常亮,戶莊,周振宇,付傳恒,馬明德,林旭紅
(河南大學(xué)淮河醫(yī)院 甲狀腺乳腺外科,河南 開封 475000)
乳腺癌是女性最常見的惡性腫瘤之一[1],嚴(yán)重影響女性的身心健康,同時(shí)也給家庭及社會(huì)造成了比較大的危害。乳腺癌的發(fā)病因素很多,其中激素水平、遺傳因素、居民生活習(xí)慣、食物內(nèi)激素含量增加以及相關(guān)體內(nèi)基因的變化與其密切相關(guān)。其主要牽涉到機(jī)體異常細(xì)胞的不可控的增長(zhǎng)和轉(zhuǎn)移,這其中涉及到很多與腫瘤相關(guān)基因的分子水平的變化[2-5]。因而從某程度上來說,尋找新的腫瘤治療的分子靶點(diǎn)及開發(fā)分子靶向藥物顯得極為重要。星形細(xì)胞上調(diào)基因1(astrocyte elevated gene 1,AEG-1)在人類編碼582個(gè)氨基酸,這些氨基酸序列在脊椎動(dòng)物中是高度保守的,在調(diào)控不同的生理、病理過程中發(fā)揮顯著的作用[2],特別是其在腫瘤的發(fā)生發(fā)展中發(fā)揮極其重要的作用。因此本研究通過觀察AEG-1表達(dá)下調(diào)對(duì)乳腺癌細(xì)胞凋亡能力的影響,初步了解其在乳腺癌的發(fā)生發(fā)展過程中所發(fā)揮的作用及相關(guān)分子機(jī)制。
AEG-1、caspase-3、caspase-9、β-actin兔抗人多克隆抗體、A E G-1 s i R N A、陰性對(duì)照siRNA、購(gòu)自Santa Cruz公司。脂質(zhì)體購(gòu)自Invitrogen公司。MCF-7細(xì)胞購(gòu)自中國(guó)科學(xué)院上海細(xì)胞研究所細(xì)胞庫(kù)。其他常用劑由河南大學(xué)病理學(xué)實(shí)驗(yàn)室提供。
1.2.1 細(xì)胞分組 空白對(duì)照組:未轉(zhuǎn)染的乳腺癌MCF-7細(xì)胞;陰性對(duì)照組:用陰性對(duì)照siRNA轉(zhuǎn)染的MCF-7細(xì)胞;AEG-1 siRNA組:利用AEG-1siRNA轉(zhuǎn)染的MCF-7細(xì)胞。
1.2.2 細(xì)胞培養(yǎng)與基因轉(zhuǎn)染 將液氮中凍存的MCF-7細(xì)胞加入RPMI-1640培養(yǎng)基,置于37 ℃,CO2培養(yǎng)箱中培養(yǎng)進(jìn)行復(fù)蘇后消化。中止消化后將培養(yǎng)瓶置于CO2培養(yǎng)箱中進(jìn)行培養(yǎng)。待細(xì)胞達(dá)到指數(shù)生長(zhǎng)期可以進(jìn)行相應(yīng)的實(shí)驗(yàn)。轉(zhuǎn)染的前1 d,將一定數(shù)量的MCF-7細(xì)胞接種在RPMI-1640培養(yǎng)基中,當(dāng)細(xì)胞的融合度達(dá)到85%~95%左右時(shí),進(jìn)行轉(zhuǎn)染。按試劑盒說明制備siRNA和脂質(zhì)體的混合物,并加入培養(yǎng)板中,在培養(yǎng)箱中孵育6 h后更換培養(yǎng)基,轉(zhuǎn)染后48 h進(jìn)行后續(xù)實(shí)驗(yàn)。
1.2.3 流式細(xì)胞術(shù)檢測(cè)乳腺癌MCF-7細(xì)胞凋亡 收集轉(zhuǎn)染48 h的3組乳腺癌MCF-7細(xì)胞至10 mL的離心管中,每組的細(xì)胞數(shù)大約為(1~5)×106/mL,然后于1 000r/min的條件下離心、洗滌,于1 000r/min離心5 min,于室溫下避光孵育10~15 min,于1 000r/min離心5 min以沉淀MCF-7細(xì)胞,并采用孵育緩沖液漂洗1次。加入熒光(SA-FLOUS)溶液于4 ℃條件下避光孵育20 min后,進(jìn)行流式細(xì)胞儀分析檢測(cè)。
1.2.4 Western blot 收集轉(zhuǎn)染后48 h的3組乳腺癌MCF-7細(xì)胞。采用細(xì)胞裂解緩沖液提取總蛋白采用Bradford法測(cè)定蛋白濃度。計(jì)算上樣量后電泳、轉(zhuǎn)膜、封閉2 h。分別加一抗(AEG-1、caspase-3、caspase-9、β-actin)于含5%脫脂奶粉的洗滌緩沖液中,4 ℃過夜。第2天用洗滌緩沖液洗5 min×3次,分別加合適的二抗作用2 h,洗5 min×3次,然后曝光。將膠片進(jìn)行拍照后,采用Gene Tools軟件進(jìn)行灰度值分析,計(jì)算蛋白的相對(duì)表達(dá)量,公式為:蛋白相對(duì)表達(dá)量=目的蛋白的表達(dá)量/內(nèi)參蛋白的表達(dá)量。
