Expression and clinical significance of FOXM1, PLK1, HIF-1α and EZH2 in breast carcinoma
LIU Jing1, ZHOU Bingjuan2,MA Qiushuang2, CHEN Hong2, ZHANG Jinku2
1.Department of Pathology, General Hospital of Chinese People’s Armed Police Force, Beijing 100039, China; 2. Department of Pathology, the First Central Hospital of Baoding,Baoding 071000, China
Abstract:Objective To study the expressions and clinical significance of FOXM1, PLK1, HIF-1α and EZH2 in breast carcinoma.Methods Immunohistochemical staining was used not only to detect the expressions of FOXM1, PLK1, HIF-1α and EZH2 in 803 cases of invasive ductal breast carcinoma and para-tumor breast tissues, but also to evaluate the relationships between the expressions of FOXM1, PLK1, HIF-1α and EZH2 and the clinical pathological features of invasive ductal breast carcinoma, including the histological grade, lymph node metastasis and pTNM stage.Results Positive expression rates of FOXM1, PLK1, HIF-1α and EZH2 protein in invasive ductal breast carcinoma were 59.78%, 27.90%, 43.96% and 60.40% respectively, significantly higher than those in para-tumor breast tissues(29.89%, 0%, 3.86% and 20.92% respectively). There was a significant correlation between the expressions of FOXM1, PLK1, HIF-1α and EZH2 and the histopathological grade, lymph node metastasis and pTNM stage (P<0.05), but the expressions of FOXM1, PLK1, HIF-1α and EZH2 were not correlated with the patients’ age, menopause or tumor size. There was a significantly negative relationship between the expressions of PLK1, HIF-1α, EZH2 and ER. There was a significantly positive relationship between the expressions of Fox M1, EZH2 and HER-2 (P<0.01). The expressions of FOXM1, PLK1, HIF-1α and EZH2 in breast invasive ductal carcinoma were positively correlated(P<0.01).Conclusions The overexpressions of FOXM1, PLK1, HIF-1α and EZH2 may be involved in breast carcinogenesis and progression synergistically, and they might play an important role in the prognosis evaluation of breast carcinoma.
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