白细胞介素-2在人早期乳腺癌组织中的表达及预后意义

Expression of IL-2 in human early breast cancer tissue and its prognostic value

  • 摘要: 目的 探讨白细胞介素-2(interleukin-2,IL-2)在乳腺癌患者肿瘤组织中的表达与临床病理特征及预后的关系。 方法 回顾性收集2000年1月- 2002年12月在解放军总医院手术的130例Ⅰ~Ⅲ期乳腺癌患者的临床资料及石蜡切片,用免疫组织化学法检测IL-2蛋白的表达,分析IL-2蛋白的表达与乳腺癌临床病理特征及预后的关系。 结果 IL-2主要在乳腺癌间质淋巴细胞中表达。IL-2间质细胞密度与T分期呈负相关(P=0.025)。IL-2间质细胞密度高表达组的无病生存期(disease free survival,DFS)(P=0.007)、无远处转移生存期(distant disease free survival,DDFS)(P=0.010)均优于低表达组,IL-2间质细胞密度分组是总生存期(overall survival,OS)(HR=0.301,P=0.059)、DFS(HR=0.156,P=0.012)、DDFS(HR=0.171,P=0.018)的独立预后预测因素。 结论 IL-2在乳腺癌肿瘤组织中的表达情况具有预后预测价值。IL-2表达水平低的乳腺癌患者复发转移风险与死亡风险较高。

     

    Abstract: Objective To study the relation between expression of IL-2 in breast cancer tissue and clinicopathological characteristics and prognosis of breast cancer. Methods Clinical data about 130 patients with stages Ⅰ-Ⅲ breast cancer admitted to our hospital from January 2000 to December 2002 were retrospectively analyzed and their paraffn sections were collected. Relation between expression of IL-2 detected with immunohistochemical staining and clinicopathological features and prognosis of breast cancer was analyzed. Results The IL-2 was mainly expressed in mesenchymal lymphocytes of breast cancer. The IL-2 expression levels of disease-free survival (DFS) and distant disease-free survival (DDFS) were signifcantly higher in high density IL-2 mesenchymal cells than in low density IL-2 mesenchymal cells (P< 0.05). The overall survival (OS, HR=0.301, P=0.059), DFS(HR=0.156, P=0.012)and DDFS(HR=0.171, P=0.018)were the independent predicting factors for high density IL-2 mesenchymal cells. Conclusion Expression of IL-2 in breast cancer tissue can predict the prognosis of breast cancer. Relapse and metastasis of breast cancer are related with the high death rate in breast cancer patients with a low IL-2 expression level.

     

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