BAG-1 as a biomarker in early breast cancer prognosis: a systematic review with meta-analyses

Background: The co-chaperone protein Bcl-2-associated athanogene-1 (BAG-1) is overexpressed in breast cancer and has been incorporated in the oncotype DX and PAM50 breast cancer prognostic assays. Bcl-2-associated athanogene-1 exists as multiple protein isoforms that interact with diverse partners,...

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Veröffentlicht in:British journal of cancer 2017-06, Vol.116 (12), p.1585-1594
Hauptverfasser: Papadakis, E S, Reeves, T, Robson, N H, Maishman, T, Packham, G, Cutress, R I
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container_end_page 1594
container_issue 12
container_start_page 1585
container_title British journal of cancer
container_volume 116
creator Papadakis, E S
Reeves, T
Robson, N H
Maishman, T
Packham, G
Cutress, R I
description Background: The co-chaperone protein Bcl-2-associated athanogene-1 (BAG-1) is overexpressed in breast cancer and has been incorporated in the oncotype DX and PAM50 breast cancer prognostic assays. Bcl-2-associated athanogene-1 exists as multiple protein isoforms that interact with diverse partners, including chaperones Hsc70/Hsp70, Ser/Thr kinase Raf-1 and Bcl-2, to promote cancer cell survival. The BAG-1L isoform specifically binds to and increases the transcriptional activity of oestrogen receptor in cells, and in some, but not all studies, BAG-1 expression is predictive of clinical outcome in breast cancer. Methods: A systematic review of published studies reporting BAG-1 (mRNA and/or protein) expression and clinical outcome in early breast cancer. The REporting Recommendations for Tumour MARKer and Prognostic Studies (REMARK) criteria were used as a template against which data were assessed. Meta-analyses were performed for studies that provided a hazard ratio and 95% confidence intervals for clinical outcomes including disease-free survival or breast cancer-specific survival from univariate analysis. Results: Eighteen studies used differing methodologies and reported on differing outcomes. Meta-analyses were only possible on results from a subset of reported studies. Meta-analyses suggested improved outcome with high BAG-1 mRNA and high BAG-1 nuclear expression by immunohistochemisty. Conclusions: Increased levels of BAG-1 are associated with better breast cancer outcomes.
doi_str_mv 10.1038/bjc.2017.130
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Bcl-2-associated athanogene-1 exists as multiple protein isoforms that interact with diverse partners, including chaperones Hsc70/Hsp70, Ser/Thr kinase Raf-1 and Bcl-2, to promote cancer cell survival. The BAG-1L isoform specifically binds to and increases the transcriptional activity of oestrogen receptor in cells, and in some, but not all studies, BAG-1 expression is predictive of clinical outcome in breast cancer. Methods: A systematic review of published studies reporting BAG-1 (mRNA and/or protein) expression and clinical outcome in early breast cancer. The REporting Recommendations for Tumour MARKer and Prognostic Studies (REMARK) criteria were used as a template against which data were assessed. Meta-analyses were performed for studies that provided a hazard ratio and 95% confidence intervals for clinical outcomes including disease-free survival or breast cancer-specific survival from univariate analysis. Results: Eighteen studies used differing methodologies and reported on differing outcomes. Meta-analyses were only possible on results from a subset of reported studies. Meta-analyses suggested improved outcome with high BAG-1 mRNA and high BAG-1 nuclear expression by immunohistochemisty. Conclusions: Increased levels of BAG-1 are associated with better breast cancer outcomes.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/bjc.2017.130</identifier><identifier>PMID: 28510570</identifier><identifier>CODEN: BJCAAI</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/80/82/23 ; 631/80/86/2363 ; 692/308/53/2422 ; 692/53/2422 ; 692/699/67/1347 ; Biomarkers ; Biomarkers, Tumor - analysis ; Biomarkers, Tumor - genetics ; Biomedical and Life Sciences ; Biomedicine ; Breast cancer ; Breast Neoplasms - chemistry ; Breast Neoplasms - genetics ; Cancer Research ; Cancer therapies ; Chemotherapy ; Clinical outcomes ; Confidence intervals ; Disease-Free Survival ; DNA-Binding Proteins - analysis ; DNA-Binding Proteins - genetics ; Drug Resistance ; Epidemiology ; Female ; Humans ; Kinases ; Medical prognosis ; Medical research ; Meta-analysis ; Molecular Diagnostics ; Molecular Medicine ; Oncology ; Proteins ; RNA, Messenger - analysis ; Survival Rate ; Systematic review ; Transcription Factors - analysis ; Transcription Factors - genetics</subject><ispartof>British journal of cancer, 2017-06, Vol.116 (12), p.1585-1594</ispartof><rights>The Author(s) 2017</rights><rights>Copyright Nature Publishing Group Jun 6, 2017</rights><rights>Copyright © 2017 The Author(s) 2017 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-4ca1f9e9e79bec4014912283f91b772e898c2d1830590b1e0ced05298f8629853</citedby><cites>FETCH-LOGICAL-c483t-4ca1f9e9e79bec4014912283f91b772e898c2d1830590b1e0ced05298f8629853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5518859/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5518859/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28510570$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Papadakis, E S</creatorcontrib><creatorcontrib>Reeves, T</creatorcontrib><creatorcontrib>Robson, N H</creatorcontrib><creatorcontrib>Maishman, T</creatorcontrib><creatorcontrib>Packham, G</creatorcontrib><creatorcontrib>Cutress, R I</creatorcontrib><title>BAG-1 as a biomarker in early breast cancer prognosis: a systematic review with meta-analyses</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Background: The co-chaperone protein Bcl-2-associated athanogene-1 (BAG-1) is overexpressed in breast cancer and has been incorporated in the oncotype DX and PAM50 breast cancer prognostic assays. Bcl-2-associated athanogene-1 exists as multiple protein isoforms that interact with diverse partners, including chaperones Hsc70/Hsp70, Ser/Thr kinase Raf-1 and Bcl-2, to promote cancer cell survival. The BAG-1L isoform specifically binds to and increases the transcriptional activity of oestrogen receptor in cells, and in some, but not all studies, BAG-1 expression is predictive of clinical outcome in breast cancer. Methods: A systematic review of published studies reporting BAG-1 (mRNA and/or protein) expression and clinical outcome in early breast cancer. The REporting Recommendations for Tumour MARKer and Prognostic Studies (REMARK) criteria were used as a template against which data were assessed. Meta-analyses were performed for studies that provided a hazard ratio and 95% confidence intervals for clinical outcomes including disease-free survival or breast cancer-specific survival from univariate analysis. 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subjects 631/80/82/23
631/80/86/2363
692/308/53/2422
692/53/2422
692/699/67/1347
Biomarkers
Biomarkers, Tumor - analysis
Biomarkers, Tumor - genetics
Biomedical and Life Sciences
Biomedicine
Breast cancer
Breast Neoplasms - chemistry
Breast Neoplasms - genetics
Cancer Research
Cancer therapies
Chemotherapy
Clinical outcomes
Confidence intervals
Disease-Free Survival
DNA-Binding Proteins - analysis
DNA-Binding Proteins - genetics
Drug Resistance
Epidemiology
Female
Humans
Kinases
Medical prognosis
Medical research
Meta-analysis
Molecular Diagnostics
Molecular Medicine
Oncology
Proteins
RNA, Messenger - analysis
Survival Rate
Systematic review
Transcription Factors - analysis
Transcription Factors - genetics
title BAG-1 as a biomarker in early breast cancer prognosis: a systematic review with meta-analyses
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