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عضویت

جستجوی مقالات مرتبط با کلیدواژه « estrogen receptors » در نشریات گروه « پزشکی »

  • Seyed Amir Shaker, Houman Parsaei, Naser Amini, Maliheh Nobakht, Javad Fahanik Babaei, Ali Dadseresht, Elham Seidkhani, Mina Eftekharzadeh*
    Introduction

    Alzheimer’s disease (AD) is an age-related disorder, characterized by the gradual loss of memory and cognitive function owing to neuronal damage and brain shrinkage. This study aimed to investigate how intranasal injection of human adipose-derived stem cell-conditioned media (hADSC-CM) ameliorates cognitive performance and affects the level of estrogen receptor beta (Erβ) in the hippocampus of rats in an AD model.

    Methods

    A total of 32 male rats were divided into four groups, including the control, AD model, hADSC-CM, and vehicle groups. The Morris water maze was used to assess the animals’ behavioral changes. Moreover, Nissl and Thioflavin-S staining were performed to evaluate the histology of the hippocampus. Immunohistochemistry was also carried out to evaluate the expression level of Erβ. 

    Results

    The intranasal injection of hADSC-CM improved the rats’ cognitive performance by reducing the number of dark cells and beta-amyloid plaques in the hippocampus in the AD model. Besides, the intranasal injection of hADSC-CM increased the level of Erβ in this model.

    Conclusion

    The present findings indicated that the intranasal injection of hADSC-CM ameliorated cognitive function. Amyloid plaques and dark cells also diminished in the CA1 area of the hippocampus. Moreover, the expression level of ERβ increased. It can be concluded that hADSC-CM has significant treatment benefits for AD in rats.

    Keywords: Alzheimer’s Disease, Estrogen receptors, Human adipose-drive stem, Cell therapy, Cognitive performance}
  • Behnaz Jahanbin, Vahid Soleimani, Farid Azmoude-Ardalan, Samane Afshar, Masoome Safaei
    Background

    Human epidermal growth factor 2 (HER2) is known to be an important prognostic factor in breast cancer. Numerous studies have shown HER2+ breast cancers have reduced overall survival and recovery time, as well as the efficacy of anti-HER2 therapies along with chemotherapy in improving disease outcomes. For this reason, it is recommended that all patients with breast cancer should be evaluated for HER2 status. This study aimed to assess the HER2 gene amplification by the CISH method in evaluating the HER2 status in patients with immunohistochemistry (IHC) 2+ (equivocal) results.

    Methods

    This retrospective cross-sectional study examined HER2 status based on the Chromogenic in situ hybridization (CISH) method in 280 breast carcinoma samples with an initial 2+ (equivocal) score in IHC. The relationship between HER2 amplification and hormone receptors (estrogen and progesterone) and Ki67 level was also investigated.

    Results

    In sixty samples (21.4%), the HER2 gene was amplified based on the CISH method. The majority (215, 76.8%) of the samples were negative and 5 (1.8%) samples were indeterminate. No significant relationship was observed between HER2 amplification, estrogen receptor (p=0.143), and Ki-67 protein level (p=0.977). There was a significant inverse relationship between HER2 amplification and progesterone receptor positivity (p=0.007).

    Conclusion

    These results demonstrate that CISH is a helpful method to assess HER2 status in equivocal breast cancer and is positive (amplified) in about 21.4% of them.

    Keywords: Breast Neoplasms, erbB2, Estrogen Receptors, Progesterone, Chromogenic in SituHybridization, HER2}
  • مقدمه

    شکست مکرر لانه گزینی (RIF) 15% زنان سنین باروری را تحت تاثیر قرار می دهد. در بیماران مبتلا به RIF میزان گیرنده های استروژن و پروژسترون (PRs) در زمان پنجره لانه گزینی بیشتر است.

    هدف

    ارزیابی اثر تجویز داخل رحمی سلول های تک هسته ای خون محیطی (PBMC) بر بیان گیرنده استروژن α (ERα) و PRs آندومتر در زنان مبتلا به RIF در زمان پنجره لانه گزینی.

    مواد و روش ها

    این کارآزمایی بالینی بر روی 22 زن با سابقه RIF از ژانویه 2018 تا آگوست 2019 در بیمارستان عرفان تهران، ایران انجام شد. شرکت کنندگان به دو گروه (درمان با PBMC]11 = [n و گروه کنترل]11 = [n) تقسیم شدند. نمونه های بافت آندومتر در زمان پنجره لانه گزینی در وسط فاز لوتیال (هورمون لوتینیزه کننده + 7 روز) در هر سیکل عادت ماهانه جمع آوری شدند. میزان بیان mRNA مربوط به ERα و ایزوفورم های PRs (PR-A و PR-B) در بافت آندومتر با استفاده از تکنیک quantitative real-time polymerase chain reaction اندازه گیری شد. به علاوه بیان پروتیین های ERα و PRs با استفاده از ایمونوهیستوشیمی مورد بررسی قرار گرفت.

    نتایج

    درمان با PBMC به طور معنی داری بیان mRNA مربوط به ERα و ایزوفورم های PRs را در زمان پنجره لانه گزینی کاهش داد (001/0 > p). علاوه بر این میزان بیان پروتیین های ERα و PRs در گروه درمان با PBMC در مقایسه با زنان گروه کنترل کمتر بود (به ترتیب 001/0 > p و 01/0 = p).

    نتیجه گیری

    تجویز داخل رحمی PBMC بیان ERα و PRs آندومتر را در زمان پنجره لانه گزینی در زنان مبتلا به RIF کاهش می‌دهد. این پاسخ موضعی به درمان با PBMC، می‌تواند میزان پذیرش آندومتر و لانه گزینی جنین را بهبود ببخشد.

