TOP2A gene copy number change in breast cancer

Aims The clinical significance of TOP2A as a prognostic marker has not been clarified. The aims of this study were to investigate the frequency of TOP2A copy number change; to correlate TOP2A with HER2 status, hormone receptor (HR) status and molecular subtype, and further to explore differences in...

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Veröffentlicht in:Journal of clinical pathology 2014-05, Vol.67 (5), p.420-425
Hauptverfasser: Engstrøm, M J, Ytterhus, B, Vatten, L J, Opdahl, S, Bofin, A M
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container_end_page 425
container_issue 5
container_start_page 420
container_title Journal of clinical pathology
container_volume 67
creator Engstrøm, M J
Ytterhus, B
Vatten, L J
Opdahl, S
Bofin, A M
description Aims The clinical significance of TOP2A as a prognostic marker has not been clarified. The aims of this study were to investigate the frequency of TOP2A copy number change; to correlate TOP2A with HER2 status, hormone receptor (HR) status and molecular subtype, and further to explore differences in breast cancer-specific survival according to TOP2A and HER2. Methods In this study, TOP2A, HER2 and chromosome 17 copy number were assessed in 670 cases of breast cancer using in situ hybridisation techniques. Gene to chromosome ratios ≥2 were classified as amplification. TOP2A deletion (gene to chromosome ratio ≤0.8) or monosomy (only one signal for both gene and chromosome in more than 75% of nuclei) were classified as gene loss. Results A strong association between TOP2A change and HR and HER2 status was found. During the first 5 years after diagnosis, the risk of death from breast cancer was significantly higher for cases with HER2 amplification irrespective of TOP2A status. Conclusions TOP2A copy number change was strongly associated with HR and HER2 status and as a prognostic marker TOP2A is probably of limited value.
doi_str_mv 10.1136/jclinpath-2013-202052
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The aims of this study were to investigate the frequency of TOP2A copy number change; to correlate TOP2A with HER2 status, hormone receptor (HR) status and molecular subtype, and further to explore differences in breast cancer-specific survival according to TOP2A and HER2. Methods In this study, TOP2A, HER2 and chromosome 17 copy number were assessed in 670 cases of breast cancer using in situ hybridisation techniques. Gene to chromosome ratios ≥2 were classified as amplification. TOP2A deletion (gene to chromosome ratio ≤0.8) or monosomy (only one signal for both gene and chromosome in more than 75% of nuclei) were classified as gene loss. Results A strong association between TOP2A change and HR and HER2 status was found. During the first 5 years after diagnosis, the risk of death from breast cancer was significantly higher for cases with HER2 amplification irrespective of TOP2A status. Conclusions TOP2A copy number change was strongly associated with HR and HER2 status and as a prognostic marker TOP2A is probably of limited value.</description><identifier>ISSN: 0021-9746</identifier><identifier>EISSN: 1472-4146</identifier><identifier>DOI: 10.1136/jclinpath-2013-202052</identifier><identifier>PMID: 24403186</identifier><identifier>CODEN: JCPAAK</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Antigens, Neoplasm - genetics ; Biomarkers, Tumor - chemistry ; Biomarkers, Tumor - genetics ; Breast cancer ; Breast Neoplasms - chemistry ; Breast Neoplasms - genetics ; Breast Neoplasms - mortality ; Breast Neoplasms - pathology ; Chromosomes ; Chromosomes, Human, Pair 17 ; DNA Copy Number Variations ; DNA Topoisomerases, Type II - genetics ; DNA-Binding Proteins - genetics ; Female ; Gene Amplification ; Gene Deletion ; Gene Dosage ; Gene expression ; Gene Expression Regulation, Neoplastic ; Humans ; Immunohistochemistry ; In Situ Hybridization ; Kaplan-Meier Estimate ; Medical prognosis ; Middle Aged ; Original ; Poly-ADP-Ribose Binding Proteins ; Predictive Value of Tests ; Prognosis ; Receptor, ErbB-2 - genetics ; Studies</subject><ispartof>Journal of clinical pathology, 2014-05, Vol.67 (5), p.420-425</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2014 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b433t-61a38d6600374a8446d5dcbb2c58c4dd24caa5b14f9bafce08e0b9fb8ab95d23</citedby><cites>FETCH-LOGICAL-b433t-61a38d6600374a8446d5dcbb2c58c4dd24caa5b14f9bafce08e0b9fb8ab95d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jcp.bmj.com/content/67/5/420.