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Prognostic Impact of Src, CDKN1B, and JAK2 Expression in Metastatic Breast Cancer Patients Treated with Trastuzumab.


ABSTRACT: BACKGROUND:Src, CDKN1B, and JAK2 play a crucial role in the coordination of cell signaling pathways. In the present study, we aim to investigate the prognostic significance of these biomarkers in HER2-positive metastatic breast cancer (MBC) patients treated with trastuzumab (T). METHODS:Formalin-fixed paraffin-embedded tumor tissue samples from 197 patients with HER2-positive MBC treated with T were retrospectively collected. All tissue samples were centrally assessed for ER, PgR, Ki67, HER2, and PTEN protein expression; EGFR gene amplification; PI3KCA mutational status; and tumor-infiltrating lympocytes density. Src, CDKN1B, and JAK2 mRNA expression was evaluated using quantitative reverse transcription-polymerase chain reaction. RESULTS:Only 133 of the 197 patients (67.5%) were found to be HER2-positive by central assessment. CDKN1B mRNA expression was strongly correlated with Src (rho?=?0.71) and JAK2 (rho?=?0.54). In HER2-positive patients, low CDKN1B conferred higher risk for progression [hazard ratio (HR)?=?1.58, 95% confidence interval (CI) 1.08-2.32, P?=?.018]. In HER2-negative patients, low Src was associated with longer survival (HR?=?0.56, 95% CI 0.32-0.99, P?=?.045). Upon multivariate analyses, only low CDKN1B and JAK2 mRNA expression remained unfavorable factors for PFS in de novo and relapsed (R)-MBC patients, respectively (HR?=?2.36, 95% CI 1.01-5.48, P?=?.046 and HR?=?1.76, 95% CI 1.01-3.06, P?=?.047, respectively). CONCLUSIONS:Low CDKN1B and JAK2 mRNA expressions were unfavorable prognosticators in a cohort of T-treated MBC patients. Our results suggest that CDKN1B and JAK2, if validated, may serve as prognostic factors potentially implicated in T resistance, which seems to be associated with distinct pathways in de novo and R-MBC.

SUBMITTER: Economopoulou P 

PROVIDER: S-EPMC6423363 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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<h4>Background</h4>Src, CDKN1B, and JAK2 play a crucial role in the coordination of cell signaling pathways. In the present study, we aim to investigate the prognostic significance of these biomarkers in HER2-positive metastatic breast cancer (MBC) patients treated with trastuzumab (T).<h4>Methods</h4>Formalin-fixed paraffin-embedded tumor tissue samples from 197 patients with HER2-positive MBC treated with T were retrospectively collected. All tissue samples were centrally assessed for ER, PgR,  ...[more]

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