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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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MiR-214 increases the sensitivity of breast cancer cells to tamoxifen and fulvestrant through inhibition of autophagy 被引量:14
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期243-243,共1页
Aim Breast cancer is one of the lethal gynecological malignancy in the world. Tamoxifen (TAM) and fulvestrant (FUL) are the major drugs for patients with estrogen receptor-positive (ER + ) breast cancers. Howev... Aim Breast cancer is one of the lethal gynecological malignancy in the world. Tamoxifen (TAM) and fulvestrant (FUL) are the major drugs for patients with estrogen receptor-positive (ER + ) breast cancers. Howev- er, the development of endocrine resistance is the impediment for successful treatment. In this study, we explored the mechanisms of endocrine resistance and therapeutic strategy for overcoming resistance against TAM and FUL. Methods The experiments were performed in Ell + and estrogen/TAM-sensitive MCF7 cells and antiestrogen-re- sistant MCF7/LCC9 cells. Western blot and confocal microscopy were used to determine cell autophagy. Cell trans- fection and luciferase activity assay were performed to identify the target gene of miR-214. Results It showed that 4-OHT/FUL treatment induced apoptosis as well as autophagy in breast cancer cells. The increase of autophagy might be the major cause of endocrine resistance to 4-OHT or FUL. Mill-214 increased the sensitivity of breast cancer cells to the 4-OHT/FUL-induced apoptosis through inhibition of autophagy. Importantly, a negative correla- tion was established between miR-214 and UCP2 in human breast cancer tissue specimens by RT-qPCR assay. UCP2 was identified to be a direct target of mill-214. Further study in MCF7/LCC9 cells indicated that endocrine resistance might arise from activation of the PI3 K-Akt-mTOll pathway, thereby inducing autophagy by overexpres- sion of UCP2. Conclusions MiR-214 increased the sensitivity of breast cancer cells to TAM and FUL through in- hibition of autophagy by targeting UCP2. Mill-214 shows potential as a novel therapeutic strategy for overcoming endocrine resistance in ER + breast cancers. 展开更多
关键词 er + breast cancer ENDOCRINE resistance apoptosis AUTOPHAGY miR-214 UCP2
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Dietary Daidzein Enhances Antiapoptotic Effect of 17β-Estradiol (E_2) on Breast Cancer MCF-7 Cells 被引量:2
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作者 Xiao-fei Wu Yi-jing Wang Guo-liang Xia Mei-jia Zhang 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2010年第1期10-16,共7页
