Aberrations in translational regulation are associated with poor prognosis in hormone receptor-positive breast cancer.
Aberrations in translational regulation are associated with poor prognosis in hormone receptor-positive breast cancer.
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DOI:
10.1186/bcr3343
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发表时间:
2012-10-26
期刊:
影响因子:
--
通讯作者:
Gonzalez-Angulo A
中科院分区:
文献类型:
--
作者:
Meric-Bernstam F;Chen H;Akcakanat A;Do KA;Lluch A;Hennessy BT;Hortobagyi GN;Mills GB;Gonzalez-Angulo A
Translation initiation is activated in cancer through increase in eukaryotic initiation factor 4E (eIF4E), eIF4G, phosphorylated eIF4E-binding protein (p4E-BP1) and phosphorylated ribosomal protein S6 (pS6), and decreased programmed cell death protein 4 (pdcd4), a translational inhibitor. Further, translation elongation is deregulated though alterations in eukaryotic elongation factor 2 (eEF2) and eEF2 kinase (eEF2K). We sought to determine the association of these translational aberrations with clinical-pathologic factors and survival outcomes in hormone receptor-positive breast cancer. Primary tumors were collected from 190 patients with Stage I to III hormone receptor-positive breast cancer. Expression of eIF4E, eIF4G, 4E-BP1, p4E-BP1 T37/46, p4E-BP1 S65, p4E-BP1 T70, S6, pS6 S235/236, pS6 S240/244, pdcd4, eEF2 and eEF2K was assessed by reverse phase protein arrays. Univariable and multivariable analyses for recurrence-free survival (RFS) and overall survival (OS) were performed. High eEF2, S6, pS6 S240/244, p4E-BP1 T70, and low pdcd4 were significantly associated with node positivity. Median follow-up for living patients was 96 months. High p4E-BP1 T36/47, p4E-BP1 S65, p4E-BP1 T70 and 4E-BP1 were associated with worse RFS. High p4E-BP1 T70 and pS6 S235/236, and low pdcd4, were associated with worse OS. In multivariable analysis, in addition to positive nodes, p4E-BP1 S65 remained a significant predictor of RFS (HR = 1.62, 95% CI = 1.13-2.31; P = 0.008). In addition to age, pS6 S235/236 (HR = 1.73, 95% CI = 1.03-2.90, P = 0.039), eEF2K (HR = 2.19, 95% CI = 1.35-3.56, P = 0.002) and pdcd4 (HR = 0.42, 95% CI = 0.25-0.70, P = 0.001) were associated with OS. Increased pS6, p4E-BP1, eEF2K and decreased pdcd4 are associated with poor prognosis in hormone receptor-positive breast cancer, suggesting their role as prognostic markers and therapeutic targets.
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影响因子:
8.8
作者:
Coleman, L. J.;Peter, M. B.;Teall, T. J.;Brannan, R. A.;Hanby, A. M.;Honarpisheh, H.;Shaaban, A. M.;Smith, L.;Speirs, V.;Verghese, E. T.;McElwaine, J. N.;Hughes, T. A.
通讯作者:
Hughes, T. A.
影响因子:
5.7
作者:
Kuznetsov G;Xu Q;Rudolph-Owen L;Tendyke K;Liu J;Towle M;Zhao N;Marsh J;Agoulnik S;Twine N;Parent L;Chen Z;Shie JL;Jiang Y;Zhang H;Du H;Boivin R;Wang Y;Romo D;Littlefield BA
通讯作者:
Littlefield BA
影响因子:
3.8
作者:
Gonzalez-Angulo AM;Hennessy BT;Meric-Bernstam F;Sahin A;Liu W;Ju Z;Carey MS;Myhre S;Speers C;Deng L;Broaddus R;Lluch A;Aparicio S;Brown P;Pusztai L;Symmans WF;Alsner J;Overgaard J;Borresen-Dale AL;Hortobagyi GN;Coombes KR;Mills GB
通讯作者:
Mills GB
影响因子:
56.9
作者:
Dorrello, N. Valerio;Peschiaroli, Angelo;Pagano, Michele
通讯作者:
Pagano, Michele
影响因子:
9
作者:
Li, BDL;McDonald, JC;De Benedetti, A
通讯作者:
De Benedetti, A