Carcinogenesis, Teratogenesis & Mutagenesis ›› 2019, Vol. 31 ›› Issue (5): 368-372.doi: 10.3969/j.issn.1004-616x.2019.05.006

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β1 integrin expression in breast cancer patients with pathological nipple discharge

SUN Quanwu, DU Xiaoping, HAO Jie, SHI Rong, LIU Bo, HUANG Haiyun   

  1. Department of Breast Surgery, the People's Hospital of Gansu Province, Lanzhou 730000, Gansu, China
  • Received:2019-03-01 Revised:2019-05-13 Online:2019-09-30 Published:2019-10-09

Abstract: OBJECTIVE:Expression of β1 integrin in breast cancer patients with pathological nipple discharge was investigated and its effect on prognosis of patients was evaluated. METHODS:From January 1st,2006 to December 31,2013,112 breast cancer patients with pathological nipple discharge in the People's Hospital of Gansu Province were brought into the study. Another 112 breast cancer patients with breast lumps which were detected by physical examination or not were selected as a control. Immuno-histochemistry was used to detect the difference in expression of β1 integrin and Her-2 in cancer tissues. Survival analysis was used to study the effect of β1 integrin on prognosis of the patients. RESULTS:Among patients with pathological nipple discharge,14.29% (16/112) showed positive expression of β1 integrin which was significantly lower than that in the control group (25%) (χ2=4.073,P=0.044). Survival analyses show that the control group had significantly lower survival than that of the pathological nipple discharge group (HR=1.773,P=0.012). The overall survival with higher expression of β1 integrin was significantly lower than that of lower expression in the nipple discharge group (HR=2.573,P=0.023). The expression of β1 integrin and Her-2 had a positive correlation in the nipple discharge group (r=0.281,P=0.001),Cox proportional hazards model test found that histological-grade,lymph node metastasis,and high expression of β1 integrin were three independent risk factors affecting the overall survival of patients with pathological nipple discharge (P < 0.01). CONCLUSION:High expression of β1 integrin in breast cancer tissues significantly reduced the overall survival of breast cancer patients. Furthermore,breast cancer patients with integrin had lower overall survival,High expression of β1 integrin was positively correlated with poorer prognosis among breast cancer patients with pathological nipple discharge and was positively related to worse pathologic features of breast cancer.

Key words: β1 integrin, breast cancer, pathological nipple discharge, prognostic analysis

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