Objective: To investigate whether dietary daidzein interact with endogenous 17β-Estradiol (E2) to give rise to additive or inhibitory effects on proliferation and apoptosis in breast cancer cells. Methods: Cell ... Objective: To investigate whether dietary daidzein interact with endogenous 17β-Estradiol (E2) to give rise to additive or inhibitory effects on proliferation and apoptosis in breast cancer cells. Methods: Cell cycle distribution and apoptosis induction were analyzed by using flow cytometry when breast cancer cell lines MCF-7 were cotreated with daidzein (1, 5 μmol/L) and E2 (0.1-10 nmol/L) for 5 days. Whether daidzein could alter E2-modulated mRNA expression of estrogen receptor alpha (ERα), estrogen receptor beta (ERI3) and ERβ-estrogen response element (ERE) dependent transcription was investigated by RT-PCR and luciferase induction assays. The effects of daidzein on E2-modulated expression of proapoptotic p53, bax and antiapoptotic bcl-2 at both mRNA and protein levels were also investigated by RT-PCR and Western blot. Results: Daidzein enhanced the antiapoptotic effect in an Ea dose-dependent manner, but had no effect on E2-induced proliferation. Daidzein antagonized E2-induced ERβ mRNA expression and ERβ-ERE dependent transcription. In addition, daidzein only antagonized E2-upregulated expression of p53 and bax, but had no effect on E2-upregulated expression of bcl-2. Conclusion: Daidzein enhances the antiapoptotic effect of E2 on breast cancer cells by inhibiting E2-mediated p53-bax proapoptotic pathway. These results suggest that dietary daidzein may enhance deleterious effect of endogenous E2 in hormone-dependent breast cancer. 展开更多
关键词 DAIDZEIN E2 breast cancer MCF-7 cells Antiapoptotic effect Estrogen receptor er
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Discovery of a novel eEF2K inhibitor (BL-EKI03) that induces ER stress, autophagy and apoptosis in breast cancer
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期231-232,共2页
Aim Recent evidence has revealed that Eukaryotic elongation factor-2 kinase (eEF2K) activity may confer cancer cell adaptation to metabolic stress, and high expression of eEF2K is found in several types of cancer. T... Aim Recent evidence has revealed that Eukaryotic elongation factor-2 kinase (eEF2K) activity may confer cancer cell adaptation to metabolic stress, and high expression of eEF2K is found in several types of cancer. Therefore, eEF2K may contribute to carcinogenesis and represent a promising therapeutic target; however, inhibi- tion of eEF2K for cancer drug discovery still remains in its infancy. This study aimed at developing a series of eEF2K inhibitor as candidate anti-tumor drugs in breast cancer and illustrating the possible mechanisms of its anti- tumor activity in vitro and in vivo. Methods In silico screening, structure modifications, MTT assay and molecular dynamics (MD) simulations were applied for the discovery of the novel eEF2K inhibitor (BL-EKI03). Observa- tions of cell morphology were executed through several methods including ER-traeker, MDC and Hoeehst 33258 staining and GFP-LC3 transfeetion. Flow eytometrie analyses of MDC and Annexin V/PI were used for quantifica- tion of autophagy and apoptosis ratio. Western blot and ITRAQ analysis were used to explore the detailed mecha- nisms of BL-EKI03-induced