所有結(jié)果采用SPSS 13.0軟件進(jìn)行統(tǒng)計(jì)學(xué)處理,兩組數(shù)據(jù)間比較用獨(dú)立樣本t檢驗(yàn),計(jì)量資料采用均數(shù)±標(biāo)準(zhǔn)差(±s)表示,組數(shù)據(jù)及以上行單因素方差分析(One-way ANOVA);P<0.05為差異有統(tǒng)計(jì)學(xué)意義。
Western blot檢測(cè)3組乳腺癌MCF-7細(xì)胞中AEG-1蛋白的表達(dá),結(jié)果表明,AEG-1 siRNA組中AEG-1蛋白的表達(dá)明顯低于空白對(duì)照組和陰性對(duì)照組(均P<0.05),而空白對(duì)照組和陰性對(duì)照組之間相比,AEG-1蛋白的表達(dá)無差異(P>0.05)(圖1)。提示AEG-1 siRNA能有效下調(diào)乳腺癌MCF-7中AEG-1蛋白的表達(dá)。
圖1 Western blot檢測(cè)AEG-1蛋白表達(dá)Figure 1 Western blot analysis of AEG-1 protein expression
采用流式細(xì)胞術(shù)檢測(cè)3組乳腺癌MCF-7細(xì)胞的細(xì)胞凋亡,結(jié)果顯示,AEG-1 siRNA組中乳腺癌MCF-7細(xì)胞的早期、晚期凋亡率明顯高于空白對(duì)照組和陰性對(duì)照組(均P<0.05),而空白對(duì)照組和陰性對(duì)照組之間乳腺癌MCF-7細(xì)胞的早期、晚期凋亡率均無統(tǒng)計(jì)學(xué)差異(均P>0.05)(圖2)。為了進(jìn)一步分析AEG-1 siRNA引發(fā)的乳腺癌MCF-7細(xì)胞的可能的分子機(jī)制,采用Western blot技術(shù)分析轉(zhuǎn)染AEG-1 siRNA和對(duì)照siRNA前后細(xì)胞凋亡相關(guān)蛋白caspase-3和caspase-9的表達(dá)。結(jié)果顯示,與空白對(duì)照組和陰性對(duì)照組相比,AEG-1 siRNA組中乳腺癌MCF-7細(xì)胞的caspase-3和caspase-9蛋白表達(dá)均明顯上調(diào)(均P<0.05),而空白對(duì)照組和陰性對(duì)照組之間caspase-3和caspase-9蛋白表達(dá)無統(tǒng)計(jì)學(xué)差異(均P>0.05)(圖3)。
圖2 流式細(xì)胞術(shù)檢測(cè)胞凋亡情況Figure 2 Flow cytometry analysis of cell apoptosis
圖3 Western blot檢測(cè)各組細(xì)胞caspase-3和caspase-9蛋白的表達(dá)Figure 3 Western blot analysis of expressions of caspase-3 and caspase-9
積累的證據(jù)已經(jīng)表明AEG-1在調(diào)控不同的生理、病理過程中發(fā)揮顯著的作用,特別是其在腫瘤的發(fā)生發(fā)展中發(fā)揮極其重要的作用;與AEG-1在許多不同的惡性腫瘤中的作用一致,最近在許多腫瘤的臨床研究中將AEG-1與腫瘤的進(jìn)展和臨床較差的預(yù)后密切聯(lián)系在一起,提示AEG-1可能在腫瘤的發(fā)生、發(fā)展及進(jìn)展中發(fā)揮及其重要的作用[6]。研究顯示,AEG-1在多種不同的腫瘤中表達(dá)上調(diào),包括:涎腺癌[7]、頭頸部腫瘤[8-9]、膽囊癌[10]、卵巢癌[11-12]、非小細(xì)胞肺癌[13-14]、子宮內(nèi)膜癌[15]、子宮頸癌[16-17]和肝癌[18]等。還有研究[19-22]證明,AEG-1在大多數(shù)正常的人類乳腺組織中低表達(dá)或缺失,但在許多乳腺癌細(xì)胞系或乳腺癌組織中呈現(xiàn)高表達(dá)?;谏鲜鲅芯拷Y(jié)果,究竟AEG-1在乳腺癌的發(fā)生發(fā)展中怎樣發(fā)揮作用,其機(jī)制是什么,是否能應(yīng)用于臨床乳腺癌的治療,目前國(guó)內(nèi)研究尚少。