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://jcp.bmj.com/content/67/5/420.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>114,115,230,314,727,780,784,885,3196,23571,27924,27925,53791,53793,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24403186$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Engstrøm, M J</creatorcontrib><creatorcontrib>Ytterhus, B</creatorcontrib><creatorcontrib>Vatten, L J</creatorcontrib><creatorcontrib>Opdahl, S</creatorcontrib><creatorcontrib>Bofin, A M</creatorcontrib><title>TOP2A gene copy number change in breast cancer</title><title>Journal of clinical pathology</title><addtitle>J Clin Pathol</addtitle><description>Aims The clinical significance of TOP2A as a prognostic marker has not been clarified. The aims of this study were to investigate the frequency of TOP2A copy number change; to correlate TOP2A with HER2 status, hormone receptor (HR) status and molecular subtype, and further to explore differences in breast cancer-specific survival according to TOP2A and HER2. Methods In this study, TOP2A, HER2 and chromosome 17 copy number were assessed in 670 cases of breast cancer using in situ hybridisation techniques. Gene to chromosome ratios ≥2 were classified as amplification. TOP2A deletion (gene to chromosome ratio ≤0.8) or monosomy (only one signal for both gene and chromosome in more than 75% of nuclei) were classified as gene loss. Results A strong association between TOP2A change and HR and HER2 status was found. During the first 5 years after diagnosis, the risk of death from breast cancer was significantly higher for cases with HER2 amplification irrespective of TOP2A status. 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The aims of this study were to investigate the frequency of TOP2A copy number change; to correlate TOP2A with HER2 status, hormone receptor (HR) status and molecular subtype, and further to explore differences in breast cancer-specific survival according to TOP2A and HER2. Methods In this study, TOP2A, HER2 and chromosome 17 copy number were assessed in 670 cases of breast cancer using in situ hybridisation techniques. Gene to chromosome ratios ≥2 were classified as amplification. TOP2A deletion (gene to chromosome ratio ≤0.8) or monosomy (only one signal for both gene and chromosome in more than 75% of nuclei) were classified as gene loss. Results A strong association between TOP2A change and HR and HER2 status was found. During the first 5 years after diagnosis, the risk of death from breast cancer was significantly higher for cases with HER2 amplification irrespective of TOP2A status. Conclusions TOP2A copy number change was strongly associated with HR and HER2 status and as a prognostic marker TOP2A is probably of limited value.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>24403186</pmid><doi>10.1136/jclinpath-2013-202052</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Antigens, Neoplasm - genetics
Biomarkers, Tumor - chemistry
Biomarkers, Tumor - genetics
Breast cancer
Breast Neoplasms - chemistry
Breast Neoplasms - genetics
Breast Neoplasms - mortality
Breast Neoplasms - pathology
Chromosomes
Chromosomes, Human, Pair 17
DNA Copy Number Variations
DNA Topoisomerases, Type II - genetics
DNA-Binding Proteins - genetics
Female
Gene Amplification
Gene Deletion
Gene Dosage
Gene expression
Gene Expression Regulation, Neoplastic
Humans
Immunohistochemistry
In Situ Hybridization
Kaplan-Meier Estimate
Medical prognosis
Middle Aged
Original
Poly-ADP-Ribose Binding Proteins
Predictive Value of Tests
Prognosis
Receptor, ErbB-2 - genetics
Studies
title TOP2A gene copy number change in breast cancer
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