Breast Cancer Prognosis Determined by Gene Expression Profiling: A Quantitative Reverse Transcriptase Polymerase Chain Reaction Study

We sought to reproduce with quantitative reverse-transcriptase polymerase chain reaction (qRT-PCR) the results obtained with a 70-gene expression profile that has been described previously in breast cancer. Frozen breast cancer samples from patients who were operated on were used to isolate tumor RN...

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Veröffentlicht in:Journal of clinical oncology 2005-10, Vol.23 (29), p.7278-7285
Hauptverfasser: Espinosa, E., Vara, J.A. Fresno, Redondo, A., Sánchez, J.J., Hardisson, D., Zamora, P., Pastrana, F. Gómez, Cejas, P., Martínez, B., Suárez, A., Calero, F., Barón, M. González
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container_end_page 7285
container_issue 29
container_start_page 7278
container_title Journal of clinical oncology
container_volume 23
creator Espinosa, E.
Vara, J.A. Fresno
Redondo, A.
Sánchez, J.J.
Hardisson, D.
Zamora, P.
Pastrana, F. Gómez
Cejas, P.
Martínez, B.
Suárez, A.
Calero, F.
Barón, M. González
description We sought to reproduce with quantitative reverse-transcriptase polymerase chain reaction (qRT-PCR) the results obtained with a 70-gene expression profile that has been described previously in breast cancer. Frozen breast cancer samples from patients who were operated on were used to isolate tumor RNA. Ninety-six patients with stage I to II disease were included. Median age was 57 years (range, 27 to 80 years). Forty-eight patients had lymph node-negative and 48 lymph node-positive disease. qRT-PCR amplifications were performed and the results were correlated with clinical data. After a minimum follow-up of 5 years, 25 patients had a relapse. The gene profile divided patients into two groups with poor and good prognosis. Significant differences with regard to grade of differentiation, size and hormone receptors were seen between the two groups. The gene profile was significantly associated with relapse-free survival and overall survival in the whole group of 96 patients. Multivariate analysis showed that only lymph node status and gene profile were significantly correlated to overall survival. qRT-PCR reproduced the results obtained with microarrays for a prognostic gene profile in women with early-stage breast cancer.
doi_str_mv 10.1200/JCO.2005.01.4746
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subjects Adult
Aged
Aged, 80 and over
Breast Neoplasms - genetics
Breast Neoplasms - pathology
Carcinoma, Ductal, Breast - genetics
Carcinoma, Ductal, Breast - pathology
Carcinoma, Lobular - genetics
Carcinoma, Lobular - pathology
Female
Gene Expression Profiling - methods
Humans
Middle Aged
Neoplasm Staging
Prognosis
Reverse Transcriptase Polymerase Chain Reaction
title Breast Cancer Prognosis Determined by Gene Expression Profiling: A Quantitative Reverse Transcriptase Polymerase Chain Reaction Study
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