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Relationship between the expression of NM23 and E-cadherin and the efficacy of neoadjuvant chemotherapy in breast cancer#br# |
YANG Lei1 YANG Hongwei1 CHEN Maoshan1 MU Dewu1 CHENG Xiaoming2 |
1.Department of Breast and Thyroid Surgery, Suining Central Hospital, Sichuan Province, Suining 629000, China;
2.Department of Thyroid and Breast Surgery, Affiliated Hospital of Zunyi Medical University, Guizhou Province, Zunyi 563000, China |
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Abstract Objective To investigate the relationship between the expression of NM23 and E-cadherin and the efficacy of neoadjuvant chemotherapy (NCT) in breast cancer. Methods The clinical data of 87 patients with invasive breast cancer who received NCT were collected from Department of Thyroid and Breast Surgery, Affiliated Hospital of Zunyi Medical University from October 2014 to October 2017. According to the effect of NCT, they were divided into effective group (63 cases) and ineffective group (24 cases). The expression of NM23 and E-cadherin in NCT precancerous tissues of 87 patients with invasive breast cancer was detected by immunohistochemical method, and the relationship between the expression of NM23 and E-cadherin and the effect of NCT was analyzed. Results The proportion of NM23 positive, TNM stage Ⅲ, and human epidermal growth factor receptor-2 positive in ineffective group were lower than those in effective group, and the proportion of E-cadherin positive was higher than that in effective group, the differences were statistically significant (P < 0.05). Multivariate analysis showed that positive E-cadherin expression was an independent risk factor for NCT inefficacy in breast cancer (OR > 1, P < 0.05), while positive NM23 expression and TNM stage Ⅲ were protective factors (OR < 1, P < 0.05). Conclusion The expression levels of NM23 and E-cadherin in breast cancer tissues are significantly correlated with the effect of NCT in breast cancer, which has certain reference value for evaluating the effect of breast cancer patients after NCT.
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