Abstract

Objective To investigate the expression of Twist and hypoxia inducible factor-1α (HIF-1α) in invasive ductal carcinoma of breast and their relationships with epithelial-mesenchymal transition (EMT).Methods Expression levels of Twist,HIF-1α,E-cadherin and Vimentin in 90 cases of invasive ductal carcinoma tissues and corresponding adjacent tissues were detected by immunohistochemical staining of streptavid-in-peroxidase (SP) method.Results The positive expression rate of Twist,HIF-1 α,E-cadherin and Vimentin was 73.3%,68.9%,15.6% and 64.4% respectively in breast cancer tissues,and 7.8%,8.9%,75.6% and 34.4% respectively in adjacent tissues.The difference in positive rate between breast cancer tissues and adjacent tissues was statistically significant (P < 0.05).The expression levels of Twist and HIF-1α were correlated with histological grade and lymph node metastasis (P < 0.05).There was a positive correlation between expression levels of Twist and HIF-1α.The expression levels of Twist and HIF-1α were closely correlated with low expression of E-cadherin and high expression of Vimentin.Conclusion Twist,HIF-1α and Vimentin in breast cancer tissues showed higher expression,while E-cadherin lower expression.HIF-1α may promote the occurrence of EMT by up-regulating the expression of Twist,which makes it become one of the possible ways to promote the invasion and metastasis of breast cancer. Key words: Breast carcinoma ; Epithelial-mesenchymal transition ; Twist ; Hypoxia inducible factor-1α

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