    کلید واژگان: سلول های تک هسته ای خون محیطی, گیرنده های استروژن, گیرنده های پروژسترون}
    Fattaneh Farifteh, Elham Fazeli, Seyedeh Zeinab Hosseini, Seyedeh Soheila Arefi, Ashraf Moini, Robabeh Taheripanah, Fatemeh Rouhollah, Mohammad Salehi, Ahmad Hosseini, Moncef Benkhalifa
    Background

    Repeated implantation failure (RIF) affects 15% of women of reproductive age. There is a high endometrial expression of both estrogen receptors and progesterone receptors (PRs) during the window of implantation in women with RIF.

    Objective

    To evaluate the effects of intrauterine administration of human peripheral blood mononuclear cells (PBMC) on estrogen receptor α (ERα) and PRs expression in the endometrium of women with RIF during the implantation window.

    Materials and Methods

    This randomized clinical trial study was conducted on 22 women with RIF history from January 2018 to August 2019 in Erfan hospital, Tehran, Iran. Participants were divided into 2 groups (PBMC-treated group [n = 11] and control group [n = 11]). Endometrial tissue samples were collected at the implantation window time, during the mid-secretory phase (luteinizing hormone surge +7 days) of each menstrual cycle. The quantitative real-time polymerase chain reaction technique was used to measure the mRNA levels of ERα and PRs isoforms (PR-A and PR-B) in endometrial tissues. Furthermore, the protein expression of ERα and PRs was investigated using immunohistochemical staining.

    Results

    PBMC treatment significantly decreased the mRNA expression of endometrial ERα and PRs isoforms at the time of the implantation window (p < 0.001). Moreover, the endometrial ERα and PRs protein localization were significantly lower in PBMC-treated women compared with controls (p = 0.01, and p < 0.001 respectively).

    Conclusion

    The intrauterine administration of PBMC decreased the endometrial ERα and PRs expression during the window of implantation in women with RIF. This local response to PBMC therapy could promote endometrial receptivity and embryo implantation.

    Keywords: Peripheral blood mononuclear cell, Estrogen receptors, Progesterone receptors}
  • Rashim Sharma, Poonam Elhence *, Meenakshi Rao, Sudeep Khera, Deepak Vedant, Ramkaran Chaudhary, Puneet Pareek, Jeewan Vishnoi, Sanjeev Misra
    Background & Objective

    Breast cancer is the leading cancer among Indian women and accounts for about 25% of all cancer cases worldwide. The present study aimed to assess Programmed Death Ligand-1 (PD-L1) expression in tumoral cells and tumor-infiltrating lymphocytes (TILs) and evaluate their correlations with the Ki-67 labelling index in invasive breast carcinomas (IBC).

    Methods

    This descriptive observational study was conducted during 2016-2018 and included all diagnosed cases of IBC. The relationships between PD-L1 expression, TILs, hormone receptors, Ki-67, and clinicopathological parameters were studied in IBC. Statistical analysis was performed by SPSS version 23.

    Results

    Out of 114 evaluated cases, 33.33% (N=38) showed PD-L1+ expression in tumor cells and 47.37% (N=54) had PD-L1+ expression in TILs. A high Ki-67 index was observed in 96 cases. Moreover, 49 patients were estrogen receptor (ER)- and 65 were ER+. We observed that 22 of 49 ER- and 49 of 65 ER+ subjects showed PD-L1+ expression, respectively.

    Conclusion

    Our results showed a significant relationship between PD-L1 expression in tumoral cells and TILs, as well as between Ki-67 and TILs. In addition, an inverse correlation was noted between PD-L1 expression and ER. The PD-L1 expression in tumors and TILs and correlation with high Ki-67 may prove the importance of PD-L1 in targeted chemotherapy. An inverse relationship between PD-L1 and ER expression in tumoral cells suggests scope for immunotherapy in ER- IBC. However, further research with more cases is required.

    Keywords: Breast carcinoma, chemotherapy, Estrogen Receptors, Ki-67, Programmed Death Ligand 1, Tumor-infiltrating Lymphocytes}
  • مائده رئیسی زاده، امل ساکی مالحی، الهام مراغی، ماهان بهمن زیاری*، محمد ثقه الاسلامی، مهران حسین زاده
    هدف

    سرطان پستان، شایع ترین نوع سرطان و بیش ترین علت مرگ ناشی از سرطان در زنان است. در سال 2018، بیش ترین فراوانی ابتلا به سرطان در زنان ایرانی مربوط به سرطان پستان با (5/12%) 13776 مورد جدید بود. بروز متاستاز از عوارض این بیماری است که در 5%-1% بیماران رخ می دهد. هدف مطالعه حاضر، تعیین اثر وضعیت گیرنده های هورمونی و Her-2 بر بروز متاستاز در بیماران زن مبتلا به سرطان پستان با استفاده از مدل رگرسیون لجستیک است.

    مواد و روش ها

    در این مطالعه گذشته نگر، اطلاعات پرونده 165 بیمار مبتلا به سرطان پستان مراجعه کننده به مرکز تشخیصی- درمانی شفای اهواز که طی سال های 1393-1384 تحت عمل جراحی قرار گرفته بودند، ثبت گردید. مدل رگرسیون لجستیک چندگانه برای تعیین عوامل مرتبط با بروز متاستاز به کار برده شد.