當(dāng)前興起的RNA干擾技術(shù)是體內(nèi)外研究基因功能較為理想的技術(shù)手段之一,許多研究[23-24]表明RNA干擾對(duì)于抑制腫瘤細(xì)胞中的癌基因的過度表達(dá)發(fā)揮重要作用,可能成為治療腫瘤的一種新的手段和措施。因此上述研究表明,AEG-1在乳腺癌MCF-7細(xì)胞中高水平表達(dá)。在本研究中,將特異性的AEG-1 siRNA轉(zhuǎn)染乳腺癌MCF-7細(xì)胞,采用Western blot技術(shù)研究乳腺癌MCF-7細(xì)胞中AEG-1蛋白的表達(dá)。結(jié)果發(fā)現(xiàn),轉(zhuǎn)染AEG-1siRNA后乳腺癌MCF-7細(xì)胞中AEG-1蛋白表達(dá)均顯著低于空白對(duì)照組和陰性對(duì)照組(P<0.05),而空白對(duì)照組和陰性對(duì)照組之間相比,AEG-1蛋白表達(dá)無統(tǒng)計(jì)學(xué)差異(P>0.05),這一結(jié)果提示AEG-1 siRNA能明顯下調(diào)乳腺癌MCF-7細(xì)胞中AEG-1蛋白的表達(dá)。有研究[25]顯示沉默乳腺癌細(xì)胞MCF-7的AEG-1表達(dá)量,可以有效地抑制細(xì)胞增殖、遷移和侵襲的能力。該研究表明,AEG-1在乳腺癌的腫瘤的生長(zhǎng)、局部擴(kuò)散、組織浸潤(rùn)等過程中都發(fā)揮著重要作用;通過靶向沉默AEG-1,可以有效地抑制原發(fā)灶乳腺癌的生長(zhǎng)和擴(kuò)散。沉默乳腺癌細(xì)胞MCF-7的AEG-1表達(dá)量是否對(duì)乳腺癌細(xì)胞其他生物學(xué)行為同樣存在影響,國(guó)內(nèi)研究較少。
在其它的模型中,AEG-1也被證實(shí)抑制細(xì)胞凋亡,主要通過激活PI3K/AKT信號(hào)途徑上調(diào)凋亡抑制基因的表達(dá)[26]。在正常星形細(xì)胞和纖維組織母細(xì)胞中AEG-1過表達(dá)誘導(dǎo)細(xì)胞凋亡[27]。當(dāng)一組信號(hào)通路特異性的抑制劑被用來檢測(cè)AEG-1前生存功能的下游調(diào)節(jié)子時(shí),僅PI3K抑制劑LY294002、P T E N和顯性負(fù)相A k t在無血清條件下能減弱AEG-1依賴的生存[28]。是否AEG-1表達(dá)下調(diào)能誘導(dǎo)乳腺癌MCF-7細(xì)胞發(fā)生凋亡呢?在本研究中,采用流式細(xì)胞術(shù)分析轉(zhuǎn)染AEG-1 siRNA和對(duì)照siRNA前后乳腺癌MCF-7細(xì)胞凋亡的變化。結(jié)果發(fā)現(xiàn),AEG-1 siRNA組中乳腺癌MCF-7細(xì)胞的凋亡率明顯高于空白對(duì)照組和陰性對(duì)照組(P<0.05),而空白對(duì)照組和陰性對(duì)照組之間,乳腺癌MCF-7細(xì)胞的凋亡率無統(tǒng)計(jì)學(xué)差異(P>0.05),這一結(jié)果表明AEG-1表達(dá)下調(diào)能明顯誘導(dǎo)乳腺癌MCF-7細(xì)胞發(fā)生凋亡。而凋亡效應(yīng)分子caspase-3位于凋亡通路樞紐地位,caspase-3活化能引起細(xì)胞凋亡。caspase-3的活化主要依靠caspase-9的激活,caspase-3和caspase-9與乳腺癌發(fā)生發(fā)展密切相關(guān)[27]。為了進(jìn)一步探討其凋亡發(fā)生的可能的分子機(jī)制,本研究采用Western blot檢測(cè)與細(xì)胞凋亡密切相關(guān)蛋白caspase-3和caspase-9的表達(dá),結(jié)果發(fā)現(xiàn)AEG-1 siRNA組中caspase-3和caspase-9蛋白的表達(dá)顯著高于空白對(duì)照組和陰性對(duì)照組(P<0.05),而空白對(duì)照組和陰性對(duì)照組之間caspase-3和caspase-9蛋白的表達(dá)無統(tǒng)計(jì)學(xué)差異(P>0.05),因而可以初步得出AEG-1表達(dá)下調(diào)引發(fā)的乳腺癌MCF-7細(xì)胞凋亡可能與caspase-3和caspase-9蛋白表達(dá)的上調(diào)密切相關(guān),但是其詳細(xì)的分子機(jī)制尚需要進(jìn)一步探討。
