌超声表现与ER、PR和C-erbB-2表达的关系及其临床意义。方法对97例病理证实为乳腺癌患者的彩色多普勒超声表现与病理切片ER、PR、C-erbB-2免疫组织化学染色结果进行回顾性分析。结果①乳腺癌肿块的大小与ER、PR、C-erbB-2表达相关性分析差异无统计学意义(P>0.05)。②乳腺癌肿块边缘、血流信号分级及腋窝淋巴结转移与ER、PR、C-erbB-2的表达相关,差异有统计学意义(P<0.05)。结论乳腺癌超声表现与ER、PR、C-erbB-2表达有一定的相关性,二者结合分析为乳腺癌的临床诊断、治疗、预后提供重要依据。 展开更多
关键词 乳腺癌 超声 雌激素受体(er) 孕激素受体(PR) C-erBB-2
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p120ctn和Her-2在ER、PR阴性乳腺癌组织中的表达及临床意义 被引量:3
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作者 邹三鹏 林珊 +4 位作者 陈涛 胡刚 周金梅 黄浩 熊柳冰 《现代肿瘤医学》 CAS 2016年第15期2401-2405,共5页
目的:探讨连环蛋白p120(p120ctn)和人表皮生长因子受体-2(Her-2)在ER、PR阴性乳腺癌组织中的表达情况及其与临床病理特征的关系。方法:用免疫组化方法检测87例雌激素受体(ER)、孕激素受体(PR)阴性乳腺癌组织及其中41例癌旁乳腺组织和33... 目的:探讨连环蛋白p120(p120ctn)和人表皮生长因子受体-2(Her-2)在ER、PR阴性乳腺癌组织中的表达情况及其与临床病理特征的关系。方法:用免疫组化方法检测87例雌激素受体(ER)、孕激素受体(PR)阴性乳腺癌组织及其中41例癌旁乳腺组织和33例乳腺纤维腺瘤组织中Her-2及p120ctn的表达情况。结果:87例ER、PR阴性乳腺癌组织中p120ctn蛋白在细胞膜异常表达率为63.2%(55/87),Her-2阳性表达为60.9%(53/87)。41例癌旁乳腺组织中p120ctn蛋白在细胞膜异常表达率为7.3%(3/41),Her-2无阳性表达;33例乳腺纤维腺瘤组织中p120ctn异常表达率为9.1%(3/33),Her-2亦无阳性表达。p120ctn异常表达、Her-2阳性表达在ER、PR阴性乳腺癌组织与癌旁乳腺组织、乳腺纤维腺瘤组织中差异显著(P=0.000)。p120ctn的异常表达和Her-2的阳性表达与癌组织的组织学分级和淋巴结转移均显著相关(P<0.05),与患者的月经、年龄、肿瘤大小和临床分期无关(P>0.05)。p120ctn的异常表达和Her-2的阳性表达在ER、PR阴性乳腺癌组织中呈显著正相关关系(r=0.952,P=0.000)。结论:p120ctn的异常表达和Her-2阳性表达在ER、PR阴性乳腺癌的发生、发展中可能起到协同作用。联合检测对评估预后以及为基因靶向治疗提供初步依据。 展开更多
关键词 乳腺肿瘤 连环蛋白p120ctn 人表皮生长因子受体-2 雌激素受体 孕激素受体 免疫组织化学
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P-糖蛋白与ER、PR在乳腺癌中的表达及意义 被引量:2
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作者 蒋光愉 钟雪云 +1 位作者 廖剑辉 李红 《癌症》 SCIE CAS CSCD 北大核心 1999年第2期169-171,共3页
目的:探讨耐药基因P-糖蛋白(P-gP)在乳腺癌的表达,以及与组织学类型、淋巴结转移、ER和PR之间的相互关系,为乳腺癌的优化化疗,预测预后提供有用的指标的方法:应用免疫组化检测37例乳腺癌和10例非癌病变的P-gP、ER、PR。结果... 目的:探讨耐药基因P-糖蛋白(P-gP)在乳腺癌的表达,以及与组织学类型、淋巴结转移、ER和PR之间的相互关系,为乳腺癌的优化化疗,预测预后提供有用的指标的方法:应用免疫组化检测37例乳腺癌和10例非癌病变的P-gP、ER、PR。结果:ER、PR的阳性率分别为43.24%和40.54%,P-gP的表达率为70%,27例P-gP阳性病例中有50%左右ER和PR同时表达。结论:乳腺癌是耐药基因P-gP高表达肿瘤,P-gP与组织学类型、淋巴结转移之间无相互关系,与ER、PR有关,提示乳腺癌的化疗若辅于性激素治疗,疗效可能更好。 展开更多
关键词 雌激素受体 孕激素受体 乳腺癌 P-糖蛋白
