广州医药 ›› 2017, Vol. 48 ›› Issue (1): 5-8.DOI: 10.3969/j.issn.1000-8535.2017.01.002

• 论著 • 上一篇    下一篇

BAG-1基因与乳腺癌TAM治疗敏感性的相关性研究

金科, 朱剑梅, 邱发麒   

  1. 四川省医学科学院·四川省人民医院城东病区肿瘤科 (成都 610101)
  • 收稿日期:2016-09-28 发布日期:2021-12-01
  • 基金资助:
    四川省卫生和计划生育委员会课题(140082)

Correlation of BAG-1 gene with sensitivity of TAM to breast cancer JIN Ke, ZHU Jianmei, QIU Faqi

JIN Ke, ZHU Jianmei, QIU Faqi   

  1. East Department of Sichuan Academy of Medical Sciences& Sichuan Provincial People's Hospital, Chengdu 610101, China
  • Received:2016-09-28 Published:2021-12-01

摘要: 目的 研究BAG-1基因与乳腺癌他莫昔芬(TAM)治疗敏感性的相关性。方法 以58例乳腺癌患者为观察组,50例乳腺良性肿瘤患者为对照组。予以观察组患者TAM治疗,检测并统计2组患者肿瘤组织BAG-1基因的阳性率;并根据检测结果将观察组患者分为BAG-1阳性组与阴性组,对比分析观察组BAG-1阳性者与阴性者的临床预后及血清肿瘤标志物水平,包括癌胚抗原(CEA)、糖类抗原153(CA153)。结果 观察组BAG-1基因阳性率为74.14%,对照组为12%,2组比较, P<0.05。观察组BAG-1阳性组患者临床缓解率为46.51%,阴性组为66.67%,2组比较,P<0.05;BAG-1阳性组患者临床控制率为67.44%,阴性组为86.67%,2组比较,P<0.05。观察组BAG-1阳性组患者平均OS为(1.55±0.86)a,PFS为(1.02±0.31)a,阴性组依次为(2.76±0.95)a、(2.06±0.82)a,2组比较,差异均有统计学意义(P<0.05)。治疗后,观察组BAG-1阴性组患者血清CEA、CA153指标值均低于对照组(P<0.05)。结论 BAG-1基因与乳腺癌TAM治疗敏感性密切相关,BAG-1阳性者行TAM治疗的临床效果及预后均较阴性者差。

关键词: 乳腺癌BAG-1基因, TAM, 敏感性

Abstract: Objective To study the correlation between BAG-1 gene and the sensitivity of tamoxifen (TAM) in breast cancer. Methods 58 cases of breast cancer patients as the observation group, 50 cases of benign breast cancer patients as the control group.The positive rate of BAG-1 gene in two groups of patients was detected and statistically analyzed by TAM. The patients in the observation group were divided into BAG-1 positive group and negative group according to the test results, and the positive rate of BAG- (CEA), carbohydrate antigens 153 (CA153) and carcinoembryonic antigen (CEA). Results The positive rate of BAG-1 gene was 74.14% in the observation group and 12% in the control group, P<0.05. The clinical response rate of BAG-1 positive group was 46.51% and negative group was 66.67%, P<0.05; The clinical control rate of BAG-1 positive group was 67.44%, negative group was 86.67%. Compared 2 groups , it was P<0.05. The mean OS was (1.55±0.86) years, PFS was(1.02±0.31) years in the BAG-1 positive group and (2.76±0.95) years in the negative group and (2.06±0.82) years in the negative group, (P<0.05). After treatment, the serum CEA and CA153 values in the negative group of BAG-1 were lower than those in the control group (P<0.05). Conclusion BAG-1 gene and breast cancer TAM treatment sensitivity is closely related to BAG-1 positive TAM treatment of clinical efficacy and prognosis were worse than negative.

Key words: Breast cancer, BAG-1 gene, TAM, Sensitivity