ER stress, autophagie death and apoptosis in breast cancer cells. Furthermore, an in vivo xenograft mouse model was established for validating the anti-tumor efficacy of BL-EKI03. Results Firstly, a novel eEF2K inhibitor (BL-EKI03) with a good affinity for eEF2K was eventually discovered after computational screening and synthesis of a series of candidate compounds targeting eEF2K. Subsequently, our results demonstra- ted that BL-EKI03 has remarkable anti-proliferative activities and induces endoplasmie retieulum (ER) stress, au- tophagy and apoptosis in MCF-7 and MDA-MB-436 cells. More importantly, the mechanism for BL-EKI03-indueed autophagie death involves eEF2K-mediated AMPK-mTOR-ULK complex pathways. The proteomies analyses and ex-perimental validation revealed that the BL-EKI03-induced mechanism was also involved BIRC6, BNIP1, SNAP29 and Bif-1, which might be regulated by eEF2K. Moreover, BL-EKI03 exerted its anti-tumor activities without re- markable toxicity, and it also induced autophagy and apoptosis by targeting eEF2K in fifo. Conclusion In this study, a novel eEF2K inhibitor (BL-EKI03) was discovered with remarkable anti-proliferative activities and in- duced endoplasmic reticulum (ER) stress, autophagy and apoptosis of breast cancer in vitro and in fifo. These findings highlight a new small-molecule eEF2K inhibitor (BL-EKI03) that has the potential to impact future breast cancer therapy. 展开更多
关键词 EUKARYOTIC elongation factor-2 kinase (eEF2K)lure (er) stress AUTOPHAGY APOPTOSIS breast cancer. eEF2K INHIBITOR (BL-EKI03) endoplasmic reticu-
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Relationship between expression of ER, PR, Her-2, Ki-67 and neoadjuvant chemotherapy effect in breast cancer
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作者 Junping Xu Hongsheng Yu 《The Chinese-German Journal of Clinical Oncology》 CAS 2014年第5期220-223,共4页
Objective: The purpose of the study was to investigate the relationship between the expression of estrogen receptor(ER), progestogen receptor(PR), human epidermal growth factor receptor(Her-2), Ki-67 and the effect of... Objective: The purpose of the study was to investigate the relationship between the expression of estrogen receptor(ER), progestogen receptor(PR), human epidermal growth factor receptor(Her-2), Ki-67 and the effect of neoadjuvant chemotherapy in breast cancer. Methods: The expression of ER, PR, Her-2 and Ki-67 in 45 breast cancers which received neoadjuvant chemotherapy was detected by immunohistochemistry. Results: The effective rates in ER negative and PR negative groups were higher than those in ER positive and PR positive groups(83.3% vs 59. 4%, 82.4% vs 60.6%). There was no significant difference of the effective rate between Her-2 overexpressed group and Her-2 non-overexpressed group(81.8% vs 64.1%), and the same thing happened between Ki-67 negative group and Ki-67 positive group(67.7% vs 63.2%). Conclusion: In the patients with breast cancer, ER, PR negative ones were more sensitive to neoadjuvant chemotherapy. These patients may get more benefits from chemotherapy. ER, PR could be feasible markers for predicting the effective rate of neoadjuvant chemotherapy. 展开更多