    یافته ها

    در بیماران مورد بررسی، 2/35% (58نفر) از بیماران تجربه متاستاز داشتند. در مدل لجستیک چندگانه وضعیت (026/0 P =) Her2 و درگیری غدد لنفاوی (001/0>P) اثر معنا داری بر بروز متاستاز داشتند. مقادیر مربوط به نسبت بخت های تعدیل شده نشان داد که بخت بروز متاستاز در افراد با وضعیت ER مثبت، 24/2 برابر افراد با وضعیت ER منفی بود ((275/5-955/0) 95%CI  ؛240/2=AOR). هم چنین بخت بروز متاستاز در بیماران با درگیری غدد لنفاوی، 40/5 برابر بیماران بدون درگیری بود ((414/13-180/2) 95%CI  ؛407/5=AOR). این بخت در افراد با وضعیت Her-2 مثبت، 35/2 برابر افراد با وضعیت Her-2 منفی بود ((999/4 - 109/1) 95%CI  ؛438/0=AOR).

    نتیجه گیری

    در این مطالعه وضعیت Her-2 مثبت و درگیری غدد لنفاوی از عوامل مرتبط با بروز متاستاز شناخته شدند. شناسایی بهنگام این عوامل می تواند منجر به بقای بیش تر بیماران مبتلا به سرطان پستان شود.

    کلید واژگان: سرطان پستان, متاستاز سرطان, گیرنده های استروژن, گیرنده های پروژسترون}
    Maedeh Raeisizadeh, Amal Saki Malehi, Elham Maraghi, Mahan Bahmanziari*, Mohammad Seghatoleslami, Mehran Hoseinzadeh
    Introduction

    Breast cancer is the most common type of cancer and the leading cause of cancer death among women. According to estimates in 2018, the most frequency of cancer in Iranian women was related to breast cancer with 13776 (12.5%) new cases. Metastasis is a complication of this disease that occurs in 1%-5% of patients. The aim of this study was to investigate the effect of hormone receptors and Her-2 status on metastasis status in patients with breast cancer using logistic regression.

    Materials and Methods

    In this retrospective study, medical records of 165 breast cancer patients referred to the Ahvaz Shafa Diagnostic and Treatment Center who underwent surgery during 2006-2014 was recorded. Multinomial logistic regression model was applied to identify the related factors to the metastasis status.

    Results

    In the studied patients, 35.2% (58 patients) experienced metastasis. In multinomial logistic model, Her-2 status (P = 0.026) and lymph node involvement (P <0.001) were significant. The odds of metastasis in ER-positive individuals was 2.24 times that of ER-negative individuals (AOR=2.24; CI95%: (0.955-5.275)). Also, the odds of metastasis in patients with lymph node involvement was 5.40 times that of patients without involvement (AOR=5.407; CI95%: (2.180-13.414)). This odds in people with Her-2-positive status was 2.35 times than in those with Her-2-negative status (AOR=0.438; CI95%: (1.109-4.999)).

    Conclusion

    In this study, Her-2-positive status and lymph node involvement were identified as factors associated with metastasis. Early detection of these factors can lead to greater survival of breast cancer patients.

    Keywords: Breast Neoplasms, Neoplasm Metastasis, Estrogen Receptors, Progesterone Receptors}
  • Khamhee Wangsa, Indira Sarma *, Purbajyoti Saikia, Dhanabalan Ananthakrishnan, Hirendra Nath Sarma, Devadasan Velmurugan
    Background

    Scoparia dulcis Linn. is reported to be used by women of Assam and Arunachal Pradesh in northeast India for treating menstrual disorders. Scoparia dulcis contains compounds that bind with estrogen receptors (ERα and ERβ) evidenced by increased PCNA in endometrial epithelium.

    Methods

    Crude extract was orally administered at the dose of 500 mg/kg body weight/day to the female mice (60–70 days old) in five different groups. Each group containing six females included: (I) cyclic control, (II) cyclic extract treated, (III) Ovariectomized (OVX)-vehicle treated (Control), (IV) OVX-E2 treated (V) OVXextract treated. Extract was administered for eight days to the cyclic groups and three days to the OVX groups. PCNA was detected immunohistochemically in uterine tiss ues and signals were analyzed by Image J software (NIH, USA). Compounds were separated by GC-MS and identified using NIST. In silico molecular docking studies was performed with human estrogen receptors (ERα and ERβ). Molecular dynamics (MD) simulations of the best interacting compound was done using gromacs.

    Results

    The results showed cell proliferation in the uterine endometrium evidenced by PCNA. Two phytocompounds, Octadecanoic acid and methyl stearate showed binding affinity with ERα and ERβ.

    Conclusion

    Scoparia dulcis contains compounds having binding affinity with ERα and ERβ. The present study is the first report on compounds from Scoparia dulcis showing binding affinity with human estrogen receptors which may have biological effect on female reproduction.

    Keywords: Endometrium, Estrogen receptors, In silico, Menstrual disorders, Moleculardocking, Phytoestrogen, Scoparia dulcis (Linn)}
  • محمدزاده، فلاح زاده، ویدا پهلوانی*، بینش
    مقدمه

    سرطان پستان، دومین علت عمده ی مرگ ناشی از سرطان در بین زنان است که عوامل مختلفی در ایجاد آن دخالت دارند. هدف از انجام این مطالعه، بررسی اثر نشانگرهای تومور مهم بر روی بقای زنان مبتلا به این سرطان با استفاده از واکاوی شفا یافته ی Bayesian (Bayesian cure analysis) بود.

