Placental Cadherin and the Basal Epithelial Phenotype of BRCA1-Related Breast Cancer
Purpose: BRCA1 -related breast cancer frequently has a basal epithelial phenotype, and P-cadherin is a basal marker. We undertook a detailed evaluation of the relationship among P-cadherin, prognostic markers in breast cancer, and outcome. Experimental Design: This study was restricted to 292 cases...
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Published in | Clinical cancer research Vol. 11; no. 11; pp. 4003 - 4011 |
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Main Authors | , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Philadelphia, PA
American Association for Cancer Research
01.06.2005
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Subjects | |
Online Access | Get full text |
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Summary: | Purpose: BRCA1 -related breast cancer frequently has a basal epithelial phenotype, and P-cadherin is a basal marker. We undertook a detailed
evaluation of the relationship among P-cadherin, prognostic markers in breast cancer, and outcome.
Experimental Design: This study was restricted to 292 cases of first primary invasive breast cancer diagnosed in Ashkenazi Jewish women between
1980 and 1995. All available blocks were stained for P-cadherin, and 261 were included in the final statistical analyses,
including 27 germ line BRCA1 mutation carriers and 8 BRCA2 mutation carriers. Descriptive analyses were done followed by survival analyses and a Poisson regression analysis.
Results: P-cadherin was present in 80 of the 261 breast cancers (31%) and was more frequently present in tumors that have a basal
epithelial phenotype [i.e., high-grade, estrogen receptor– and KIP1 (p27 Kip1 )–negative tumors, with expression of cytokeratin 5/6, cyclin E, TP53, and presence of BRCA1 mutations and vascular nests (all P < 0.001)]. In a univariate survival model, expression of P-cadherin was associated with a relative risk (RR) of death from
breast cancer at a 10-year follow-up of 2.9 (95% confidence interval, 1.8-4.7; P < 0.0001) and was a predictor of poor univariate survival in both lymph node–negative and –positive breast cancers. In a
multivariate analysis, the effect of P-cadherin levels was not independent of other basal-related markers. Multivariable interaction
modeling showed that P-cadherin positivity was highly predictive of a poor prognosis in small, node-negative breast cancers
(RR, 7.1; P = 0.006).
Conclusions: P-cadherin is a marker for basal-like breast cancers and is strongly associated with the presence of a BRCA1 mutation. It is an adverse prognostic factor, particularly in small, node-negative breast cancers. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2 |
ISSN: | 1078-0432 1557-3265 |
DOI: | 10.1158/1078-0432.CCR-04-2064 |