背景与目的:作为黏附分子Catenin家族中的一员,Delta-catenin蛋白在众多肿瘤中的表达意义及作用机制尚未明确。该研究探讨了Delta-catenin在乳腺癌中的表达情况及其与患者预后的关系。方法:应用免疫组化检测92例乳腺癌组织芯片中Delta-catenin的表达及其与患者临床病理因素之间的关系。另选32例冻存的乳腺癌及癌旁正常乳腺组织用于Delta-catenin的mRNA和蛋白检测。结果:与正常乳腺组织相比,Delta-catenin的mRNA和蛋白在乳腺癌组织中表达显著增高,且Delta-catenin的表达与乳腺癌的组织学分级及淋巴结转移密切相关(P=0.016,P=0.022)。此外,Kaplan-Meier生存曲线揭示Delta-catenin高表达的患者生存时间显著短于低表达的患者(P=0.015),同时Cox多变量分析显示Delta-catenin高表达也是判断患者预后的独立危险因素(P=0.017)。结论:作为一个癌蛋白,Delta-catenin在乳腺癌组织中的高表达与患者的不良预后显著相关。
Background and purpose: As a member of Catenin family, little is known about expressive signifi cance and mechanism of Delta-catenin in numerous tumors. In present study, we investigated the expression of Delta-catenin in breast cancer tissues and its correlation with the prognosis of patients. Methods: We examined the expression of Delta-catenin and its correlation with clinicopathological factors of patients by immunohistochemistry in 92 cases of breast cancer tissues with tissue micro-array. The mRNA and protein expression of Delta-catenin were also detected in another 32 cases of frozen paired breast cancer tissues and normal breast tissues. Results: Compared with normal breast tissues, the mRNA and protein expression of Delta-catenin were increased in breast cancer tissues, and expression of Delta-catenin was closely associated with histological grade and lymph node metastasis(P=0.016 and 0.022, respectively). Moreover, Kaplan-Meier survival analysis revealed that patients with high Delta-catenin expression had shorter survival than patients with low expression(P=0.015), and multivariate Cox analysis revealed that high Delta-catenin expression was also an independent prognostic factor(P=0.017). Conclusion: Our results suggest that Delta-catenin acts as an oncoprotein when overexpressed in breast cancer, and its expression is associated with poor prognosis of patients.