    روش ها

    این مطالعه به صورت تحلیل بقای گذشته نگر با استفاده از روش Kaplan-Meier و مدل شفا یافته ی Bayesian انجام شد. اطلاعات لازم برای تمامی 500 زن مبتلا به سرطان پستان مراجعه کننده به مرکز پرتودرمانی شهید رمضان زاده یزد از سال های 94-1389 ثبت گردید. از نرم افزار R نسخه ی 3.6.1 برای واکاوی داده ها استفاده و 050/0 > P به عنوان سطح معنی داری در نظر گرفته شد.

    یافته ها

    با استفاده از روش Kaplan-Meier میزان بقای 6 ساله ی زنان مبتلا به سرطان پستان 737/0 برآورد گردید. میانگین سنی 16/11 ± 03/48 سال و میانگین زمان بقا، 23/4 ± 64/97 ماه بود. نتایج حاصل از واکاوی شفا یافته ی Bayesian نشان داد که متغیرهای Ki67 (28/2-01/1 = Prediction intervals یا PI 95 درصد، 34/1 = Hazard ratio یا HR) و Estrogen receptor (ER) (36/2-99/1 = PI 95 درصد، 11/2 = HR) بر روی مخاطره ی مرگ و متغیر ER (57/0-26/0 = PI 95 درصد، 38/0 = OR) روی بهبودی بیماران تاثیر معنی داری داشتند.

    نتیجه گیری

    طبق واکاوی شفا یافته ی Bayesian در این مطالعه، متغیر گیرنده ی استروژن، بر روی بقای کوتاه مدت و بهبودی بیماران موثر بود. می توان از مدل های شفا یافته، در شرایط مناسب برای تحلیل بقای بیماران با درصد بالای بهبودی استفاده و بقای بلند مدت بیماران را از بقای کوتاه مدت آنان جدا نمود. این روش آماری، می تواند تفسیر دقیق تری از آن چه در بقای داده ها وجود دارد، ارایه نماید.

    کلید واژگان: Bayesian, سرطان پستان, آنالیز بقا, گیرنده ی استروژن}
    Morteza Mohammadzadeh, Hossein Fallahzadeh, Nima Pahlavani*, Fariba Binesh, Vida Pahlavani
    Background

    Breast cancer is the second leading cause of death from cancer among women, and many factors are involved in its creation. The purpose of this study was to evaluate the effect of tumor markers on the survival of women with this cancer using Bayesian cure analysis.

    Methods

    This was a population-based cohort study on 500 women with breast cancer registered in Shahid Ramazanzadeh hospital, Yazd City, Iran, from the April 2010 until March 2015, using Kaplan-Meier method and Bayesian cure model. The data were analyzed using R software. P < 0.050 was considered as the significance level.

    Findings

    Based on Kaplan-Meier method, the 6-year cumulative survival for patients with breast cancer was 0.737. The mean age of breast cancer diagnosis was 48.03 ± 11.16 years, and the mean survival period was 97.64 ± 4.23 months. Bayesian cure model showed that Ki67 [hazard ratio (HR) = 1.34, 95% prediction interval (PI): 1.01-2.28] and ER (HR = 2.11, PI 95%: 1.99-2.36) were significantly related to hazard, and ER was significantly related to cure (OR = 0.38, PI 95%: 0.26-0.57).

    Conclusion

    According to Bayesian cure analysis in this study, ER variable is also effective on short-term survival and long-term survival of patients. Cure models have the ability to analyze patients’ survival data, and can differentiate long-term survival from short- term survival. The interpretation of survival data with these statistical models could be more accurate.