关键词 breast cancer neoadjuvant chemotherapy estrogen receptor er progestogen receptor (PR) human epider-mal growth factor receptor (Her-2 KI-67
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ER、PR、Her-2及Ki-67在乳腺癌患者新辅助化疗后表达情况及意义分析 被引量:3
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作者 莫佳妮 赵慧 《现代诊断与治疗》 CAS 2023年第1期8-10,共3页
目的探讨雌激素受体(ER)、孕激素受体(PR)、人表皮生长因子受体2(Her-2)及细胞增殖标志物Ki-67抗原(antigen Ki-67,ki67)在乳腺癌患者新辅助化疗后表达情况及意义。方法回顾性分析2020年1月至2022年1月在我院接受乳腺癌新辅助化疗的患... 目的探讨雌激素受体(ER)、孕激素受体(PR)、人表皮生长因子受体2(Her-2)及细胞增殖标志物Ki-67抗原(antigen Ki-67,ki67)在乳腺癌患者新辅助化疗后表达情况及意义。方法回顾性分析2020年1月至2022年1月在我院接受乳腺癌新辅助化疗的患者68例,研究患者癌组织化疗前后ER、PR、Her-2及Ki-67表达情况。结果乳腺癌患者肿瘤组织内ER、PR、Her-2新辅助化疗前后阳性率比较,差异均无统计学意义(P>0.05);Ki-67新辅助化疗后高表达率为58.82%,低于化疗前的77.94%,差异有统计学意义(P<0.05)。结论乳腺癌新辅助化疗前后肿瘤组织内ER、PR、Her-2表达无差异,但会造成Ki-67高表达率显著降低,可作为预测乳腺癌新辅助化疗药物敏感性和疗效的敏感指标。 展开更多
关键词 er PR Her-2 KI-67 乳腺癌 新辅助化疗
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A Variant of Human Estrogen Receptor-α,hER-α36 Weakens Docetaxel Drug Efficacy against Human Breast Cancer Cell Line MCF-7 被引量:3
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作者 Li Yu Peng Shen 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2009年第4期325-332,共8页
Objective: hER-α36 is a variant of estrogen receptor-a, identified and cloned by a team of American. This research is to determine whether hER-α36 can enhance or weaken chemosensitivity to docetaxel in breast cance... Objective: hER-α36 is a variant of estrogen receptor-a, identified and cloned by a team of American. This research is to determine whether hER-α36 can enhance or weaken chemosensitivity to docetaxel in breast cancer cell line MCF-7(ERα66 positive). Methods: RT-PCR was used to detect the expressions of ERα66 and ERa36 in the two human breast cancer cell lines MCF-7(MCF-7/ERα66) and MCF-7 transfected with ERa36(MCF-7/ERα36). The two cell lines were treated with docetaxel(0-100umol/L), and cell growth and apoptosis were evaluated using MTT (3-(4,5-dimethylthiazol- 2-yl)-2,5-diphenyl tetrazolium bromide) assay (using adriamycin (0-50umol/L) as the control) and flowcytometry. Western blot analysis was used to measure the effect of docetaxel on phosphor-ERKl/2 expression in the two cell lines. Results: The expressions of ERct36 and ERα66 were detectable in both MCF-7/ERα66 and MCF-7/ERα36 cell lines, while the expression of ERα36 in MCF-7/ER36 cells was higher. Both docetaxel and adriamycin inhibited the proliferation of both cells lines in a dose and time dependent manner. In comparison with MCF-7/ERα36 cell line, the MCF-7/ERα66 cells produced greater growth inhibition and apoptosis after treatment with docetaxel, but there was no significant difference in growth inhibition between the two cell lines treated with adriamycin; The MCF-7/ERα36 cell line resulted in a significant activation (phosphorylation) of ERK1/2 after treatment with docetaxel in a dose-dependent manner, but in the MCF-7/ERα66 cell line , a decrease in the level of phosphor- ERK1/2 expression was observed as the dose of docetaxel increased. Conclusion: ERa36 may be an agent that weakens chemosensitivity to docetaxel in breast cancer, probably by activating the expression of ERKI/2. 展开更多
