The Prognostic Value of BCAR1 in Patients with Primary Breast Cancer

Purpose: BCAR1, the human homologue of the rat p130Cas protein, was identified in a functional screen for human breast cancer cell proliferation resistant to antiestrogen drugs. Here, we study the prognostic value of quantitative BCAR1 levels in a large series of breast cancer specimens. Experimenta...

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Veröffentlicht in:Clinical cancer research 2004-09, Vol.10 (18), p.6194-6202
Hauptverfasser: Dorssers, Lambert C J, Grebenchtchikov, Nicolai, Brinkman, Arend, Look, Maxime P, van Broekhoven, Simone P J, de Jong, Danielle, Peters, Harry A, Portengen, Henk, Meijer-van Gelder, Marion E, Klijn, Jan G M, van Tienoven, Doorlene T H, Geurts-Moespot, Anneke, Span, Paul N, Foekens, John A, Sweep, Fred C G J
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container_end_page 6202
container_issue 18
container_start_page 6194
container_title Clinical cancer research
container_volume 10
creator Dorssers, Lambert C J
Grebenchtchikov, Nicolai
Brinkman, Arend
Look, Maxime P
van Broekhoven, Simone P J
de Jong, Danielle
Peters, Harry A
Portengen, Henk
Meijer-van Gelder, Marion E
Klijn, Jan G M
van Tienoven, Doorlene T H
Geurts-Moespot, Anneke
Span, Paul N
Foekens, John A
Sweep, Fred C G J
description Purpose: BCAR1, the human homologue of the rat p130Cas protein, was identified in a functional screen for human breast cancer cell proliferation resistant to antiestrogen drugs. Here, we study the prognostic value of quantitative BCAR1 levels in a large series of breast cancer specimens. Experimental Design: A specific ELISA was developed to measure BCAR1 protein levels in 2593 primary breast tumor cytosols. Tumor levels of BCAR1 were correlated with relapse-free survival (RFS) and overall survival (OS) and compared with collected data on urokinase-type plasminogen activator (uPA) and plasminogen activator inhibitor 1 (PAI-1). Results: In tumor cytosols, BCAR1 protein levels varied between 0.02 and 23 ng/mg protein. BCAR1 levels exhibited a positive correlation with steroid hormone receptor levels, age and menopausal status, and uPA and PAI-1 levels. The level of BCAR1 (continuous or categorized as low, intermediate, or high) was inversely related with RFS and OS time. Multivariate analysis showed that BCAR1 levels contributed independently to a base model containing the traditional prognostic factors for both RFS and OS (both P < 0.0001). When added together with uPA and PAI-1 in the multivariate model, BCAR1 contributed independently of PAI-1 and was favored over uPA. Interaction tests allowed for additional analyses of BCAR1 protein levels in clinically relevant subgroups stratified by nodal and menopausal status. Conclusions: The quantitative BCAR1 protein level represents a prognostic factor for RFS and OS in primary breast cancer, independent of the traditional prognostic factors and the other novel marker PAI-1.
doi_str_mv 10.1158/1078-0432.CCR-04-0444
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Here, we study the prognostic value of quantitative BCAR1 levels in a large series of breast cancer specimens. Experimental Design: A specific ELISA was developed to measure BCAR1 protein levels in 2593 primary breast tumor cytosols. Tumor levels of BCAR1 were correlated with relapse-free survival (RFS) and overall survival (OS) and compared with collected data on urokinase-type plasminogen activator (uPA) and plasminogen activator inhibitor 1 (PAI-1). Results: In tumor cytosols, BCAR1 protein levels varied between 0.02 and 23 ng/mg protein. BCAR1 levels exhibited a positive correlation with steroid hormone receptor levels, age and menopausal status, and uPA and PAI-1 levels. The level of BCAR1 (continuous or categorized as low, intermediate, or high) was inversely related with RFS and OS time. Multivariate analysis showed that BCAR1 levels contributed independently to a base model containing the traditional prognostic factors for both RFS and OS (both P &lt; 0.0001). When added together with uPA and PAI-1 in the multivariate model, BCAR1 contributed independently of PAI-1 and was favored over uPA. Interaction tests allowed for additional analyses of BCAR1 protein levels in clinically relevant subgroups stratified by nodal and menopausal status. 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Here, we study the prognostic value of quantitative BCAR1 levels in a large series of breast cancer specimens. Experimental Design: A specific ELISA was developed to measure BCAR1 protein levels in 2593 primary breast tumor cytosols. Tumor levels of BCAR1 were correlated with relapse-free survival (RFS) and overall survival (OS) and compared with collected data on urokinase-type plasminogen activator (uPA) and plasminogen activator inhibitor 1 (PAI-1). Results: In tumor cytosols, BCAR1 protein levels varied between 0.02 and 23 ng/mg protein. BCAR1 levels exhibited a positive correlation with steroid hormone receptor levels, age and menopausal status, and uPA and PAI-1 levels. The level of BCAR1 (continuous or categorized as low, intermediate, or high) was inversely related with RFS and OS time. Multivariate analysis showed that BCAR1 levels contributed independently to a base model containing the traditional prognostic factors for both RFS and OS (both P &lt; 0.0001). When added together with uPA and PAI-1 in the multivariate model, BCAR1 contributed independently of PAI-1 and was favored over uPA. Interaction tests allowed for additional analyses of BCAR1 protein levels in clinically relevant subgroups stratified by nodal and menopausal status. 