    Keywords: Breast cancer, Survival analysis, Bayesian method, Estrogen receptors}
  • Perham Mohammadi, Mahban Rahimifard, Maryam Baeeri, Mohammad Abdollahi, Sara Mostafalou*
    Objective(s)
    Diabetes is a metabolic disease with an increasing prevalence for which finding new and efficient therapeutic approaches has always been a challenge. Preserving integrity and functionality of pancreatic β-cells as the only source of insulin in the body is such a case. To achieve this goal different cellular targets have been proposed among which pancreatic estrogen receptors have gotten much attention. In this work, we evaluated the integrity and function of islets of Langerhans under the influence of factors known to intervene with estrogen receptors. Cadmium, a toxic heavy metal, has been recently shown to interact with estrogen receptors but its toxicity in the pancreatic islets regarding this mechanism remains unclear.
    Materials and Methods
    Isolated islets of Langerhans from the pancreas of rats were grouped and treated with cadmium chloride and also cadmium chloride plus β-estradiol. After 24 hr incubation, parameters of cellular viability, oxidative stress, apoptosis, and insulin secretion were measured.
    Results
    The results indicated that cadmium reduced viability of the islets along with an increase in the formation of reactive oxygen species and apoptosis markers, and β-estradiol, in turn, was able to alleviate these disturbances to some extent, implicating the protective role of β-estradiol against pancreatic toxicity of cadmium.
    Conclusion
    It can be concluded that modification of estrogen receptors in the endocrine pancreas and especially β-cells may be a promising target to find a new therapeutic strategy for diabetes and even uncovering mechanisms of environmental toxicants that have been known as risk factors of diabetes.
    Keywords: Cadmium, Diabetes Mellitus, Estradiol, Estrogen receptors, Insulin, Islets of langerhans Pancreas}
  • معصومه گیتی، مهرداد مکری، مجید شکیبا، مرتضی عطری، نسیم باتوانی، علی برهانی *
    زمینه و هدف
    سرطان های پستان فاقد رسپتور استروژن دارای سیر بالینی، ویژگی های پروگنوستیک و پاسخ به درمان متفاوتی می باشند، همچنین انکوپروتیین HER2/neu در کنترل رشد طبیعی سلول و تقسیم سلولی نقش دارد و با مهاجم بودن تومور ارتباط مستقیم دارد. هدف این مطالعه ارزیابی گذشته نگر ویژگی های تصویربرداری ماموگرافی، سونوگرافی و MRI سرطان های پستان استروژن منفی با و بدون بیان بیش از حد رسپتور HER2/neu بود.
    روش بررسی
    در این مطالعه ی مقطعی گذشته نگر، ویژگی های تصویربرداری ماموگرافیک، سونوگرافیک و MRI و وضعیت رسپتور HER2/neu بیماران دارای سرطان پستان با رسپتور استروژن منفی مراجعه کننده به انستیتو کانسر بیمارستان امام خمینی (ره) تهران از تاریخ مهر 1394 تا مهر 1396 بازنگری شد. داده های کلینیکوپاتولوژیک و همچنین ارتباط ویژگی های تصویربرداری با وضعیت رسپتور HER2/neu، بررسی شد.
    یافته ها
    از بین 72 بیمار با سرطان پستان استروژن منفی، 101 (58/8%) بیمار برای رسپتور HER2/neu مثبت بودند. ارتباط معناداری بین وضعیت رسپتور HER2/neu و نوع پاتولوژیک تومور (0/004P=) ، گرید هیستولوژیک تومور (0/024P=) و مرحله ی TNM (0/021P=) به دست آمد. تومورهای با رسپتور HER2/neu مثبت با احتمال بیشتری دارای شکل نامنظم (0/034P=) و میکروکلسیفیکاسیون (0/004P=) بودند. ارتباط معناداری بین وضعیت رسپتور HER2/neu و ویژگی های سونوگرافیک و یا MRI به دست نیامد.
    نتیجه گیری
    بین سرطان های پستان استروژن منفی، موارد HER2/neu مثبت نسبت به موارد HER2/neu منفی با گرید هیستولوژیک و مرحله ی بالاتری در هنگام تشخیص بروز می یابند، همچنین شکل توده و میکروکلسیفیکاسیون در ماموگرافی با وضعیت رسپتور HER2/neu در سرطان پستان استروژن منفی ارتباط دارند.
    کلید واژگان: سرطان پستان, رسپتور استروژن, فاکتور رشد اپیدرمال, ماموگرافی, اولتراسونوگرافی}
    Masumeh Gity, Mehrdad Mokri, Majid Shakiba, Morteza Atri, Nasim Batavani, Ali Borhani *
    Background
    Estrogen-negative breast cancers have different clinical course, prognostic features and treatment response in comparison to estrogen receptor-positive (ER-positive) breast cancers. Human epidermal growth factor receptor 2 (HER2) oncoprotein has found to have a pivotal role in natural cell growth and cell division and is suggested to be directly related to tumor invasiveness in breast cancer patients. The purpose of this study was to retrospectively assess the mammography, ultrasound, and magnetic resonance imaging (MRI) features of estrogen negative breast cancers with and without overexpression of HER2/neu receptor.
    Methods
    In this cross-sectional retrospective study, mammographic, ultrasound and MRI features as well as HER2 status were assessed in patients with ER-negative breast cancer that were referred to Cancer Institute of Imam Khomeini Hospital Complex in Tehran from October 2015 to October 2017. Clinicopathologic data and mammography, ultrasound, and MRI features were reviewed and were correlated with HER2 status of estrogen-negative tumors.
    Results
    Of the 172 patients with ER-negative breast cancer, 101 patients were positive for HER2/neu receptor (58.8%). There was a significant correlation between HER2-positivity and tumor type (P=0.004). Among estrogen negative breast cancers, significant association were found between HER2 and tumor histologic grade (P=0.024) and TNM stage (P=0.021). HER2-positive tumors were more likely to present with microcalcification (P=0.007) and have irregular shapes (P=0.034) in mammography than HER2-negative tumors. No association was found between HER-2 status and tumor size, shape, margin, posterior feature, halo or orientation of the tumor in ultrasound. We also found no correlation between HER2 status and MRI features including mass shape or margin, internal enhancement pattern or curve type among estrogen-negative breast cancers.
    Conclusion