[1]夏林玉.三陰性乳腺癌治療的新進(jìn)展[J].中國(guó)普通外科雜志,2016,25(5):741–746.doi:10.3978/j.issn.1005–6947.2016.05.020.Xia LY.Treatment of triple-negative breast cancer: resent progress[J].Chinese Journal of General Surgery,2016,25(5):741–746.doi:10.3978/j.issn.1005–6947.2016.05.020.
[2]肖順崇,羅漢傳,覃俊仕.miR-204對(duì)TFAM的靶向調(diào)控作用及其對(duì)乳腺癌細(xì)胞生長(zhǎng)與增殖的影響[J].中國(guó)普通外科雜志,2016,25(11):1615–1621.doi:10.3978/j.issn.1005–6947.2016.11.016.Xiao SC,Luo HC,Qin JS.Targeted regulation of miR-204 on TFAM and their influence on growth and proliferation in breast cancer cells[J].Chinese Journal of General Surgery,2016,25(11):1615–1621.doi:10.3978/j.issn.1005–6947.2016.11.016.
[3]郭晨明,吳楠,郭麗英.我國(guó)HER-2陽(yáng)性乳腺癌預(yù)后影響因素的Meta分析[J].中國(guó)普通外科雜志,2016,25(2):264–270.doi:10.3978/j.issn.1005–6947.2016.02.018.Guo CM,Wu N,Guo LY.Prognostic factors for HER-2-positive breast cancer in China: a Meta-analysis[J].Chinese Journal of General,2016,25(2):264–270.doi:10.3978/j.issn.1005–6947.2016.02.018.
[4]漆云翔,葉菲,宋晏瓊.TGF-β RⅡ與HER-2陰性乳腺癌患者預(yù)后的關(guān)系研究[J].中國(guó)普通外科雜志,2016,25(5):756–760.doi:10.3978/j.issn.1005–6947.2016.05.023.Qi YX,Ye F,Song YQ.Study on relationship of TGF-β RⅡon prognosis of HER-2 negative breast cancer patients[J].Chinese Journal of General,2016,25(5):756–760.doi:10.3978/j.issn.1005–6947.2016.05.023.
[5]遲婷,姜曉燕.乳腺癌組織中miR-34a與VEGF的關(guān)系及臨床意義[J].中國(guó)普通外科雜志,2016,25(5):680–685.doi:10.3978/j.issn.1005–6947.2016.05.010.Chi T,Jiang XY.Relationship between miR-34a and VEGF expressions in breast cancer tissue and the clinical significance[J].Chinese Journal of General,2016,25(5):680–685.doi:10.3978/j.issn.1005–6947.2016.05.010.
[6]Yoo BK,Emdad L,Lee SG,et al.Astrocyte elevated gene-1(AEG-1): A multifunctional regulator of normal and abnormal physiology[J].Pharmacol Ther,2011,130(1):1–8.doi: 10.1016/j.pharmthera.2011.01.008.
