Favorable prognostic value of SOCS2 and IGF-I in breast cancer.

Favorable prognostic value of SOCS2 and IGF-I in breast cancer.
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SOCS2和IGF-I在乳腺癌中的有利预后价值。

DOI:
10.1186/1471-2407-7-136
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发表时间:
2007-07-25
期刊:
影响因子:
3.8
通讯作者:
Doppler, Wolfgang
Doppler, Wolfgang
中科院分区:
医学2区
文献类型:
--
作者:
Haffner, Michael C.;Petridou, Barbara;Peyrat, Jean Phillipe;Revillion, Francoise;Mueller-Holzner, Elisabeth;Daxenbichler, Guenter;Marth, Christian;Doppler, Wolfgang

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细胞因子信号转导抑制因子(SoCs)蛋白是一个蛋白质家族,最初被描述为STAT诱导的Jak/Stat途径的抑制因子。最近的体内和体外研究表明,SOCS蛋白也与癌症有关。STAT5诱导的IGF-I在乳腺发育中作为内分泌和类/自分泌生长分化因子发挥作用。虽然高水平的循环IGF-I与癌症风险增加有关,但自分泌作用于IGF-I的作用尚不清楚。本研究旨在探讨乳腺癌中SOCS1、SOCS2、SOCS3、CIS和IGF-I表达的临床病理特征。采用逆转录聚合酶链式反应(RT-PCR)检测89例乳腺癌组织中SOCS1、SOCS2、SOCS3、CIS和IGF-I的mRNA表达水平。免疫印迹和免疫组织化学方法进一步检测SOCS2蛋白的表达。SOCS2的表达与组织学分级呈负相关,ER阳性肿瘤的SOCS2表达水平较高。SOCS2高表达患者生存期显著延长(108.7个月vs.77.7月;P=0.015),高SOCS2表达是预后良好的独立预测因素(HR=0.45,95%CI0.23~0.91,P=0.026)。与SOCS2类似,在整个患者队列中,IGF-I的高表达是预后良好的独立预测因子。在淋巴结阴性患者亚组中,高胰岛素样生长因子-I是总生存期和无复发生存期良好的预测因子(HR=0.075,95%CI 0.014~0.388,P=0.002)。这是首次报道SOCS2高表达在乳腺癌中的良好预后价值。此外,观察到IGF-I的高表达水平与良好的预后密切相关,尤其是在淋巴结阴性的患者中。我们的结果表明,STAT5靶基因SOCS2和IGF-I的高表达是分化和较低恶性度肿瘤的一个特征。
Suppressor of cytokine signaling (SOCS) proteins comprise a protein family, which has initially been described as STAT induced inhibitors of the Jak/Stat pathway. Recent in vivo and in vitro studies suggest that SOCS proteins are also implicated in cancer. The STAT5 induced IGF-I acts as an endocrine and para/autocrine growth and differentiation factor in mammary gland development. Whereas high levels of circulating IGF-I have been associated with increased cancer risk, the role of autocrine acting IGF-I is less clear. The present study is aimed to elucidate the clinicopathological features associated with SOCS1, SOCS2, SOCS3, CIS and IGF-I expression in breast cancer. We determined the mRNA expression levels of SOCS1, SOCS2, SOCS3, CIS and IGF-I in 89 primary breast cancers by reverse transcriptase PCR. SOCS2 protein expression was further evaluated by immuno-blot and immunohistochemistry. SOCS2 expression inversely correlated with histopathological grade and ER positive tumors exhibited higher SOCS2 levels. Patients with high SOCS2 expression lived significantly longer (108.7 vs. 77.7 months; P = 0.015) and high SOCS2 expression proved to be an independent predictor for good prognosis (HR = 0.45, 95% CI 0.23 – 0.91, P = 0.026). In analogy to SOCS2, high IGF-I expression was an independent predictor for good prognosis in the entire patient cohort. In the subgroup of patients with lymph-node negative disease, high IGF-I was a strong predictor for favorable outcome in terms of overall survival and relapse free survival (HR = 0.075, 95% CI 0.014 – 0.388, P = 0.002). This is the first report on the favorable prognostic value of high SOCS2 expression in primary mammary carcinomas. Furthermore a strong association of high IGF-I expression levels with good prognosis was observed especially in lymph-node negative patients. Our results suggest that high expression of the STAT5 target genes SOCS2 and IGF-I is a feature of differentiated and less malignant tumors.
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期刊: BLOOD
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