    Findings of this study showed that among estrogen-negative breast cancers, HER2/neu positive tumors are more likely to be diagnosed at higher stage and have higher histologic grade at the time of diagnosis. Tumor mass shape and microcalcification in mammography are found to be associated with HER2 status among patients with estrogen-negative breast cancer.
    Keywords: breast neoplasms, epidermal growth factor, estrogen receptors, mammography, ultrasonography}
  • سمانه حسین زاده*، شهپر حقیقت
    مقدمه
    یکی از مشکلات اصلی در درمان سرطان پستان، متاستاز است که نشان دهنده وخیم تر شدن سلامت بیمار است. شناخت عوامل موثر بر این مشکل می تواند راهی برای پیشگیری و درمان فراهم آورد. هدف از این مطالعه تعیین عوامل خطر بروز عودموضعی و متاستاز در بیماران مبتلا به سرطان پستان با استفاده از مدل لجستیک دومتغیره است.
    روش کار
    دراین مطالعه توصیفی از نوع طولی، اطلاعات جمعیت شناختی و وضعیت بیماری تمام بیماران (سرشماری) مبتلا به سرطان پستان مراجعه کننده به مرکز بیماری های پستان جهاد دانشگاهی از پرونده آن ها جمع آوری گردید. پرونده های ناقص حذف شدند. مدل لجستیک حاشیه ای دومتغیره برای دوپاسخ بروز عودموضعی و متاستاز در نرم افزار اس پی اس اس نسحه 21 برازش شد.
    یافته ها
    در کل پرونده 360 بیمار با میانگین سن 2/45 سال مشاهده شد. عودموضعی و متاستاز برای 5 درصد و 16 درصد بیماران تشخیص داده شد. نسبت بخت (odds ratio) عود موضعی و متاستاز 92/2 بود. وضعیت گیرنده استروژن از عوامل موثر بر عودموضوعی و درگیری غددلنفای از عوامل موثر بر عودموضوعی و متاستاز بود. اثر وضعیت گیرنده استروژن و درگیری غدد لنفاوی بر وقوع عود از اثر آن ها بر متاستاز بیشتر بود.
    نتیجه گیری
    در این مطالعه، دو عامل وضعیت گیرنده استروژن و درگیری غدد لنفاوی از عوامل موثر بر بروز عود و متاستاز بودند. با بررسی این عوامل می توان در افراد پرخطر درمان های لازم را زودتر از موقع شروع شود. پیشنهاد می شود این مدل برای شناسایی عوامل خطر در سایر بیماری ها یا شرایط بهداشتی مرتبط به هم استفاده شود.
    کلید واژگان: وضعیت گیرنده استروژن, درگیری غدد لنفاوی, مدل معادلات برآورد تعمیم یافته}
    Samaneh Hosseinzadeh *, Shahpar Haghighat
    Introduction
    One of the main issues in breast cancer treatment is metastasis, which reflects on the patient's health worsening. Studying the factors affecting this problem could prevent and ultimately treat breast cancer diseases. In this respect, this study intends to investigate the factors associated with recurrence and metastasis of breast cancer patients with marginal bivariate logistic model.
    Methods
    In this retrospective longitudinal study, demographic and disease status information for all patients with breast cancer referred to Iranian Center for Breast Cancer from their files were collected. Incomplete records were excluded. The marginal bivariate logistic model for both recurrence and metastasis events was performed in SPSS/21.
    Results
    In total, data of 360 patients with average age of 45.2 ± 10.2 was observed. The recurrence and metastasis in patients were 5% and 16% respectively. The odds ratio of recurrences and metastasis was 2.92. ER and lymph node involvement were influenced on recurrence and lymph node involvement was influenced on metastasis. In general, these factors had more effect on recurrence than on metastasis.
    Conclusions
    In this study, ER and lymph node involvement were risk factors on metastasis and recurrence. By identifying risk factors of the metastasis and recurrence, indicating the progression of the disease and the lack of response to treatment, necessary treatment can earlier start for high risk patients. Use of this model is suggested for other diseases.
    Keywords: Estrogen Receptors, Lymph Node Involvement, Generalized Estimating Equations Model}
  • Mar, Iacute, A. Liliana Franco-Chuaire, Sandra Ram, Iacute, Rez-Clavijo, Lilian Chuaire-Noack
    Pigment epithelium-derived factor (PEDF) is a glycoprotein that belongs to the family of non-inhibitory serpins. The broad spectrum of PEDF biological activity is evident when considering its effects in promoting cell survival and proliferation, as well as its antiangiogenic, antitumor, and anti-metastatic properties. Although the structural domains of the PEDF gene that mediate such diverse effects and their mechanisms of action have not been completely elucidated, there is a large body of evidence describing their diverse range of activities; this evidence combined with the regulation of PEDF expression by sex steroids and their receptors have led to the idea that PEDF is not only a diagnostic and prognostic marker for certain diseases such as cancer, but is also a potential therapeutic target. In this manner, this paper aims to generally review the regulation of PEDF expression and PEDF interactions, as well as the findings that relate PEDF to the role of estrogens and estrogen receptors. In addition, this manuscript will review major advances toward potential therapeutic applications of PEDF.
    Keywords: Anti, tumorigenesis Antiangiogenesis, Estrogens, Estrogen receptors, Hormonal regulation, PEDF, Synthetic peptides}
  • Sepideh Siadati, Majid Sharbatdaran, Novin Nikbakhsh, Naser Ghaemian
    Background And Objectives
    Breast cancer is the most common malignancy among women in the world. The aim of this study was to assess estrogen receptor (ER), progesterone receptor (PR) and HER-2/neu of infiltrating ductal carcinoma (IDC) with tumor size, histologic grade, lymph node metastasis and age.
    Methods
    This study was carried out on 300 tissue blocks ofpatients with IDC who underwent mastectomy from 2007 to 2011 in Shahid Beheshti Hospital, affiliated to Babol University of Medical Sciences, Babol, Iran. Data including age, tumor size, and histologic grade and lymph node status retrieved from pathology department.
    Result
    Themean age of the patients was 40.2±2.3 (ranged 19-82 years). ER and PR were positively correlated with each other (P= 0.001) and they inversely correlated with HER-2/neu (P=0.001). We observed correlation between ER and PR expression and low histologic grade (P= 0.001) and HER-2/neu expression and high histologic grade (P= 0.003). There was correlation between HER-2/neu expression and lymph node involvement (P=0.03). None of these makers showed correlation with age and tumor size (P> 0.05).