[7]Liao WT,Guo L,Zhong Y,et al.Astrocyte elevated gene-1 (AEG-1) is a marker for aggressive salivary gland carcinoma[J].J Transl Med,2011,9:205.doi: 10.1186/1479–5876–9–205.
[8]Nohata N,Hanazawa T,Kikkawa N,et al.Tumor suppressive microRNA-375 regulates oncogene AEG-1/MTDH in head and neck squamous cell carcinoma (HNSCC)[J].J Hum Genet,2011,56(8):595–601.doi: 10.1038/jhg.2011.66.
[9]劉亮.AEG-1在頭頸部腫瘤中的研究進(jìn)展[J].醫(yī)學(xué)綜述,2014,20(5):813–816.doi:10.3969/j.issn.1006–2084.2014.05.015.Liu L.The Research Progress of AEG-1 in Head and Neck Cancer[J].Medical Recapitulate,2014,20(5):813–816.doi:10.3969/j.issn.1006–2084.2014.05.015.
[10]Sun W,Fan YZ,Xi H,et al.Astrocyte elevated gene-1 overexpression in human primary gallbladder carcinomas: an unfavorable and independent prognostic factor[J].Oncol Rep,2011,26(5):1133–1142.doi: 10.3892/or.2011.1387.
[11]Li C,Liu J,Lu R,et al.AEG -1 overexpression: a novel indicator for peritoneal dissemination and lymph node metastasis in epithelial ovarian cancers[J].Int J Gynecol Cancer,2011,21(4):602–608.doi:10.1097/IGC.0b013e3182145561.
[12]張淼,周秀春,張冠群,等.AEG-1在卵巢癌中的表達(dá)及其與臨床病理因素的關(guān)系[J].現(xiàn)代醫(yī)藥衛(wèi)生,2015,31(13):2004–2005.doi:10.3969/j.issn.1009–5519.2015.13.029.Zhang M,Zhou XC,Zhang GQ,et al.AEG-1 expression in ovarian cancer and its relation with clincopathologic factors[J].Journal of Modern Medicine & Health,2015,31(13):2004–2005.doi:10.3969/j.issn.1009–5519.2015.13.029.
[13]馬志紅,陳瑩蓉,董順利,等.NSCLC中AEG-1的表達(dá)及與臨床病理特征和血管生成的關(guān)系研究[J].浙江醫(yī)學(xué),2017,39(8):617–619.doi:10.12056/j.issn.1006–2785.2017.39.8.2017–293.Ma ZH,Chen YR,Dong SL,et al.Expression of AEG-1 in nonsmall cell lung cancer and its relation to clinicopathological features and angiogenesis[J].Zhejiang Medical Journal,2017,39(8):617–619.doi:10.12056/j.issn.1006–2785.2017.39.8.2017–293.
[14]高建華,曹華,李萱,等.AEG-1基因在NSCLC中的表達(dá)及其臨床病理意義[J].中國(guó)免疫學(xué)雜志,2016,32(12):1833–1836.doi:10.3969/j.issn.1000–484X.2016.12.024.Gao JH,Cao H,Li X,et al.Expression of AEG-1–1 gene in NSCLC and its clinical significance[J].Chinese Journal of Immunology,2016,32(12):1833–1836.doi:10.3969/j.issn.1000–484X.2016.12.024.
[15]Song H,Li C,Lu R,et al.Expression of astrocyte elevated gene-1:a novel marker of the pathogenesis,progression,and poor prognosis for endometrial cancer[J].Int J Gynecol Cancer,2010,20(7):1188–1196.
[16]宋恩霖,王茂梅,熊秀娟,等.子宮頸癌組織中AEG-1表達(dá)與微血管生成的關(guān)系[J].臨床與實(shí)驗(yàn)病理學(xué)雜志,2014,30(7):717–720.doi:10.13315/j.cnki.cjcep.2014.07.003.Song EL,Wang MM,Xiong XJ,et al.Expression of AEG-1 and relationship with angiogenesis in cervical carcinoma[J].Chinese Journal of Clinical and Experimental Pathology,2014,30(7):717–720.doi:10.13315/j.cnki.cjcep.2014.07.003.
[17]趙娟,馬唯,吳林林,等.AEG-1、P16、KI-67蛋白在宮頸癌前病變中的表達(dá)與臨床意義[J].中國(guó)性科學(xué),2016,25(10):35–39.dio:10.3969/j.issn.1672–1993.2016.10.011.Zhao J,Ma W,Wu LL,et al.The expression of AEG- 1,P16,KI-67 protein in precancerous cervical lesions and its clinical significance[J].The Chinese Journal of Human Sexuality,2016,25(10):35–39.dio:10.3969/j.issn.1672–1993.2016.10.011.
