The predictive potential of Neuronatin for neoadjuvant chemotherapy of breast cancer

被引:3
|
作者
Pieper, Willi [1 ]
Ignatov, Atanas [2 ]
Kalinski, Thomas [1 ]
Haybaeck, Johannes [1 ,3 ,4 ]
Czapiewski, Piotr [1 ,5 ]
Nass, Norbert [1 ,6 ]
机构
[1] Otto Von Guericke Univ, Med Fac, Dept Pathol, Leipziger Str 44, D-39120 Magdeburg, Germany
[2] Otto Von Guericke Univ, Dept Obstet & Gynecol, Magdeburg, Germany
[3] Med Univ Innsbruck, Dept Pathol Neuropathol & Mol Pathol, Innsbruck, Austria
[4] Med Univ Graz, Ctr Mol BioMed, Inst Pathol, Dept Pathol Diagnost & Res, Graz, Austria
[5] Dessau Med Ctr, Dept Pathol, Dessau, Germany
[6] Dessau Med Ctr, Dept Internal Med 1, Dessau, Germany
关键词
Breast cancer; neoadjuvant chemotherapy; neuronatin; remission score; LAFORA DISEASE; PPAR-GAMMA; EXPRESSION; CARCINOMA; SUBTYPES; IMPACT; FORMS;
D O I
10.3233/CBM-203127
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BACKGROUND: Neuronatin (NNAT) determined by immunohistochemistry is a negative prognostic biomarker for breast cancer, independent of the major clinicopathological markers. OBJECTIVE: Here, we investigated whether NNAT is also a predictive biomarker for pathological remission after neoadjuvant chemotherapy. METHODS: One hundred and four breast cancer patients, treated with systemic neoadjuvant chemotherapy were included in this retrospective study. NNAT was detected in formaldehyde fixed, paraffin embedded primary cancer tissue by immunohistochemistry and an immuno-reactive score (IRS) determined. Pathological remission was scored according to Sinn and by evaluation of cytopathic effects. NNAT-IRS was correlated with clinicopathological parameters as well as relapse free and overall survival and for pathological remission after neoadjuvant therapy. RESULTS: NNAT IRS was an independent prognostic marker for relapse free and overall survival and the time from diagnosis to the "tumor-free" state. NNAT IRS was associated with Luminal-A tumors and correlated slightly negative with age and lymph-node metastasis. There was no significant correlation of NNAT-IRS with Sinn's remission score, but with cytopathic effects of chemotherapy. CONCLUSIONS: We confirmed the prognostic impact of NNAT-IRS in an independent cohort of neoadjuvantly treated patients. Additionally, a correlation with a score for pathological remission under systemic neoadjuvant chemotherapy for breast cancer was found.
引用
收藏
页码:161 / 173
页数:13
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