    Conclusion
    Our findings indicate the importance of ER, PR and HER-2/neu expression as prognostic factors for therapeutic decision.
    Keywords: Estrogen Receptors, Progesterone Receptor, c, erbB, 2 Proto, Oncogene, Invasive Ductal Carcinoma, Breast}
  • Deepti Gupta*, Veena Gupta, Nisha Marwah, Meenu Gill, Sumiti Gupta, Gopal Gupta, Promil Jain, Rajeev Sen
    Background And Objective
    Breast cancer is the commonest cancer of Indian women. Estrogen and Progesterone expression is seen in benign breast lesions and in breast carcinoma associated with good prognostic parameters and it correlates well with response to hormone therapy. Although a lot of studies have been conducted in the past on hormone receptor expression in breast cancer and few have correlated them with other prognostic parameters of breast cancer, the present study was intended to document the prevalence of hormone receptor positive breast carcinomas in our population; their importance in benign breast diseases; to document a reliable scoring system of hormone receptors expression by Quick scoring; to correlate them with most of the proven prognostic parameters of breast carcinoma.
    Methods
    Tissue specimens from 25 patients with benign breast disease and 50 patients with breast carcinoma were assayed for estrogen (ER) and progesterone (PR) receptors using Quick scoring. ER/PR expression in breast carcinomas was correlated with various prognostic parameters including patients’ age, menopausal status, tumor size, type, MBR grade, NPI, lymphatic vessel invasion, lymph node stage, lymphomononuclear invasion, elastosis and HER2/neu status.
    Result
    Scoring of steroid receptors paralleled intensity of hyperplasia in benign breast diseases but in breast carcinoma, it was inversely correlated with grade of tumor, NPI, HER2/neu status, tumor necrosis, lymphomononuclear infiltrate and elastosis. We found no relationship with tumor size, lymph node status or age.
    Conclusion
    Assessment of hormone receptors for clinical management of breast cancer patients is strongly advocated to provide prognostic information and best therapeutic options.
    Keywords: Estrogen Receptors, Progesterone Receptors, erbB, 2 Receptor, Breast, Tumor}
  • Leila Rahmani, Ali Shahriari Ahmadi, Ali Basi, Tahere Zarouk Ahimahalle
    Background
    Because of the reported poor prognosis and absence of effective and specific therapeutic approaches, triple-negative breast cancer (TNBC) tumors have remained as an important area of investigations for clinicians and researchers. The aim of this study was to determine the clinical, pathological, histological, prognostic features, and outcome associated with this type of breast cancer in Iran. We also tried to identify main determinants of long-term survival in women suffered from TNBC tumor type.
    Methods
    This is a historical cohort study of 546 consecutive female breast cancer patients with known status of hormonal receptors and diagnosed at the Rasoul-e-Akram University Hospital of Iran between January 2009 and June 2011. Baseline data were collected from patient records and hospital charts. Long-term outcome was determined from clinic records when available or by means of written correspondence with patient's physicians and telephone interviews directly with the patients or with family members. Follow-up data were collected by our research personnel for a mean follow-up duration 5.7 years.
    Results
    A total of 86 of 546 final included participants with breast cancer were identified as having TNBC (15.8%).The patients with TNBC diagnosis were significantly younger than non-TNBC group and family history of breast cancer was more prevalent in former group. Regarding histopathological feature, medullary feature was more prevalent in TNBC group, while other features were similarly revealed in both groups. With respect to tumor grading, TNBC group was graded higher than non-TNBC group that grade III of tumor was reported in 51.1% of the TNBC patients, but in 15.9% of another group. Also, the stage of tumor was significantly higher in the TNBC group. Tumor size > 50 mm was observed in 18.6% of the TNBC and 14.8% of non-TNBC groups. Metastasis to liver as well as concurrent metastasis to brain and pulmonary was more prevalent in TNBC compared with another group. The Kaplan-Meier curves based showed the survival probability at 1-year, 3-year, and 5-year of follow-up in TNBC group was 92.7%, 86.2%, and 44.9%, respectively. This survival rates in non-TNBC group was 98.7%, 87/2%, and 72.5%, respectively. Multivariable logistic regression analysis showed that TNBC diagnosis could strongly predict long-term mortality in breast cancer patients. Besides, tumor size, number of involved lymph nodes and higher tumor grade were other determinants of cancer-related long-term mortality.
    Conclusion
    The present study on Iranian TNBCs population shows that TNBCs account for about 15.8% of all invasive breast cancers, and they usually have a high histological stating and metastasis susceptibility.
    Keywords: Triple, Negative Breast Cancer, Prognosis, HER2 gene, Estrogen receptors, Progestron receptors}
  • Zahra Maleki, Siamak Shariat, Mehrdad Mokri, Morteza Atri
    Background
    Evaluation of estrogen (ER) and progesterone (PR) receptors is important in the management and prognosis of breast cancer patients. Immunohistochemistry (IHC) is currently the worldwide accepted methodology for detection of ER/PR receptors in breast carcinomas. However, technical artifacts may alter the results. Since most authorities believe that there are no true ER-negative/PR-positive breast tumors, therefore we hypothesized that technical artifact in IHC might cause ER-negative/PR positive cases.
    Methods
