RRC ID 44692
Author Yamamoto M, Hosoda M, Nakano K, Jia S, Hatanaka KC, Takakuwa E, Hatanaka Y, Matsuno Y, Yamashita H.
Title p53 accumulation is a strong predictor of recurrence in estrogen receptor-positive breast cancer patients treated with aromatase inhibitors.
Journal Cancer Sci.
Abstract Aromatase inhibitors have played a central role in endocrine therapy for estrogen receptor (ER)-positive breast cancer in postmenopausal women. However, factors predictive of the efficacy of aromatase inhibitors, and prognostic factors, both for early and late recurrence in women treated with adjuvant aromatase inhibitors have not been identified. Whole genome analysis identified that a TP53 gene mutation exists in ER-positive breast cancers, although the frequency of TP53 gene mutation in luminal tumors is lower compared with basal-like or human epidermal growth factor receptor type 2 (HER2)-positive breast cancers. We examined expression of p53, as well as ER, progesterone receptor, HER2 and Ki-67 using immunohistochemistry in postmenopausal ER-positive breast cancer patients who were treated with aromatase inhibitors as adjuvant endocrine therapy. There were 53 (21%) tumors that contained 10% or more p53-positive cells. High p53 expression was positively correlated with tumor grade, HER2 score and Ki-67 expression. Significant association was observed between disease-free survival and high p53 expression in multivariate analysis (P < 0.0001). Compared with women without recurrence, women with early recurrence had significantly higher p53 expression (P < 0.0001), as did women with late recurrence (P = 0.037). The present study demonstrates that p53 accumulation is a strong predictor of both early and late recurrence in ER-positive breast cancer patients treated with aromatase inhibitors as adjuvant endocrine therapy. TP53 gene alteration might be a key biological characteristic of ER-positive breast cancer.
Volume 105(1)
Pages 81-8
Published 2014-1
DOI 10.1111/cas.12302
PMID 24118529
PMC PMC4317887
MeSH Aged Aged, 80 and over Antineoplastic Agents, Hormonal / therapeutic use Aromatase Inhibitors / therapeutic use* Breast Neoplasms / drug therapy* Breast Neoplasms / genetics Breast Neoplasms / metabolism* Cell Line, Tumor Chemotherapy, Adjuvant Disease-Free Survival Female HeLa Cells Humans Ki-67 Antigen / genetics Ki-67 Antigen / metabolism MCF-7 Cells Middle Aged Neoplasm Recurrence, Local / genetics Neoplasm Recurrence, Local / metabolism Postmenopause Prognosis Receptor, ErbB-2 / genetics Receptor, ErbB-2 / metabolism Receptors, Estrogen / biosynthesis* Receptors, Estrogen / genetics Receptors, Estrogen / metabolism Receptors, Progesterone / genetics Receptors, Progesterone / metabolism Tumor Suppressor Protein p53 / genetics Tumor Suppressor Protein p53 / metabolism*
IF 4.372
Times Cited 24
Human and Animal Cells