关键词 MCF-7/erα66 MCF-7/erα36 breast cancer Growth inhibition Apoptosis Phosphor-erK1/2
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Activation of NF-κB in Human Breast Cancer and its Role in Cell Proliferation and Progresssion 被引量:4
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作者 Chunyou Cai Zhi Yao 《Chinese Journal of Clinical Oncology》 CSCD 2006年第1期5-10,共6页
OBJECTIVE To investigate the expression of the nuclear transcription factor NF-κB, ER, HER2 and PCNA in breast cancers, and to study the relationship between activation of NF-κB and clinicopathologic parameters incl... OBJECTIVE To investigate the expression of the nuclear transcription factor NF-κB, ER, HER2 and PCNA in breast cancers, and to study the relationship between activation of NF-κB and clinicopathologic parameters including the level of PCNA, ER, HER2, lymph node involvement, tumor size and histological grade (differentiation). METHODS Sixty cases of human breast cancer tissues and adjacent non-neoplastic breast tissues were examined for NF-κB, HER2 and ER, as well as PCNA by immunohistochemical methodS. In addition the clinicopathologic parameters of the patients including lymph node involvement, tumor size and histological grade (differentiation) were collected. RESULTS The expression of NF-κB in the breast cancers and adjacent non-neoplastic breast tissue was 50.0% (30/60) and 40.0% (24/60) respectively, resulting in no significant difference (P〉0.05). NF-κB and HER2 expression was positively correlated whereas NF-κB and ER expression was negatively correlated. The NF-κB activation was 77.8% (14/18) in the breast cancers that were ER-/HER2^+, a level significantly higher (P〈0.001) in comparison to the other groups of patients. The expression of NF-κB in the low-differentiated group (grade Ⅲ) was 57.1%, and in the moderate-differentiated group (grade Ⅱ) was 50.3%, both of which were higher than the 35.7% found in the high-differentiated group (grade Ⅰ). NF-κB activation in the cancers was significantly correlated with the histological grade (P〈0.05), PCNA expression (P=0.003) and lymph node involvement and tumor size (P=0.03 and 0.002, respectively). CONCLUSION NF-κB was activated abnormally in a portion of the breast cancers. The finding that NF-κB activation was positively correlated with HER2 expression, the level of PCNA, tumor grade, size and lymph node involvement is in accord with the ability of NF-κB to promote cellular proliferation and migration, clearly identifies the protein as a hallmark for targeted dysregulation in oncogenesis. NF-κB may be a hopeful target for breast cancer therapy. 展开更多
关键词 breast cancer NF-ΚB er PCNA her2.
