乳腺癌超声造影定量参数与Wnt/β-catenin信号通路蛋白表达的关联研究OA
Correlation between quantitative parameters of contrast-enhanced ultrasound and protein expression of Wnt/β-catenin signaling pathway in breast cancer
目的 探讨乳腺癌超声造影(CEUS)定量参数与Wnt/β-catenin信号通路蛋白表达的关联,为无创评估提供分子依据.方法 采用回顾性病例对照研究方法,选取100例乳腺癌患者作为病例组,根据年龄、体质量指数进行1∶1匹配,选取同期100例乳腺良性肿块患者作为对照组.2组均行CEUS检查,测定达峰时间(TTP)、峰值强度(PI)和曲线下面积(AUC)等参数;采用蛋白质免疫印迹法(Western blot)测定乳腺组织β-catenin、c-Myc、Cyclin D1蛋白相对表达量,采用Pearson相关分析评估CEUS定量参数与β-catenin、c-Myc、Cyclin D1蛋白表达的相关性.结果 病例组高增强、快进慢出增强模式、造影剂向心型进入的占比及PI、AUC均高于对照组,TTP短于对照组,差异有统计学意义(P<0.05);病例组β-catenin、c-Myc和Cyclin D1蛋白相对表达量均高于对照组,差异有统计学意义(P<0.05);Pearson相关分析显示,TTP与β-catenin、c-Myc、Cyclin D1蛋白表达均呈负相关,PI、AUC均分别与β-catenin、c-Myc、CyclinD1蛋白表达呈正相关(P<0.05).结论 乳腺癌CEUS定量参数TTP、PI、AUC均与β-catenin、c-Myc、Cyclin D1蛋白密切相关,有助于全面评估乳腺癌的恶性生物学行为,为个体化治疗方案的制订提供新思路.
Objective To investigate the correlation between quantitative parameters of contrast-enhanced ultrasound(CEUS)and Wnt/β-catenin signaling pathway protein expression in breast cancer,so as to provide a molecular basis for noninvasive assessment.Methods A retrospective case-control study was conducted.A total of 100 patients with breast cancer were enrolled as case group,and 100 patients with benign breast masses during the same period were enrolled as control group,matched 1∶1 by age and body mass index.CEUS was performed in both groups,and parame-ters including time to peak(TTP),peak intensity(PI),and area under the curve(AUC)were measured.The relative expression levels of β-catenin,c-Myc,and Cyclin D1 proteins in breast tissue were determined by Western blot.Pearson correlation analysis was used to evaluate the correlation be-tween CEUS quantitative parameters and the expression of β-catenin,c-Myc,and Cyclin D1 pro-teins.Results The proportions of hyperenhancement,fast-in and slow-out enhancement pattern,and centripetal contrast agent entry,as well as PI and AUC,were higher in the case group than those in the control group,while TTP was shorter in the case group than that in the control group(P<0.05).The relative expression levels of β-catenin,c-Myc,and Cyclin D1 proteins were higher in the case group than in the control group(P<0.05).Pearson correlation analysis showed that TTP was nega-tively correlated with the expression of β-catenin,c-Myc,and Cyclin D1 proteins,whereas PI and AUC were positively correlated with the expression of these proteins(P<0.05).Conclusion CEUS quantitative parameters TTP,PI,and AUC are closely correlated with β-catenin,c-Myc,and Cyc-lin D1 proteins in breast cancer,which facilitates comprehensive assessment of the malignant biolog-ical behavior of breast cancer and provides new insights for the formulation of individualized treat-ment strategies.
塔娜;米拉·也尔兰;王霞
新疆医科大学第二附属医院超声诊断科,新疆乌鲁木齐,830063新疆医科大学第二附属医院超声诊断科,新疆乌鲁木齐,830063新疆医科大学第二附属医院超声诊断科,新疆乌鲁木齐,830063
医药卫生
乳腺肿瘤超声造影Wnt/β-catenin信号通路β-catenin蛋白c-Myc蛋白Cyclin D1蛋白达峰时间峰值强度
breast neoplasmscontrast-enhanced ultrasoundWnt/β-catenin signaling path-wayβ-catenin proteinc-Myc proteinCyclin D1 proteintime to peakpeak intensity
《实用临床医药杂志》 2026 (16)
53-57,70,6
新疆维吾尔自治区自然科学基金项目(2025D01C182)
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