[18]程云娟,羅新華,程明亮.AEG-1、β-catenin和C-myc在原發(fā)性肝細(xì)胞癌中的臨床特性與分析[J].標(biāo)記免疫分析與臨床,2015,22(7):633–636.doi:10.11748/bjmy.issn.1006–1703.2015.07.013.Cheng YJ,Luo XH,Cheng ML.Clinical Feature Analysis of AEG-1,β-catenin and C-myc Expression in Primary Hepatocellular Carcinoma[J].Labeled Immunoassays and Clinical Medicine,2015,22(7):633–636.doi:10.11748/bjmy.issn.1006–1703.2015.07.013.
[19]Brown DM,Ruoslahti E.Metadherin,a cell surface protein in breast tumors that mediates lung metastasis[J].Cancer Cell,2004,5(4):365–374.
[20]Hu G,Chong RA,Yang Q,et al.MTDH activation by 8q22 genomic gain promotes chemoresistance and metastasis of poorprognosis breast cancer[J].Cancer Cell,2009,15(1):9–20.doi:10.1016/j.ccr.2008.11.013.
[21]Li J,Zhang N,Song LB,et al.Astrocyte elevated gene-1 is a novel prognostic marker for breast cancer progression and overall patient survival[J].Clin Cancer Res,2008,14(11):3319–3326.doi:10.1158/1078–0432.CCR-07–4054.
[22]曲美華,董秀玲,樸正愛,等.乳腺癌AEG-1、C-erbB2和VEGF的表達(dá)及臨床研究[J].中國(guó)保健營(yíng)養(yǎng),2015,25(17):46–47.Qu MH,Dong XL,Piao ZA,et al.Expressions of AEG-1,C-erbB2 and VEGF in breast cancer and associated clinical study[J].China Health Care & Nutrition,2015,25(17):46–47.
[23]劉言,李雙齊,劉景波.星形細(xì)胞上調(diào)基因-1及Girdin在乳腺癌組織中的表達(dá)[J].中華實(shí)驗(yàn)外科雜志,2015,32(11):2818–2819.doi:10.3760/cma.j.issn.1001–9030.2015.11.058.Liu Y,Li SQ,Liu JB.Expression of astrocyte elevated gene-1 and Girdin in breast carcinoma[J].Chinese Journal of Experimental Surgery,2015,32(11):2818–2819.doi:10.3760/cma.j.issn.1001–9030.2015.11.058.
[24]Xu C,Lee SA,Chen X.RNA interference as therapeutics for hepatocellular carcinoma[J].Recent Pat Anticancer Drug Discov,2011,6(1):105–115.
[25]李英紅,劉珺珺,寧曉明,等.AEG-1基因促進(jìn)乳腺癌細(xì)胞株MCF-7轉(zhuǎn)移[J].實(shí)用腫瘤學(xué)雜志,2017,31(4):299–304.dio:10.11904/j.issn.1002–3070.2017.04.003.Li YH,Liu JJ,Ning XM,et al.AEG-1 promotes metastasis of breast cancer MCF-7 cells[J].Practical Oncology Journal,2017,31(4):299–304.dio: 10.11904/j.issn.1002–3070.2017.04.003.
[26]Spirin PV,Baskaran F,Orlova NN,et al.Downregulation of activated leukemic oncogenes AML1-ETO and RUNX1(K83N)expression with RNA-interference[J].Mol Biol (Mosk),2010,44(5):876–888.
[27]王進(jìn)京,孫保存.乳腺癌中caspase-3和caspase-9的表達(dá)及其意義[J].臨床與實(shí)驗(yàn)病理學(xué)雜志,2012,28(4):378–381.doi:10.3969/j.issn.1001–7399.2012.04.006.Wang JJ,Sun BC.Expression of caspase-3 and caspase-9 and their significance in breast cancer[J].Chinese Journal of Clinical and Experimental Pathology,2012,28(4):378–381.doi:10.3969/j.issn.1001–7399.2012.04.006.
[28]Lee SG,Su ZZ,Emdad L,et al.Astrocyte elevated gene-1 activates cell survival pathways through PI3K-Akt signaling[J].Oncogene,2008,27(8):1114–1121.dio: 10.1038/sj.onc.1210713.