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乳腺癌

Tissue microarrays for comparing molecular features with proliferation activity in breast cancer

👥 Christian Felipe Ruiz; Silvia Seibt; Khawla Sami Al-Kuraya; Abdul K. Siraj; Martina Mirlacher; Peter Schraml; Robert E. Maurer; Hanspeter Spichtin; Joachim K. H. Torhorst; S Popovska; Ronald Simon; Guido Sauter 📚 International Journal of Cancer 🗄 OpenAlex 被引 109 👁 13
📄 阅读原文(OpenAlex)↗

📝 摘要

Tissue microarrays (TMAs) are potentially suited to find associations between molecular features and clinical outcome. Enhanced cell proliferation, as measured by Ki67 immunohistochemistry, is related to poor patient prognosis in many different tumor types. Ki67 expression shows considerable intratumoral heterogeneity. It is unclear if the TMA format is suitable for the analysis of potentially heterogeneous markers because of the small size of TMA spots. We have analyzed a breast cancer TMA containing 2,517 breast tissues, including 2,222 neoplastic and 295 normal or premalignant samples, for Ki67 labeling index (Ki67 LI) and additional markers with a known relationship to Ki67 LI by immunohistochemistry (ER, PR, Bcl-2, Egfr, p16, p53) and Fluorescence in situ hybridization (HER2, MDM2, CCND1, MYC). A high Ki67 LI was linked to tumor phenotype including grade (p < 0.0001), stage (p < 0.0001), nodal stage (p = 0.0018), and patient prognosis (p < 0.0001), elevated protein levels of p53, p16 and Egfr, reduced levels of Bcl2, ER, and PR (p < 0.0001 each), as well as amplifications of HER2, MYC, CCND1 and MDM2 (p < 0.0001 each). In summary, all expected associations between Ki67 and the analyzed molecular markers could be reproduced with high statistical significance using a TMA containing only one tissue sample per tumor, measuring 0.6 mm in diameter. We conclude that associations with cell proliferation can be reliably analyzed in a TMA format.

🧾 论文要素

作者Christian Felipe Ruiz; Silvia Seibt; Khawla Sami Al-Kuraya; Abdul K. Siraj; Martina Mirlacher; Peter Schraml; Robert E. Maurer; Hanspeter Spichtin; Joachim K. H. Torhorst; S Popovska; Ronald Simon; Guido Sauter
期刊International Journal of Cancer
出版机构https://openalex.org/P4310320595
年份2005
归属类乳腺癌
平台OpenAlex
被引数109
阅读量13
DOI10.1002/ijc.21581 ↗
关键词Tissue microarray; Immunohistochemistry; Breast cancer; Fluorescence in situ hybridization; Pathology