Association of HER-2 copy number and HER-2/CEP-17 ratio with neoadjuvant taxane-containing chemotherapy sensitivity in locally advanced breast cancer.

Association of HER-2 copy number and HER-2/CEP-17 ratio with neoadjuvant taxane-containing chemotherapy sensitivity in locally advanced breast cancer.
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HER-2 拷贝数和 HER-2/CEP-17 比率与局部晚期乳腺癌新辅助含紫杉烷化疗敏感性的关联。

DOI:
10.1634/theoncologist.2011-0381
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发表时间:
2012-06
期刊:
影响因子:
5.8
通讯作者:
Shao, Zhi-Ming
Shao, Zhi-Ming
中科院分区:
医学2区
文献类型:
--
作者:
Yu, Ke-Da;Liu, Guang-Yu;Zhou, Xiao-Yan;Zhou, Ying;Wu, Jiong;Chen, Can-Ming;Shen, Zhen-Zhou;Shao, Zhi-Ming

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PURPOSE Aneusomy 17 causes inconsistency in fluorescence in situ hybridization (FISH)-based human epidermal growth factor receptor (HER)-2 status assessment using different algorithms (copy number or the HER-2/centromere enumerator probe 17 [CEP-17] ratio). We investigated the effects of FISH-based HER-2 status assessment and aneusomy 17 on responsiveness to neoadjuvant chemotherapy (NAC). PATIENTS AND METHODS This prospective study recruited 152 patients with locally advanced breast cancer who underwent four-cycle weekly paclitaxel plus carboplatin without trastuzumab. RESULTS The pathologic complete remission (pCR) rate in the breast and axilla was 24.3% (95% confidence interval [CI], 17.7%-32.0%). Although HER-2 status, assessed by either HER-2/CEP-17 ratio-based FISH or copy number-based FISH, was a predictor of NAC sensitivity, ratio-assessed HER-2 status had a poorer performance in determining patients' responsiveness to NAC (p = .029). Patients who were not HER-2 amplified when assessed using the HER-2/CEP-17 ratio but were HER-2 amplified when assessed using copy number (~5%) were eventually proven to be responsive to NAC, with a pCR rate of 57% (95% CI, 18.4%-90.1%). In contrast, patients who were HER-2 amplified when assessed by the ratio but not HER-2 amplified when assessed using copy number (~3%) were completely irresponsive. Higher HER-2 copy numbers represented increasing chances of a pCR (adjusted odds ratio, 3.09; 95% CI, 1.35-7.08), with an apparent gene-dose effect (p for trend < .001). CONCLUSION It is likely that HER-2 copy number but not the HER-2/CEP-17 ratio determines NAC sensitivity. Additional studies to validate our findings are warranted.
DOI: 10.1186/bcr996
发表时间: 2005
期刊: Breast cancer research : BCR
影响因子: --
作者:
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发表时间: 2008-10-20
影响因子: 45.3
作者:
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