首都医科大学学报 ›› 2019, Vol. 40 ›› Issue (2): 191-194.doi: 10.3969/j.issn.1006-7795.2019.02.007

• 肿瘤的免疫治疗与代谢 • 上一篇    下一篇

血清血脂及载脂蛋白浓度与乳腺癌分子分型及Ki-67表达水平的相关性研究

陈妮娜, 范怡畅, 尚昆, 杨婧, 曹邦伟   

  1. 首都医科大学附属北京友谊医院肿瘤中心, 北京 100050
  • 收稿日期:2019-01-17 出版日期:2019-03-21 发布日期:2019-04-15
  • 通讯作者: 曹邦伟 E-mail:oncology@ccmu.edu.cn
  • 基金资助:
    北京市自然科学基金(7172061),首都卫生发展科研专项(2018-2-2022),北京市医院管理局消化内科学科协同发展中心经费资助(XXT01),中国人口宣传教育中心调研推广项目(2017-A001)。

Serum lipid and apolipoprotein levels were associated to the Ki-67 and molecular classification of breast cancer

Chen Nina, Fan Yichang, Shang Kun, Yang Jing, Cao Bangwei   

  1. Cancer Center, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2019-01-17 Online:2019-03-21 Published:2019-04-15
  • Supported by:
    This study was supported by Natural Science Foundation of Beijing (7172061), Capital Health Development Research Project (2018-2-2022), Funding for the Collaborative Development Center of the Department of Gastroenterology, Beijing Hospital Administration (XXT01),China Population Publicity and Education Center Research and Promotion Project (2017-A001).

摘要: 目的 探讨血清血脂以及载脂蛋白浓度与乳腺癌分子分型及Ki-67表达水平的关系。方法 选取2012年1月至2017年5月乳腺癌术后且未行化学药物治疗(以下简称化疗)的患者143例,检测体内高密度脂蛋白胆固醇(high density lipoprotein-cholesterol,HDL-C)、低密度脂蛋白胆固醇(low density lipoprotein-cholesterol,LDL-C)、胆固醇(cholesterol,TC)和载脂蛋白B(apolipoprotein B,ApoB)、载脂蛋白A(apolipoprotein A,ApoA)及三酰甘油(triglyceride,TG)浓度,并在乳腺癌的不同分子分型中进行对比。结果 HDL-C、LDL-C、TC、ApoA及TG在不同乳腺癌亚型患者间差异具有统计学意义(P<0.05)。ApoA在不同乳腺癌亚型患者间差异无统计学意义(P>0.05)。LDL-C、TC及ApoB浓度与Ki-67表达水平呈正相关,HDL-C和Ki-67之间呈负相关,ApoB和TG及Ki-67表达无关。结论 乳腺癌的分子亚型不同,其血脂代谢也有差异,同时血脂浓度与Ki-67表达相关,高浓度的TC与LDL-C以及低浓度的HDL-C提示预后不良。

关键词: 乳腺癌, 分子分型, 血脂

Abstract: Objective To investigate the relationship between serum lipid and molecular types, Ki-67 level of breast cancer. Methods Total of 143 breast cancer patients who underwent the surgery from January 2012 to May 2017 were enrolled. The level of high density lipoprotein-cholesterol (HDL-C), low density lipoprotein-cholesterol (LDL-C), cholesterol (TC), apolipoprotein B (ApoB), apolipoprotein A (ApoA),and triglyceride (TG) were measured. The relationship between the above factors and the different molecular types of breast cancer was analyzed and discussed. Results The level of HDL-C, LDL-C, TC, ApoB and TG were significantly associated with different breast cancer subtypes (P<0.05). No significant difference of ApoA levels was observed in the different breast cancer subtypes (P>0.05). The levels of LDL-C, TC and ApoB were positively correlated with Ki-67 levels, while the levels of HDL-C was negatively correlated with Ki-67 level. However, The levels of ApoB and TG showed no relation with Ki-67 expression level. Conclusion Lipid metabolism is different in different breast cancer molecular subtypes. The serum lipid level is related to the expression level of Ki-67. High levels of TC and LDL-C and low level of HDL-C suggest poor prognosis in breast cancer.

Key words: breast cancer, molecular classification, serum lipid

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