Gene profiling and circulating tumor cells as biomarker to prognostic of patients with locoregional breast cancer

The gene profile of primary tumors, as well as the identification of circulating tumor cells (CTCs), can provide important prognostic and predictive information. In this study, our objective was to perform tumor gene profiling (TGP) in combination with CTC characterization in women with nonmetastati...

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Veröffentlicht in:Tumor biology 2015-09, Vol.36 (10), p.8075-8083
Hauptverfasser: Kuniyoshi, Renata K., de Sousa Gehrke, Flávia, Alves, Beatriz C. A., Vilas-Bôas, Viviane, Coló, Anna E., Sousa, Naiara, Nunes, João, Fonseca, Fernando L. A., Del Giglio, Auro
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container_end_page 8083
container_issue 10
container_start_page 8075
container_title Tumor biology
container_volume 36
creator Kuniyoshi, Renata K.
de Sousa Gehrke, Flávia
Alves, Beatriz C. A.
Vilas-Bôas, Viviane
Coló, Anna E.
Sousa, Naiara
Nunes, João
Fonseca, Fernando L. A.
Del Giglio, Auro
description The gene profile of primary tumors, as well as the identification of circulating tumor cells (CTCs), can provide important prognostic and predictive information. In this study, our objective was to perform tumor gene profiling (TGP) in combination with CTC characterization in women with nonmetastatic breast cancer. Biological samples (from peripheral blood and tumors) from 167 patients diagnosed with stage I, II, and III mammary carcinoma, who were also referred for adjuvant/neoadjuvant chemotherapy, were assessed for the following parameters: (a) the presence of CTCs identified by the expression of CK-19 and c-erbB-2 in the peripheral blood mononuclear cell (PBMC) fraction by quantitative reverse transcription PCR (RT-PCR) and (b) the TGP, which was determined by analyzing the expression of 21 genes in paraffin-embedded tissue samples by quantitative multiplex RT-PCR with the Plexor® system. We observed a statistically significant correlation between the progression-free interval (PFI) and the clinical stage ( p  = 0.000701), the TGP score ( p  = 0.006538), and the presence of hormone receptors in the tumor ( p  = 0.0432). We observed no correlation between the PFI and the presence or absence of CK-19 or HER2 expression in the PBMC fraction prior to the start of treatment or in the two following readouts. Multivariate analysis revealed that only the TGP score significantly correlated with the PFI ( p  = 0.029247). The TGP is an important prognostic variable for patients with locoregional breast cancer. The presence of CTCs adds no prognostic value to the information already provided by the TGP.
doi_str_mv 10.1007/s13277-015-3529-5
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A.</au><au>Vilas-Bôas, Viviane</au><au>Coló, Anna E.</au><au>Sousa, Naiara</au><au>Nunes, João</au><au>Fonseca, Fernando L. A.</au><au>Del Giglio, Auro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gene profiling and circulating tumor cells as biomarker to prognostic of patients with locoregional breast cancer</atitle><jtitle>Tumor biology</jtitle><stitle>Tumor Biol</stitle><addtitle>Tumour Biol</addtitle><date>2015-09-01</date><risdate>2015</risdate><volume>36</volume><issue>10</issue><spage>8075</spage><epage>8083</epage><pages>8075-8083</pages><issn>1010-4283</issn><eissn>1423-0380</eissn><abstract>The gene profile of primary tumors, as well as the identification of circulating tumor cells (CTCs), can provide important prognostic and predictive information. In this study, our objective was to perform tumor gene profiling (TGP) in combination with CTC characterization in women with nonmetastatic breast cancer. 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We observed no correlation between the PFI and the presence or absence of CK-19 or HER2 expression in the PBMC fraction prior to the start of treatment or in the two following readouts. Multivariate analysis revealed that only the TGP score significantly correlated with the PFI ( p  = 0.029247). The TGP is an important prognostic variable for patients with locoregional breast cancer. The presence of CTCs adds no prognostic value to the information already provided by the TGP.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>25976504</pmid><doi>10.1007/s13277-015-3529-5</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; SpringerNature Journals
subjects Adult
Aged
Biomarkers
Biomarkers, Tumor - analysis
Biomedical and Life Sciences
Biomedicine
Breast Neoplasms - classification
Breast Neoplasms - genetics
Breast Neoplasms - mortality
Breast Neoplasms - pathology
Cancer Research
Chemotherapy
Drug therapy
Female
Follow-Up Studies
Gene Expression Profiling
Humans
Keratin-19 - genetics
Leukocytes, Mononuclear - pathology
Middle Aged
Neoplasm Staging
Neoplastic Cells, Circulating - pathology
Polymerase chain reaction
Prognosis
Real-Time Polymerase Chain Reaction
Receptor, ErbB-2 - genetics
Research Article
RNA, Messenger - genetics
Survival Rate
Tumors
title Gene profiling and circulating tumor cells as biomarker to prognostic of patients with locoregional breast cancer
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