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Published in: Annals of Surgical Oncology 11/2008

01-11-2008 | Breast Oncology

REG1A Expression is an Independent Factor Predictive of Poor Prognosis in Patients with Breast Cancer

Authors: Yasuhiro Sasaki, MD, Yoshihiro Minamiya, MD, PhD, Naoko Takahashi, Taku Nakagawa, MD, PhD, Yoshihisa Katayose, MD, PhD, Aki Ito, MD, Hajime Saito, MD, PhD, Satoru Motoyama, MD, PhD, Jun-ichi Ogawa, MD, PhD

Published in: Annals of Surgical Oncology | Issue 11/2008

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Abstract

Background

Regenerating gene I alpha (REG1A) is a growth factor known to affect pancreatic islet β cells. Although REG1A expression has also been observed in various malignant tumors, the correlation between REG1A expression and the clinicopathological characteristics of breast cancer and patient prognosis has not been evaluated.

Methods

Resected breast cancer tissues obtained at surgery from 150 breast cancer patients was stained with anti-REG1A antibody, after which the relative area occupied by stained tumor cells was evaluated under a light microscope and correlated with known clinicopathological factors.

Results

Whereas tumor cells were frequently stained with anti-REG1A antibody, cells from normal breast tissue were not stained. REG1A expression in tumors of breast cancer patients with HER2-positive disease was higher than those with HER2-negative disease (P = .0009). The 10-year disease-specific survival rate among patients with lower levels of REG1A was significantly better than among those with higher levels (P = .0002 by log rank test). Multivariate Cox proportional hazard analyses revealed REG1A (hazard ratio, 2.07; 95% confidence interval, 1.93 to 11.29; P = .0005) and axillary lymph node status (hazard ratio, 4.44; 95% confidence interval, 1.52 to 11.29; P = .0003) to be independent factors affecting the 10-year disease-specific survival rate.

