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Microtubule-Associated Protein Tau, ¥á-Tubulin and ¥âIII-Tubulin Expression in Breast Cancer

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ÀÓ¼Ò¿µ ( Im So-Young ) 
Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Hospital Pathology

À¯Ã¢¿µ ( Yoo Chang-Young ) 
Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Hospital Pathology
Á¤ÁöÇÑ ( Jung Ji-Han ) 
Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Hospital Pathology
Àü¿¹¿ø ( Jeon Ye-Won ) 
Catholic University College of Medicine St. Vincent¡¯s Hospital Departments of Surgery
¼­¿µÁø ( Suh Young-Jin ) 
Catholic University College of Medicine St. Vincent¡¯s Hospital Departments of Surgery
ÀÌ¿¬¼ö ( Lee Youn-Soo ) 
Catholic University Seoul St. Mary¡¯s Hospital Department of Hospital Pathology
ÃÖÇöÁÖ ( Choi Hyun-Joo ) 
Catholic University College of Medicine St. Vincent¡¯s Hospital Department of Hospital Pathology

Abstract


Background: The microtubule-associated protein Tau binds to both inner and outer surfaces of microtubules, leading to tubulin assembly and microtubule stabilization. The aim of this study was to evaluate the significance of Tau, ¥á-tubulin, and ¥âIII-tubulin expression in breast carcinoma and to assess their relationships with disease progression in the context of taxane treatment.

Methods: Immunohistochemical expressions of Tau, ¥á-tubulin, and ¥âIII-tubulin were assessed in 183 breast cancer cases. Expression was correlated with clinicopathologic parameters, disease progression and overall survival.

Results: Tau expression was correlated with lymph node metastasis and estrogen receptor (ER) positivity (p=.003 and p<.001, respectively). Loss of ¥á-tubulin was significantly correlated with distant metastasis (p=.034). Loss of ¥âIII-tubulin was correlated with lymph node metastasis and ER positivity (p=.004 and p<.001, respectively). In taxanetreated cases, Tau expression and loss of ¥á-tubulin and ¥âIII-tubulin expression were related to disease progression (p=.001, p=.028, and p=.030, respectively). Tau expression was associated with a worse survival rate in taxane-treated patients (p=.049).

Conclusions: Tau expression and loss of ¥á-tubulin and ¥âIII-tubulin expression were correlated with aggressive behavior in taxane- treated breast cancer. Further evaluation of Tau, ¥á-tubulin and ¥âIII-tubulin may be useful in predicting clinical behavior and seeking therapeutic measures in taxane-based chemotherapy for breast cancer.

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Tau proteins; Tubulin; Taxoids; Breast neoplasms

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