    The clinical records of 2432 patients treated by surgery at six community hospitals for different histologic subtypes of breast carcinoma were reviewed. Among them, 43 (1.8%) patients reported as ER-negative/PR-positive were re-evaluated in a reference laboratory. Expressions of ER and PR were evaluated by IHC on the same paraffin block used for the initial testing.
    Results
    The repeat study showed that of the 43 patients with the initial results of ER-negative/PR-positive, 24 (55.8%) were ER-positive/PR-positive, 15 (34.9%) were ER-negative/PR-negative, and 4 (9.3%) were ER-positive/PR-negative. In none of the 43 cases were the initial results (ER-negative/PR-positive) confirmed.
    Conclusion
    Technical artifacts in IHC may alter ER/PR results in breast carcinomas. The technical factors affecting steroid receptor IHC ought to be properly controlled to provide reliable results.
    Keywords: Breast carcinoma, estrogen receptors, immunohistochemistry, progesterone receptors}
  • Hajari Ar, Kulkarni Jn
    Incidental detection of two primaries call for oncosurgeon''s own judgment to decide the best therapeutic approach as no guidelines exist given the rarity of condition..This is the sixth reported case of incidental renal cell cancer in a patient of endometrial cancer. Renal cell cancer was detected on preoperative Magnetic Resonance Imaging in a patient who presented as postmenopausal bleeding and histology proven endometrial carcinoma. Both primaries were simultaneously treated surgically. Final histology confirmed dual primaries with uterine primary being endometrioid adenocarcinoma stage Ic, estrogen progesterone receptor positive; where as renal primary was clear cell carcinoma stage Ib, estrogen and progesterone receptor negative..Estrogen receptors have been identified in Hamster and mouse kidneys as well as in renal cell carcinoma tissues. High plasma estrogen found in some patients of synchronous renal and endometrial cancer may partly explain the association of these two primaries, though not in all cases. Increased serum leptin levels and a common low penetrance susceptibility gene have been reported in both these cancers..
    Keywords: RCC, EndometrialCancer, Estrogen Receptors}
  • سید محمد رضوی، اردشیر طالبی، بیژن موحدیان عطار، ایمانه عسگری
    زمینه و هدف
    ژآنت سل گرانولوما از ضایعات نسبتا شایع می باشد که به دلیل شیوع بیشتر آن در جنس مونث و رشد آن طی دوران حاملگی، فرضیه تاثیر هورمونهای جنسی زنانه (استروژن و پروژسترون) بر این ضایعه مطرح شده است. در این مطالعه وجود رسپتورهای خاص این هورمونها با روش ایمونوهیستوشیمی بررسی و با بافت مخاط دهان مقایسه شد. مطالعه حاضر با هدف ارزیابی Expression رسپتورهای استروژن و پروژسترون در ضایعات ژآنت سل گرانولومای فک انجام شد.
    روش بررسی
    در این بررسی مقطعی، تعداد 25 نمونه از ضایعات ژآنت سل گرانولومای مرکزی و محیطی، به ترتیب شامل 12 مورد ضایعه مرکزی و 13 مورد ضایعه محیطی، از آرشیو آزمایشگاه پاتولوژی دانشکده دندانپزشکی دانشگاه علوم پزشکی اصفهان انتخاب و بلوک پارافینه آن استخراج شد. همچنین جهت تعیین گروه شاهد، به همین تعداد از بافت سالم مخاطی دهان نمونه هایی برداشته و به طور مشابهی بلوک پارافینی آنها تهیه شد. به منظور تایید صحیح بودن تکنیک مورد استفاده و کنترل اختصاصی بودن روش رنگ آمیزی، در تمام مراحل از شاهد مثبت و شاهد منفی استفاده گردید. کلیه موارد پس از طی مراحل خاص، برای رسپتورهای استروژن و پروژسترون رنگ آمیزی ایمونوهیستوشیمیایی شد. در این تکنیک روش بیوتین - استرپتاویدین مورد استفاده قرار گرفت. اطلاعات با استفاده از نرم افزار SPSS تجزیه و تحلیل آماری شد.
    یافته ها
    پس از بررسی لام ها، در کلیه موارد شامل ضایعات ژآنت و بافت سالم مخاطی هیچ گونه رنگ پذیری هسته ای برای این رسپتورها مشاهده نگردید؛ همچنین کلیه دسته های سلولی اعم از ژآنت سل، سلولهای استروما، اندوتلیال عروق و سلولهای اپیتلیوم به طور تقریبا مشابهی ER/PR منفی گزارش شدند.
    نتیجه گیری
    با وجود فرضیه تاثیر هورمونهای جنسی بر ضایعات ژآنت سل گرانولوما به دلیل شیوع بیشتر آن در زنان و رشد یا عود آن در دوران حاملگی، طی این مطالعه و با به کارگیری یک روش استاندارد IHC، Expression این رسپتورها منفی و امکان تاثیر هورمون به طور مستقیم رد شد؛ بنابراین انجام تحقیقات بیشتر در این زمینه با روش های حساستر ضروری به نظر می رسد.
    کلید واژگان: ژآنت سل گرانولومای مرکزی, ژآنت سل گرانولومای محیطی, رسپتور استروژن, رسپتور پروژسترون, ایمونوهیستوشیمی}
    Sm. Razavi, A. Talebi, B. Movahedian Attar, I. Asgari
    Background And Aim
    Giant cell granuloma is a relatively common benign proliferative lesion of the oral cavity. This lesion has a marked gender predilection with more prevalence in females and tendency to rapid growth and recurrence during pregnancy. The aim of this study was the evaluation of specific receptors of sex hormones in giant cell granuloma.
    Materials And Methods
    In this cross-sectional study, twenty five cases of formalin fixed paraffin embedded giant cell granulomas were retrieved from the oral pathology archive of dental school Isfahan University of Medical Sciences. Also twenty five normal oral mucosa biopsies resected during different surgical procedures were prepared as control group. Cases were immunohistochemically stained for estrogen and progesterone receptors using the biotin-streptavidine method. Data were analyzed by SPSS package.
    Results
    Staining for ER/PR markers were negative for the mononuclear stromal cells and multinucleated giant cells in all cases. The epithelial cells and connective tissue stromal cells of the control group were also negative for these receptors.
    Conclusion
    Based on the results of this study, immunostaining for ER/PR was negative in all cases. These findings suggest that in most cases development and growth of this lesion is not directly related to these hormones. However further studies with more sensitive techniques are recommended.
    Keywords: Peripheral giant cell granuloma, Central giant cell granuloma, Estrogen receptors, Progesterone receptors, Immunohistochemistry}
نکته
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