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青年和绝经后女性乳腺癌c-erbB-2、p53、ER和PR受体表达及意义 被引量:14
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作者 张英 刘永源 +2 位作者 黄应桂 郑朝晖 梁启廉 《肿瘤防治研究》 CAS CSCD 2004年第2期79-80,共2页
目的 探讨青年和绝经后女性乳癌c erbB 2、p53、ER、PR的表达及意义。方法 采用SP法检测青年组 (13 1例 )与绝经组 (13 6例 )乳癌组织中各指标的表达及其与临床分期、腋淋巴结 (ALN )转移、3年无病生存率 (DFS)之间的关系。结果 c er... 目的 探讨青年和绝经后女性乳癌c erbB 2、p53、ER、PR的表达及意义。方法 采用SP法检测青年组 (13 1例 )与绝经组 (13 6例 )乳癌组织中各指标的表达及其与临床分期、腋淋巴结 (ALN )转移、3年无病生存率 (DFS)之间的关系。结果 c erbB 2阳性与临床分期、ALN转移相关 (P <0 .0 5) ,c erbB 2阳性者 3年DFS低于阴性者 (P <0 .0 5)。青年组c erbB 2、p53阳性率高、ER阳性率低 (P <0 .0 1) ,3年DFS低于绝经组 (P <0 .0 5)。结论 c erbB 2表达是乳腺癌预后重要指标 ,青年乳腺癌c erbB 2、p53阳性率高 ,ER阳性率低 ,3年DFS低 。 展开更多
关键词 绝经后 女性 乳腺癌 C-erBB-2 P53 er PR 受体 表达
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ER、PR、HER-2、Ki-67与乳腺癌新辅助化疗疗效相关性分析 被引量:27
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作者 杨虹 曾福仁 +1 位作者 刘剑仑 邱俊 《中国现代医学杂志》 CAS 北大核心 2016年第24期54-57,共4页
目的探讨雌激素受体(ER)、孕激素受体(PR)、人表皮生长因子受体2(HER-2)、Ki67抗原(Ki-67)与乳腺癌新辅助化疗疗效相关性分析。方法采用免疫组织化学方法检测81例乳腺癌新辅助化疗前后ER、PR、HER-2、Ki-67的表达情况,并评估其与乳腺癌... 目的探讨雌激素受体(ER)、孕激素受体(PR)、人表皮生长因子受体2(HER-2)、Ki67抗原(Ki-67)与乳腺癌新辅助化疗疗效相关性分析。方法采用免疫组织化学方法检测81例乳腺癌新辅助化疗前后ER、PR、HER-2、Ki-67的表达情况,并评估其与乳腺癌新辅助化疗有效率的关系。结果 81例患者中临床RR79%,术后p CR(9.9%),tp CR(6.2%)。达到p CR+tp CR率,(ER阴性)23.0%>(ER阳性)12.7%,(PR阴性)28.6%>(PR阳性)9.4%;ER、PR、HER-2及Ki67等与新辅助化疗疗效之间差异无统计学意义。新辅助化疗前后ER、PR、HER-2的状态改变不明显,差异无统计学意义(P>0.05),而Ki67的表达数量有统计学意义(P<0.05),其降低了Ki67的表达水平。结论乳腺癌新辅助化疗可有效控制肿瘤,ER或PR阴性者较阳性者可获得更高的p CR+tp CR率,Ki67可作为化疗药物敏感性和耐药性的预测指标。 展开更多
关键词 乳腺癌 新辅助化疗 er PR Her-2 KI-67
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乳腺导管原位癌的发病危险因素及生物学指标ER、PR、C-erbB-2表达的研究 被引量:12
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作者 史春颖 刘源 +3 位作者 李睿 陈颖 杨予川 李丹阳 《哈尔滨医科大学学报》 CAS 2015年第1期52-54,59,共4页
目的探讨年龄、初绝经年龄、生育史及哺乳情况等危险因素与乳腺癌发病之间的关系及生物学指标ER、PR、C-erb B-2在乳腺导管原位癌的表达。方法用Logistic回归分析年龄、初潮绝经年龄、生育史及哺乳情况等与乳腺癌发病风险的相关性;同时... 目的探讨年龄、初绝经年龄、生育史及哺乳情况等危险因素与乳腺癌发病之间的关系及生物学指标ER、PR、C-erb B-2在乳腺导管原位癌的表达。方法用Logistic回归分析年龄、初潮绝经年龄、生育史及哺乳情况等与乳腺癌发病风险的相关性;同时分析56例乳腺导管原位癌ER、PR、C-erb B-2的表达情况。结果 1在女性的月经、生育、哺乳等因素中,无生育史为乳腺癌发病的危险因素,而哺乳时间长、初潮年龄晚、生产数多则为乳腺癌的保护因素。2乳腺癌组织中ER、PR、C-erb B-2的表达水平明显高于乳腺良性病变。结论女性的月经、生育、哺乳情况与乳腺癌的患病风险有一定关系。通过ER、PR、C-erb B-2表达水平可以对癌组织的生物学行为和预后进行评估,并为内分泌治疗提供依据。 展开更多
关键词 乳腺癌 er PR C-erBB-2
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乳腺癌ER、PR、CerbB-2表达与临床病理的关系 被引量:9
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作者 陈立章 孔繁娟 陈亮 《中国现代医学杂志》 CAS CSCD 北大核心 2011年第8期998-1001,共4页
目的探讨乳腺癌患者ER、PR、c-erbB-2的表达,及3者与临床病理因素的相关性。方法采用回顾性分析,通过免疫组织化学方法检测乳腺癌患者ER、PR、c-erbB-2的表达,探讨其与临床的关系(包括患者年龄、肿瘤部位、肿瘤直径、肿瘤所在象限、有... 目的探讨乳腺癌患者ER、PR、c-erbB-2的表达,及3者与临床病理因素的相关性。方法采用回顾性分析,通过免疫组织化学方法检测乳腺癌患者ER、PR、c-erbB-2的表达,探讨其与临床的关系(包括患者年龄、肿瘤部位、肿瘤直径、肿瘤所在象限、有无淋巴结转移、临床分期和病理分型),并做统计学处理。结果乳腺癌患者ER阳性率为57.60%(800/1 389),PR阳性率为54.93%(763/1 389),c-erbB-2的阳性率为59.03%(820/1 389)。ER,PR表达与c-erbB-2表达呈负相关,ER与PR表达呈正相关。ER、PR阳性表达与患者肿瘤部位、肿瘤所在象限和病理分型差异无显著性(P>0.05),两者与临床分期和肿瘤直径的差异有显著性(P<0.05),PR阳性表达与患者年龄和有无淋巴结转移差异有显著性(P<0.05)。c-erbB-2阳性表达与患者年龄、肿瘤部位、肿瘤所在象限和临床分期的差异均显著性(P>0.05),但与淋巴结转移、病理分型、肿瘤直径大小的差异有显著性(P<0.05)。结论乳腺癌患者ER、PR、c-erbB-2的检测已广泛应用于临床,3者联合检测有助于乳腺癌患者临床疗效和预后的判断。 展开更多