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Drug treatments</topic><topic>Plasminogen Activator Inhibitor 1 - metabolism</topic><topic>Prognosis</topic><topic>Proportional Hazards Models</topic><topic>Proteins - genetics</topic><topic>Recurrence</topic><topic>Retinoblastoma-Like Protein p130</topic><topic>Tumors</topic><topic>Urokinase-Type Plasminogen Activator - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dorssers, Lambert C J</creatorcontrib><creatorcontrib>Grebenchtchikov, Nicolai</creatorcontrib><creatorcontrib>Brinkman, Arend</creatorcontrib><creatorcontrib>Look, Maxime P</creatorcontrib><creatorcontrib>van Broekhoven, Simone P J</creatorcontrib><creatorcontrib>de Jong, Danielle</creatorcontrib><creatorcontrib>Peters, Harry A</creatorcontrib><creatorcontrib>Portengen, Henk</creatorcontrib><creatorcontrib>Meijer-van Gelder, Marion E</creatorcontrib><creatorcontrib>Klijn, Jan G M</creatorcontrib><creatorcontrib>van Tienoven, Doorlene T H</creatorcontrib><creatorcontrib>Geurts-Moespot, Anneke</creatorcontrib><creatorcontrib>Span, Paul N</creatorcontrib><creatorcontrib>Foekens, John A</creatorcontrib><creatorcontrib>Sweep, Fred C G J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dorssers, Lambert C J</au><au>Grebenchtchikov, Nicolai</au><au>Brinkman, Arend</au><au>Look, Maxime P</au><au>van Broekhoven, Simone P J</au><au>de Jong, Danielle</au><au>Peters, Harry A</au><au>Portengen, Henk</au><au>Meijer-van Gelder, Marion E</au><au>Klijn, Jan G M</au><au>van Tienoven, Doorlene T H</au><au>Geurts-Moespot, Anneke</au><au>Span, Paul N</au><au>Foekens, John A</au><au>Sweep, Fred C G J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Prognostic Value of BCAR1 in Patients with Primary Breast Cancer</atitle><jtitle>Clinical cancer research</jtitle><addtitle>Clin Cancer Res</addtitle><date>2004-09-15</date><risdate>2004</risdate><volume>10</volume><issue>18</issue><spage>6194</spage><epage>6202</epage><pages>6194-6202</pages><issn>1078-0432</issn><eissn>1557-3265</eissn><abstract>Purpose: BCAR1, the human homologue of the rat p130Cas protein, was identified in a functional screen for human breast cancer cell proliferation resistant to antiestrogen drugs. Here, we study the prognostic value of quantitative BCAR1 levels in a large series of breast cancer specimens. Experimental Design: A specific ELISA was developed to measure BCAR1 protein levels in 2593 primary breast tumor cytosols. Tumor levels of BCAR1 were correlated with relapse-free survival (RFS) and overall survival (OS) and compared with collected data on urokinase-type plasminogen activator (uPA) and plasminogen activator inhibitor 1 (PAI-1). Results: In tumor cytosols, BCAR1 protein levels varied between 0.02 and 23 ng/mg protein. BCAR1 levels exhibited a positive correlation with steroid hormone receptor levels, age and menopausal status, and uPA and PAI-1 levels. The level of BCAR1 (continuous or categorized as low, intermediate, or high) was inversely related with RFS and OS time. Multivariate analysis showed that BCAR1 levels contributed independently to a base model containing the traditional prognostic factors for both RFS and OS (both P &lt; 0.0001). When added together with uPA and PAI-1 in the multivariate model, BCAR1 contributed independently of PAI-1 and was favored over uPA. Interaction tests allowed for additional analyses of BCAR1 protein levels in clinically relevant subgroups stratified by nodal and menopausal status. Conclusions: The quantitative BCAR1 protein level represents a prognostic factor for RFS and OS in primary breast cancer, independent of the traditional prognostic factors and the other novel marker PAI-1.</abstract><cop>Philadelphia, PA</cop><pub>American Association for Cancer Research</pub><pmid>15448007</pmid><doi>10.1158/1078-0432.CCR-04-0444</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Association for Cancer Research; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Aged
Antineoplastic agents
Biological and medical sciences
Breast Neoplasms - diagnosis
Breast Neoplasms - genetics
Breast Neoplasms - metabolism
Cell Line, Tumor
Cell Proliferation
Chemotherapy, Adjuvant
Crk-Associated Substrate Protein
Cytosol - metabolism
Disease-Free Survival
Enzyme-Linked Immunosorbent Assay
Female
Humans
Likelihood Functions
Medical sciences
Middle Aged
Multivariate Analysis
Pharmacology. Drug treatments
Plasminogen Activator Inhibitor 1 - metabolism
Prognosis
Proportional Hazards Models
Proteins - genetics
Recurrence
Retinoblastoma-Like Protein p130
Tumors
Urokinase-Type Plasminogen Activator - metabolism
title The Prognostic Value of BCAR1 in Patients with Primary Breast Cancer
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