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Published in: Breast Cancer Research and Treatment 1/2012

01-07-2012 | Preclinical Study

14-3-3σ expression is associated with poor pathological complete response to neoadjuvant chemotherapy in human breast cancers

Authors: Yukiko Nakamura, Kazuteru Oshima, Yasuto Naoi, Takahiro Nakayama, Seung Jin Kim, Kenzo Shimazu, Atsushi Shimomura, Naomi Maruyama, Yasuhiro Tamaki, Shinzaburo Noguchi

Published in: Breast Cancer Research and Treatment | Issue 1/2012

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Abstract

14-3-3σ is a tumor suppressor gene induced by p53 in response to DNA damage and reportedly associated with resistance to chemotherapy. The aim of this study was to investigate whether 14-3-3σ expression is also associated with resistance to neoadjuvant chemotherapy consisting of paclitaxel followed by 5-FU/epirubicin/cyclophosphamide (P-FEC) in human breast cancer patients. A total of 123 primary breast cancer patients treated with neoadjuvant chemotherapy (P-FEC) were included in this study. Immunohistochemistry of 14-3-3σ and p53 as well as direct sequencing of TP53 were performed using the tumor biopsy samples obtained prior to neoadjuvant chemotherapy. Thirty-eight of the tumors (31%) were positive for 14-3-3σ. There was no significant association between 14-3-3σ expression and TP53 mutation or p53 expression. However, 14-3-3σ expression showed a significantly (P = 0.009) negative association with pathological complete response (pCR) to P-FEC, and multivariate analysis demonstrated that only 14-3-3σ (P = 0.015) and estrogen receptor (P = 0.021) were significantly and independently associated with pCR. The combination of 14-3-3σ expression and TP53 mutation status had an additive negative effect on pCR, i.e., pCR rates were 45.5% for 14-3-3σ negative/TP53 mutant tumors, 24.6% for 14-3-3σ negative/TP53 wild tumors, 23.1% for 14-3-3σ positive/TP53 mutant tumors, and 0% for 14-3-3σ positive/TP53 wild tumors. These results demonstrate that 14-3-3σ expression is significantly associated with resistance to P-FEC and this association is independent of other biological markers. The combination of 14-3-3σ expression and TP53 mutation status has an additively negative effect on the response to P-FEC.
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Metadata
Title
14-3-3σ expression is associated with poor pathological complete response to neoadjuvant chemotherapy in human breast cancers
Authors
Yukiko Nakamura
Kazuteru Oshima
Yasuto Naoi
Takahiro Nakayama
Seung Jin Kim
Kenzo Shimazu
Atsushi Shimomura
Naomi Maruyama
Yasuhiro Tamaki
Shinzaburo Noguchi
Publication date
01-07-2012
Publisher
Springer US
Published in
Breast Cancer Research and Treatment / Issue 1/2012
Print ISSN: 0167-6806
Electronic ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-012-1976-x

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