ABSTRACT
Purpose To investigate the expression of high mobility group protein Al (HMGA1) and C-X-C chemokine receptor 4 (CXCR4) in breast invasive ductal carcinoma and its clinical significance. Methods Immunohistochemical method was used to detect the expression of HMGA1 and CXCR4 in 105 cases of breast invasive ductal carcinoma and 80 cases of breast adenosis. The correlation between HMGA1 and CXCR4 expression and clinicopathological features was analyzed. Results The positive rate of HMGA1 and CXCR4 in breast invasive ductal carcinoma was significantly higher than that of breast adenosis(77.14％ vs 26.25％, 73.33％ vs 23.75％ ), the difference was statistically significant (P＜ 0.001). There was no significant correlation between HMGA1 and CXCR4 expression in breast cancer tissues (r = 0.104, P =0.289), suggesting that the expression of them were independent of each other. The combined detection of HMGA1 and CXCR4 could improve the sensitivity of diagnosis of (either positive) and specificity of(both positive). The positive rate of CXCR4 in PR positive breast cancer (87.5％ ) was higher than that in PR negative(60.0％ ), the difference was statistically significant (P =0.008) Conclusion HMGA1 is highly expressed in breast invasive ductal carcinoma, and CXCR4 expression is mainly low in breast invasive ductal carcinoma. HMGA1 and CXCR4 have higher sensitivity, and the combined detection of them can significantly improve the sensitivity and specificity of breast cancer diagnosis. The high expression of HMGA1 and CXCR4 in breast cancer has a certain clinical significance for the diagnosis and prognosis of breast cancer, which is expected to provide a new theoretical basis for the diagnosis and treatment of clinical breast cancer.
ABSTRACT
One hundred and twenty enterococcal isolates,which were identified from animal specimen,were investigated for the drug-resistance and virulence gene status of Enterococci,so as to provide reference for clinical therapy as well as exploration of Enterococcus pathogenicity.For the 120 Enterococcus isolates,six virulence genes cylA,efaA,Gele,esp,ace and AS were detected with PCR method,and drug-resistance of 11 commonly used antibiotics were measured by K-B disk diffusion tests.The results showed that all of the 120 isolates presented resistance to at least 3 kinds of drugs,and multi-resistance occurred among different originated strains,especially prominent among those isolates from dead swine organs.Generally,the isolates performed highest resistance ratio against lincomycin (115/120),and more than 50 percent isolates were resisted to ciprofloxacin,kanamycin,tetracycline and dalfopristin,while the isolates were least resistant to teicoplanin (1/120).The incidence of cylA,efaA,GelE,esp,ace and AS virulence genes,as a whole,was 39.17％,56.67％,68.33％,23.33％,26.67％ and 13.33％,respectively,but it varied markedly among those of different sources,which showed consistent trend with that drug resistance.It is concluded that the drug-resistance incidence among the test enterococcal isolates showed correlation with that of virulence gene status,and both were closely related to the bacteria origin,therefore,the conventional opportunistic Enterococcus is of value for further exploring these profound relations.