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乳腺癌新辅助化疗前后ER、PR、Ki-67和Her-2变化 被引量:16
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作者 周晓芳 王增 李楚倩 《中国妇幼健康研究》 2016年第3期320-322,共3页
目的探讨乳腺癌患者新辅助化疗前后雌激素受体(ER)、孕激素受体(PR)、Ki-67抗原(Ki-67)、人表皮生长因子受体-2(Her-2)表达的变化及意义。方法回顾性分析99例接受新辅助化疗的乳腺癌患者临床资料,观察化疗近期疗效,免疫组化检测化疗前... 目的探讨乳腺癌患者新辅助化疗前后雌激素受体(ER)、孕激素受体(PR)、Ki-67抗原(Ki-67)、人表皮生长因子受体-2(Her-2)表达的变化及意义。方法回顾性分析99例接受新辅助化疗的乳腺癌患者临床资料,观察化疗近期疗效,免疫组化检测化疗前后乳腺癌组织中ER、PR、Ki-67、Her-2的表达,分析化疗前四者的相关性,疗效与其化疗前表达的关系以及化疗对其表达的影响。结果新辅助化疗前ER与PR呈显著正相关(r=0.731,P=0.000),与Ki-67呈显著负相关(r=-0.298,P=0.003),PR也与Ki-67呈显著负相关(r=-0.265,P=0.014);化疗结束后16例获得PCR,PCR率为16.16%,ER、PR阴性表达的患者病理完全缓解(PCR)率高于阳性表达患者,差异有统计学意义(x^2值分别为12.038、10.834,均P<0.05);化疗前激素受体、Ki-67和Her-2阳性/阴性表达或过表达/非过表达间总有效率的比较差异均无统计学意义(x^2值分别为0.38、0.17、0.13、0.04,均P>0.05);除去16例获得PCR患者,剩余83例患者新辅助化疗后Ki-67阳性率显著降低,差异有统计学意义(x^2=7.923,P<0.05),ER、PR阳性率、Her-2过表达率均无显著变化,差异均无统计学意义(x^2值分别为0.965、1.364、0.392,均P>0.05)。结论 ER、PR阴性表达的乳腺癌患者Ki-67表达增加,提示增殖能力较强,而新辅助化疗可以下调Ki-67表达,降低肿瘤的增殖活性,ER、PR阴性患者对新辅助化疗更为敏感。乳腺癌组织ER、PR和Ki-67表达的变化可以有效预测新辅助化疗的疗效。 展开更多
关键词 乳腺癌 雌激素受体 孕激素受体 KI-67抗原 人表皮生长因子受体-2
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C-erbB-2蛋白在子宫内膜病变中的表达及临床意义 被引量:2
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作者 马晓欣 苗青 +2 位作者 王晓莉 张淑兰 曲桂红 《中国现代医学杂志》 CAS CSCD 北大核心 2006年第4期550-552,561,共4页
目的研究C-erbB-2蛋白在子宫内膜病变中的表达规律及其在子宫内膜癌的发生、预后评估的临床价值。方法用免疫组化法(S-P)检测增生期、分泌期正常子宫内膜各15例作为对照组,子宫内膜增殖症30例、非典型增生30例、子宫内膜癌高、中、低分... 目的研究C-erbB-2蛋白在子宫内膜病变中的表达规律及其在子宫内膜癌的发生、预后评估的临床价值。方法用免疫组化法(S-P)检测增生期、分泌期正常子宫内膜各15例作为对照组,子宫内膜增殖症30例、非典型增生30例、子宫内膜癌高、中、低分化各30例,共150例作为实验组,观察C-erbB-2蛋白及雌激素受体(ER)、孕激素受体(PR)在正常子宫内膜及不同内膜病变中的阳性表达。结果C-erbB-2蛋白和ER、PR在子宫内膜增殖症、非典型增生中阳性表达与对照组相比无统计学差异(P>0.05)。在子宫内膜癌中,C-erbB-2蛋白的阳性表达明显升高,有统计学意义(P<0.01);在子宫内膜癌中ER、PR阳性表达降低,与对照组比较有意义。C-erbB-2蛋白阳性表达率与临床分期(P<0.05)、组织分化程度(P<0.05)、淋巴转移(P<0.01)和ER、PR(P<0.05)有关。结论C-erbB-2蛋白、ER、PR与子宫内膜癌的发生密切相关,C-erbB-2蛋白表达增加、ER及PR表达减少提示子宫内膜病变恶性程度高,且预后不良。 展开更多
关键词 子宫内膜病变 C-erBB-2蛋白 雌激素受体(er) 孕激素受体(PR)
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