Induction of apoptosis by tamoxifen and ICI 182780 in primary breast cancer

Hormonal breast cancer therapies have traditionally been considered cytostatic, but recent pre‐clinical data suggest that anti‐oestrogens can induce apoptosis. The aim of this study was to assess whether tamoxifen (TAM) and ICI 182780 (ICI) could induce apoptosis in human breast cancer, and whether...

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Veröffentlicht in:International journal of cancer 1997-08, Vol.72 (4), p.608-613
Hauptverfasser: Ellis, Paul A., Saccani‐Jotti, Gloria, Clarke, Robert, Johnston, Stephen R.D., Anderson, Elizabeth, Howell, Anthony, A'hern, Roger, Salter, Janine, Detre, Simone, Nicholson, Robert, Robertson, John, Smith, Ian E., Dowsett, Mitchell
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container_end_page 613
container_issue 4
container_start_page 608
container_title International journal of cancer
container_volume 72
creator Ellis, Paul A.
Saccani‐Jotti, Gloria
Clarke, Robert
Johnston, Stephen R.D.
Anderson, Elizabeth
Howell, Anthony
A'hern, Roger
Salter, Janine
Detre, Simone
Nicholson, Robert
Robertson, John
Smith, Ian E.
Dowsett, Mitchell
description Hormonal breast cancer therapies have traditionally been considered cytostatic, but recent pre‐clinical data suggest that anti‐oestrogens can induce apoptosis. The aim of this study was to assess whether tamoxifen (TAM) and ICI 182780 (ICI) could induce apoptosis in human breast cancer, and whether this was related to oestrogen receptor status. We measured apoptosis in primary breast cancer patients before and after pre‐surgical treatment with 20 mg/day TAM (study 1) or 6 or 18 mg/day ICI (study 2). In each study there was a randomised non‐treatment (NT) control group. TAM significantly increased apoptotic index (AI) in ER+ but not in ER− tumours. There was a significant increase in AI following treatment with ICI. Insufficient pairs of samples were available to determine whether this change was confined to ER+ tumours, but in a cross‐sectional analysis AI was significantly higher in excision biopsies for ICI‐treated than NT patients for ER+ but not ER− tumours. Our results provide clinical evidence that apoptosis may be induced in ER+ primary breast cancer by both non‐steroidal and steroidal anti‐oestrogens. Int. J. Cancer 72:608–613, 1997. © 1997 Wiley‐Liss, Inc.
doi_str_mv 10.1002/(SICI)1097-0215(19970807)72:4<608::AID-IJC10>3.0.CO;2-7
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subjects Adult
Aged
Aged, 80 and over
Antineoplastic agents
Antineoplastic Agents - therapeutic use
Antineoplastic Agents, Hormonal - therapeutic use
Apoptosis - drug effects
Biological and medical sciences
Biopsy
Breast Neoplasms - drug therapy
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Chemotherapy
Combined Modality Therapy
Estradiol - analogs & derivatives
Estradiol - therapeutic use
Estrogen Antagonists - therapeutic use
Female
Fulvestrant
Humans
Longitudinal Studies
Medical sciences
Middle Aged
Paraffin Embedding
Pharmacology. Drug treatments
Placebos
Receptors, Estrogen - analysis
Tamoxifen - therapeutic use
title Induction of apoptosis by tamoxifen and ICI 182780 in primary breast cancer
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