关键词 乳腺癌 er PR C-erBB-2
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新鲜乳腺疾病组织C-erbB-2基因蛋白表达、癌胚抗原、性激素受体的研究 被引量:7
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作者 徐薇苓 刘尚廉 +2 位作者 张廷 杨玉妹 李小妹 《肿瘤》 CAS CSCD 北大核心 1994年第1期19-22,共4页
应用ABC法对42例乳腺癌、40例乳腺良性病变新鲜冰冻组织进行了C-erbB-2基因蛋白表达的研究,比较了C-erbB-2、雌激素受体(ER)、孕激素受体(PgR)、癌胚抗原(CEA)在乳腺癌组织中的表达。结果:乳腺... 应用ABC法对42例乳腺癌、40例乳腺良性病变新鲜冰冻组织进行了C-erbB-2基因蛋白表达的研究,比较了C-erbB-2、雌激素受体(ER)、孕激素受体(PgR)、癌胚抗原(CEA)在乳腺癌组织中的表达。结果:乳腺癌中26例(61.9%)有C-erbB-2基因表达,强阳性表达8例(19.0%),良性乳腺病变也有表达;淋巴结转移多见于C-erbB-2阳性、ER阴性,CEA阴性病例;随着C-erbB-2表达程度增加(-→+→++),淋巴结转移阳性率增加,临床分期为I期的患者数减少,II、III期增多,ER、PgR受体水平下降。提示,C-erbB-2基因蛋白表达与预后有关,表达强度越高,预后越差。 展开更多
关键词 CerBB-2 乳腺癌 癌胚抗原
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c-erbB-2、ER、PR在乳腺癌中的表达及其临床意义 被引量:7
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作者 姚卫康 包建荣 +4 位作者 吴德明 顾丽琴 陈正中 吴伟兵 晏爱立 《苏州大学学报(医学版)》 CAS 北大核心 2007年第4期569-571,共3页
目的探讨c-erbB-2、雌激素受体(ER)、孕激素受体(PR)在乳腺癌中的表达及其临床意义。方法采用免疫组化方法检测54例乳腺癌患者中c-erbB-2、ER、PR的表达,并分析其与临床的关系。结果54例乳腺癌中,ER、PR、c-erbB-2的阳性表达率分别为48.... 目的探讨c-erbB-2、雌激素受体(ER)、孕激素受体(PR)在乳腺癌中的表达及其临床意义。方法采用免疫组化方法检测54例乳腺癌患者中c-erbB-2、ER、PR的表达,并分析其与临床的关系。结果54例乳腺癌中,ER、PR、c-erbB-2的阳性表达率分别为48.2%(26/54)、53.7%(29/54)、72.2%(39/54)。ER、PR的阳性表达率与患者年龄、有无淋巴结转移及组织学类型的差异无统计学意义(P>0.05);c-erbB-2阳性表达率与有无淋巴结转移的差异有统计学意义(P<0.05),与患者年龄、肿瘤体积及组织学类型的差异无统计学意义(P>0.05);ER、PR与c-erbB-2表达一致率为46.3%(25/54),表达不一致率为27.8%(15/54),ER、PR表达与c-erbB-2表达无显著相关性(P>0.05)。结论c-erbB-2的阳性表达是乳腺癌患者预后差的指标,联合检测ER、PR更有助于乳腺癌患者临床疗效和预后的判断。 展开更多
关键词 乳腺癌 C-erBB-2基因 er PR 免疫组化
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乳腺癌ER、PR、p53及c-erbB-2癌基因的多因素分析 被引量:11
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作者 王超奇 吴云飞 +3 位作者 金锋 徐惠绵 宋英杰 周珩 《现代肿瘤医学》 CAS 2009年第6期1087-1088,共2页
目的:探讨乳腺癌组织ER、PR、p53及c-erbB-2癌基因蛋白表达与淋巴结转移、患者年龄及组织学类型的相关性。方法:采用乳腺组织免疫组化SP法检测124例乳腺癌患者中ER、PR、p53及c-erbB-2的表达,并分析其临床意义。结果:ER、PR的阳性表达... 目的:探讨乳腺癌组织ER、PR、p53及c-erbB-2癌基因蛋白表达与淋巴结转移、患者年龄及组织学类型的相关性。方法:采用乳腺组织免疫组化SP法检测124例乳腺癌患者中ER、PR、p53及c-erbB-2的表达,并分析其临床意义。结果:ER、PR的阳性表达率与淋巴结转移、患者年龄及组织学类型的无关。(P>0.05),ER、PR与p53及c-erbB-2、表达之间存在负相关性,p53、c-erbB-2阳性表达率与有无淋巴结转移、年龄有关(P<0.05),与组织学类型无关(P>0.05)。结论:ER、PR、p53及c-erbB-2的检测对乳腺癌治疗方案的制定和预后估计有重要临床意义。 展开更多
关键词 乳腺癌 腋窝淋巴结转移 免疫组织化 er PR P53 c—erbB-2
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ER、PR、p53及c-erbB-2癌基因在乳腺癌中的表达及预后意义 被引量:6
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作者 王超奇 张艳 +2 位作者 吴云飞 梁姗 梁静 《现代肿瘤医学》 CAS 2013年第2期314-316,共3页
目的:探讨乳腺癌组织ER、PR、p53及c-erbB-2癌基因蛋白表达与患者年龄、肿瘤体积、淋巴结转移及组织学类型的相关性。方法:采用免疫组化SP法检测126例乳腺癌患者乳腺组织中ER、PR、p53及c-erbB-2的表达,并分析其与临床意义的关系。结果:... 目的:探讨乳腺癌组织ER、PR、p53及c-erbB-2癌基因蛋白表达与患者年龄、肿瘤体积、淋巴结转移及组织学类型的相关性。方法:采用免疫组化SP法检测126例乳腺癌患者乳腺组织中ER、PR、p53及c-erbB-2的表达,并分析其与临床意义的关系。结果:126例乳腺癌中,ER、PR、p53及c-erbB-2的阳性表达率分别为44.4%(56/126)、47.6%(60/126)、64.3%(81/126)、68.3%(86/126)。ER、PR的阳性表达率与患者年龄、肿瘤体积、有无淋巴结转移、肿瘤分期及组织学类型的差异无统计学意义(P>0.05);p53及c-erbB-2阳性表达率与有无淋巴结转移、年龄的差异有统计学意义(P<0.05),与肿瘤体积及组织学类型的差异无统计学意义(P>0.05)。结论:在乳腺癌患者中ER、PR、p53及c-erbB-2的联合检测可以用来指导临床用药和判断预后。 展开更多
