%A Guo Chongyong, Li Yongmei, Li Bocheng, Zhou Ling, Zhang Jian, Jia Zongshi %T Expressions and clinical significances of aldehyde dehydrogenase 1 and transforming growth factor-β2 in triple negative breast cancer %0 Journal Article %D 2017 %J Journal of International Oncology %R 10.3760/cma.j.issn.1673-422X.2017.11.001 %P 801-805 %V 44 %N 11 %U {https://gjzlx.sdfmu.edu.cn/CN/abstract/article_10339.shtml} %8 2017-11-08 %X Objective To investigate the expressions and clinical significances of breast cancer stem cell markers such as aldehyde dehydrogenase 1 (ALDH1) and transforming growth factorβ2 (TGFβ2) in patients with triple negative breast cancer. MethodsSamples of 60 triple negative breast cancer tissues were investigated for the expressions of ALDH1 and TGFβ2 proteins by immunohistochemical staining. The correlation analysis, diseasefree survival analysis and overall survival analysis were performed. ResultsThe positive expressions of ALDH1 protein and TGFβ2 protein in the 60 breast cancer primary lesions were 23 cases (38.33%) and 38 cases (63.33%) respectively. The expression of ALDH1 protein was not correlated with tumor size (χ2=0.307, P=0.580), histological grade (χ2=4.244, P=0.120), clinical stage (χ2=0.982, P=0.612) or lymph node metastasis (χ2=1.111, P=0.292). The expression of TGFβ2 protein was not correlated with histological grade (χ2=4.651, P=0.098), lymph node metastasis (χ2=3.513, P=0.061), clinical stage (χ2=1.310, P=0.519) or tumor size (χ2=0.629, P=0.428). The diseasefree survival time [(38.43±3.86) months vs. (53.38±2.58) months] and the overall survival time [(42.00±3.11) months vs. (53.84±2.19) months] of ALDH1positive patients were significantly shorter than those of ALDH1negative patients, and the differences were statistically significant (χ2=8.490, P=0.004; χ2=11.270, P=0.001). The diseasefree survival time [(42.81±3.32) months vs. (54.72±2.50) months] and the overall survival time [(44.74±2.68) months vs. (57.18±1.55) months] of TGFβ2 positive patients were significantly shorter than those of TGFβ2negative patients, and the differences were statistically significant (χ2=4.300, P=0.038; χ2=8.900, P=0.003). The expression of ALDH1 protein was positively correlated with the expression of TGFβ2 protein (r=0.360, P=0.005). ConclusionThe ALDH1 phenotype is an independent predictor of poor prognosis. The activation of TGFβ2 signaling pathway may be involved in the regulation of triplenegative breast cancer stem cells.