Beclin-1和转化生长因子β在乳腺癌中的诊断意义

S. Elshaer, L. Rashed, M. A. Hamid
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摘要

背景:妇女癌症死亡的主要原因乳腺癌仍然是一个临床和社会挑战,也是一个严重的公共卫生问题。在世界范围内,它仍然是一种毁灭性的疾病。BECN1是一种与自噬起始有关的肿瘤抑制基因。它编码抑制癌症生长的beclin-1蛋白。关于自噬分子在肿瘤起始、促进中的作用和预测作用存在广泛争议。转化生长因子β (TGF-β)诱导上皮-间质转化(epithelial-mesenchymal transition, EMT)维持过程,使上皮细胞更具运动性和侵袭性,导致肿瘤进展和转移。目的:检测beclin-1在转移性和非转移性乳腺癌患者中的表达水平,并通过与炎性细胞因子TGF-β的关联研究其在乳腺癌发生中的作用。方法:采用实时荧光定量PCR检测70例乳腺癌女性患者和20例对照组beclin-1、TGF-β的表达水平。结果:转移性乳腺癌患者和非转移性乳腺癌患者Beclin-1及TGF-β的表达水平均显著高于对照组。乳腺癌患者beclin-1表达水平与TGF-β表达水平呈正相关。结论:我们的研究结果表明beclin-1和TGF-β的过表达与乳腺癌患者的侵袭性临床结局和肿瘤生长有关。这些发现提示beclin-1和TGF-β与乳腺癌的肿瘤发生有关。
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Diagnostic Significance of Beclin-1 and Transforming Growth Factor β in Breast Cancer
Background: The main cause of cancer deaths amongst women breast cancer remains a clinical and social challenge, and a serious public health problem. On a worldwide level, it continues to be a devastating disorder.BECN1  is  a  tumor  suppressor  gene  implicated  in  the  initiation  of  autophagy.  It encodes beclin-1 protein that inhibits cancer growth. There is wide disputation concerning its role in initiation, promotion of tumor and predictive importance of autophagic molecules. Transforming growth factor β (TGF-β) induces process of epithelial-mesenchymal transition (EMT) keeping, epithelial cells more motile and invasive resulting in cancer progression and metastasis. Aim: Detection of beclin-1 expression level in metastatic and non-metastatic breast cancer patients and study its role in tumorigenesis of breast cancer through attainable association with the inflammatory cytokine, TGF-β. Methods: Expression levels of beclin-1 and TGF-β were assessed in 70 breast cancer female patients and 20 controls using quantitative real-time PCR. Results: Beclin-1 expression levels as well as TGF-β were significantly higher in metastatic breast cancer patients and non-metastatic patients compared to controls. Positive correlation was found between beclin-1 expression level and TGF-β expression level in breast cancer patients. Conclusion: Our results indicated that over-expression of both beclin-1 and TGF-β was associated with aggressive clinical outcomes of breast cancer patients and tumor growth. These findings suggest that beclin-1 and TGF-β are associated with tumorigenesis of breast cancer.
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