关键词 乳腺癌 er PR P53 C-erBB-2
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ER、PR、HER-2、P53在乳腺浸润性导管癌组织中的表达及临床意义 被引量:20
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作者 汪海新 应明真 王梅 《医学研究杂志》 2013年第2期27-31,共5页
目的研究乳腺浸润性导管癌组织中ER、PR、HER-2、P53的表达情况,并探讨其临床意义。方法通过免疫组化方法检测359例乳腺浸润性导管癌组织中ER、PR、HER-2、P53的表达情况,分析这些生物学标志物与患者年龄、肿瘤大小、组织学分级、区域... 目的研究乳腺浸润性导管癌组织中ER、PR、HER-2、P53的表达情况,并探讨其临床意义。方法通过免疫组化方法检测359例乳腺浸润性导管癌组织中ER、PR、HER-2、P53的表达情况,分析这些生物学标志物与患者年龄、肿瘤大小、组织学分级、区域淋巴结转移、TNM分期等临床病理参数之间的关系。结果 ER、PR、HER-2、P53蛋白的阳性表达率分别为60.7%、55.7%、35.1%、42.3%,在组织学分级之间的差异均有统计学意义(P<0.01),ER在直径较小肿瘤中表达率高,P53在TNM分期为Ⅲ期的肿瘤中的表达率高,差异具有统计学意义(P<0.05)。ER与PR的表达呈正相关,ER与HER-2、P53的表达呈负相关,PR与HER-2、P53的表达呈负相关。三阴性乳腺癌与高组织学分级、高P53表达相关(P<0.01)。结论利用免疫组化联合检测ER、PR、HER-2和P53蛋白的表达,将有助于选择乳腺癌的最优治疗策略,从而实现个体化治疗。 展开更多
关键词 乳腺癌 er PR Her-2 P53 免疫组织化学
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HER-2预测术后ER阴性乳腺癌患者长期生存的探讨 被引量:5
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作者 杨小玲 原俊 +2 位作者 夏和顺 臧爱华 胡胜 《诊断病理学杂志》 CSCD 2006年第6期439-441,I0017,共4页
目的分析HER-2和ER表达对术后乳腺癌患者长期生存时间的预测作用。方法收集143例经长期随访(>5年)的乳腺癌患者的组织标本,并通过免疫组化进行HER-2、ER检测,统计学分析这些指标与患者生存时间的关系。结果在143例具有完整治疗的乳... 目的分析HER-2和ER表达对术后乳腺癌患者长期生存时间的预测作用。方法收集143例经长期随访(>5年)的乳腺癌患者的组织标本,并通过免疫组化进行HER-2、ER检测,统计学分析这些指标与患者生存时间的关系。结果在143例具有完整治疗的乳腺癌患者中,Cox回归分析发现,ER和HER-2的表达状态明显与患者的预后有关。以ER表达作为分类变量,发现在ER阴性组,HER-2阳性患者的生存时间明显短于阴性患者。在生存曲线上,HER-2阴性患者生存80个月的可能性大于阳性患者。在ER阳性组,虽然HER-2阳性患者的生存时间与阴性患者存在差异,但无统计学意义。结论HER-2是预测术后ER阴性乳腺癌患者长期生存时间的理想生物学标记。 展开更多
关键词 乳腺癌 Her-2 er 预后
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ER、PR、C-erbB-2及EGFR在乳腺癌中的表达与意义 被引量:10
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作者 楼善贤 王利霞 徐庆才 《实用肿瘤学杂志》 CAS 2004年第1期15-17,共3页
目的 ER、PR与C erbB 2、EGFR在乳腺癌中的表达及相关性。方法 免疫组织化学EnVision二步法对 5 5例乳腺癌ER、PR、C -erbB - 2、EGFR的表达进行检测。结果 乳腺癌中的ER、PR、C -erbB - 2、EGFR阳性率分别为 5 2 .7% ,4 7.3% ,30 .9... 目的 ER、PR与C erbB 2、EGFR在乳腺癌中的表达及相关性。方法 免疫组织化学EnVision二步法对 5 5例乳腺癌ER、PR、C -erbB - 2、EGFR的表达进行检测。结果 乳腺癌中的ER、PR、C -erbB - 2、EGFR阳性率分别为 5 2 .7% ,4 7.3% ,30 .9%和 4 5 .5 %。ER、PR、C -erbB - 2、EGFR的表达与乳腺癌的组织类型、分化程度具有相关性 ,与其浸润转移无相关性。ER、PR与C -erbB 2、EGFR的表达呈负相关。结论 ER、PR、C -erbB 2、EGFR的检测对乳腺癌治疗方案的制定和预后估计有重要意义。 展开更多
关键词 er PR C-erBB-2 EGFR 乳腺癌 临床意义 免疫组织化学 预后 肿瘤转移
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41例青年乳腺癌ER、PR、CerbB-2、PCNA表达及其临床特征 被引量:12
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作者 李成贻 曹明智 +1 位作者 孔滨 刘妮 《现代中西医结合杂志》 CAS 2007年第3期309-310,共2页
目的探讨青年乳腺癌的ER、PR、CerbB-2、PCNA表达,临床特征及其关系。方法应用免疫组化SP法检测41例青年乳腺癌的ER、RP、CerbB-2及PCNA表达,并与同期328例中老年乳腺癌相比较。结果41例青年乳腺癌的ER、PR、CerbB-2及PCNA表达率分别是4... 目的探讨青年乳腺癌的ER、PR、CerbB-2、PCNA表达,临床特征及其关系。方法应用免疫组化SP法检测41例青年乳腺癌的ER、RP、CerbB-2及PCNA表达,并与同期328例中老年乳腺癌相比较。结果41例青年乳腺癌的ER、PR、CerbB-2及PCNA表达率分别是41%(17/41)、54%(22/41)、63%(26/41)及83%(34/41)。中老年组的ER、PR、CerbB-2及PCNA表达率分别是73%(239/328)、59%(192/328)、59%(193/328)、65%(213/328)。青年乳腺癌ER表达低于中老年组(P<0.01),而PCNA则高于中老年组(P<0.05)。结论青年乳腺癌组织分化差,增殖多,侵袭性强,预后差,ER低表达而PCNA高表达可解释上述临床特征,建议对青年乳腺癌患者同时检测ER、PR、CerbB-2及PCNA。 展开更多
关键词 乳腺癌 青年女性 免疫组织化学 er PR CerBB-2 PCNA
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