目的:通过甲基化特异性PCR研究比较女性散发性基底细胞型乳腺癌和非基底细胞型乳腺癌中ERα基因启动子区甲基化情况。方法:筛选基底细胞型乳腺癌,用甲基化特异性PCR研究60例散发性基底细胞型乳腺癌及108例非基底细胞型乳腺癌的ERα启动子甲基化情况,比较二者ERα基因启动子区甲基化情况。结果:女性散发性基底细胞型乳腺癌组织中ERα基因启动子甲基化发生率为80.0%(48/60),高于其在女性散发性非基底细胞型乳腺癌ERα基因启动子甲基化率43.5%(47/108)(χ2=20.89,P<0.01),二者在ER1与ER5区域的甲基化无统计学差异,但在ER3与ER4区域的甲基化差异有统计学意义。结论:HT5”SS〗女性散发性基底细胞型乳腺癌组织中ERα基因启动子甲基化发生率明显高于非基底细胞型女性乳腺癌,且基底细胞型乳腺癌ER3与ER4区域的甲基化高于非基底细胞型乳腺癌,其可能与基底细胞型乳腺癌发生发展有关。
Objective: To discuss the promoter methylation of estrogen receptor - alpha in sporadic basal - like and non basal - like breast cancer by methylation - specific polymerase chain reaction. Methods: To screen female sporadic basal - like breast cancer,and the methylation of ERα promoter was investigated in genomic DNA of 60 sporadic basal - like breast cancer and 108 cases of non basal - like breast cancer as control by methylation - specific polymerase chain reaction. Results:ERα methylation was observed in 48 of 60 (80.0%) sporadic basal -like breast cancer, which was significant higher than in sporadic non basal - like breast cancer(47/108,43.5% ) ( P 〈0.01 ). There was no significancant difference in the methylation status of ER1 region and ER5 region between sporadic basal - like breast cancer and sporadic non basal - like breast cancer. The methylation status of ER3 region and ER4 region in sporadic basal - like breast cancer was higher than in sporadic non basal - like breast cancer. Conclusion: The ERα methylation status in basal - like breast cancer was significantly higher than in sporadic non basal - like breast caneer. The methylation status of ER3 region and ER4 region in sporadic basal - like breast cancer was higher than in sporadic non basal - like breast cancer, maybe it plays an important role in basal - like breast cancer pathogenesis.