Conclusion

High levels of REG1A expression within tumors are an independent predictor of poor prognosis in patients with breast cancer.
Literature
1.
go back to reference Chambers AF, Groom AC, MacDonald IC. Dissemination and growth of cancer cells in metastatic sites. Nat Rev Cancer 2002;2:563–72PubMedCrossRef Chambers AF, Groom AC, MacDonald IC. Dissemination and growth of cancer cells in metastatic sites. Nat Rev Cancer 2002;2:563–72PubMedCrossRef
2.
go back to reference Ali S, Coombes RC. Endocrine-responsive breast cancer and strategies for combating resistance. Nat Rev Cancer 2002;2:101–12PubMedCrossRef Ali S, Coombes RC. Endocrine-responsive breast cancer and strategies for combating resistance. Nat Rev Cancer 2002;2:101–12PubMedCrossRef
3.
go back to reference Hanrahan EO, Valero V, Gonzalez-Angulo AM et al. Prognosis and management of patients with node-negative invasive breast carcinoma that is 1 cm or smaller in size (stage 1;T1a,bN0M0): a review of the literature. J Clin Oncol 2006;24:2113–22PubMedCrossRef Hanrahan EO, Valero V, Gonzalez-Angulo AM et al. Prognosis and management of patients with node-negative invasive breast carcinoma that is 1 cm or smaller in size (stage 1;T1a,bN0M0): a review of the literature. J Clin Oncol 2006;24:2113–22PubMedCrossRef
4.
go back to reference Frassoldati A, Maur M, Guarneri V et al. Predictive value of biologic parameters for primary chemotherapy in operable breast cancer. Clin Breast Cancer 2005;6:315–24PubMedCrossRef Frassoldati A, Maur M, Guarneri V et al. Predictive value of biologic parameters for primary chemotherapy in operable breast cancer. Clin Breast Cancer 2005;6:315–24PubMedCrossRef
5.
go back to reference Murphy N, Millar E, Lee CS. Gene expression profiling in breast cancer: towards individualising patient management. Pathology 2005;37:271–7PubMedCrossRef Murphy N, Millar E, Lee CS. Gene expression profiling in breast cancer: towards individualising patient management. Pathology 2005;37:271–7PubMedCrossRef
6.
go back to reference Pierga JY, Reis-Filho JS, Cleator SJ et al. Microarray-based comparative genomic hybridisation of breast cancer patients receiving neoadjuvant chemotherapy. Br J Cancer 2007;96:341–51PubMedCrossRef Pierga JY, Reis-Filho JS, Cleator SJ et al. Microarray-based comparative genomic hybridisation of breast cancer patients receiving neoadjuvant chemotherapy. Br J Cancer 2007;96:341–51PubMedCrossRef
7.
go back to reference Niméus-Malmström E, Ritz C, Edén P et al. Gene expression profilers and conventional clinical markers to predict distant recurrences for premenopausal breast cancer patients after adjuvant chemotherapy. Eur J Cancer 2006;42:2729–37PubMedCrossRef Niméus-Malmström E, Ritz C, Edén P et al. Gene expression profilers and conventional clinical markers to predict distant recurrences for premenopausal breast cancer patients after adjuvant chemotherapy. Eur J Cancer 2006;42:2729–37PubMedCrossRef
8.
go back to reference van de Vijver M. Gene-expression profiling and the future of adjuvant therapy. Oncologist 2005;10:30–4PubMedCrossRef van de Vijver M. Gene-expression profiling and the future of adjuvant therapy. Oncologist 2005;10:30–4PubMedCrossRef
9.
go back to reference Terazono K, Yamamoto H, Takasawa S et al. A novel gene activated in regenerating islets. J Biol Chem 1988;263:2111–4PubMed Terazono K, Yamamoto H, Takasawa S et al. A novel gene activated in regenerating islets. J Biol Chem 1988;263:2111–4PubMed
10.
go back to reference Dusetti NJ, Frigerio JM, Fox MF et al. Molecular cloning, genomic organization, and chromosomal localization of the human pancreatitis-associated protein (PAP) gene. Genomics 1994;19:108–14PubMedCrossRef Dusetti NJ, Frigerio JM, Fox MF et al. Molecular cloning, genomic organization, and chromosomal localization of the human pancreatitis-associated protein (PAP) gene. Genomics 1994;19:108–14PubMedCrossRef
11.
go back to reference Broekaert D, Eyckerman S, Lavens D et al. Comparison of leptin- and interleukin-6-regulated expression of the rPAP gene family: evidence for differential co-regulatory signals. Eur Cytokine Netw 2002;13:78–85PubMed Broekaert D, Eyckerman S, Lavens D et al. Comparison of leptin- and interleukin-6-regulated expression of the rPAP gene family: evidence for differential co-regulatory signals. Eur Cytokine Netw 2002;13:78–85PubMed
12.
go back to reference Zhang YW, Ding LS, Lai MD. Reg gene family and human diseases. World J Gastroenterol 2003;9:2635–41PubMed Zhang YW, Ding LS, Lai MD. Reg gene family and human diseases. World J Gastroenterol 2003;9:2635–41PubMed
13.
go back to reference Watanabe T, Yonekura H, Terazono K et al. Complete nucleotide sequence of human reg gene and its expression in normal and tumoral tissues. The reg protein, pancreatic stone protein, and pancreatic thread protein are one and the same product of the gene. J Biol Chem 1990;265:7432–9PubMed Watanabe T, Yonekura H, Terazono K et al. Complete nucleotide sequence of human reg gene and its expression in normal and tumoral tissues. The reg protein, pancreatic stone protein, and pancreatic thread protein are one and the same product of the gene. J Biol Chem 1990;265:7432–9PubMed
14.
go back to reference Takasawa S, Okamoto H. Pancreatic beta-cell death, regeneration and insulin secretion: roles of poly(ADP-ribose) polymerase and cyclic ADP-ribose. Int J Exp Diabetes Res 2002;3:79–96PubMedCrossRef Takasawa S, Okamoto H. Pancreatic beta-cell death, regeneration and insulin secretion: roles of poly(ADP-ribose) polymerase and cyclic ADP-ribose. Int J Exp Diabetes Res 2002;3:79–96PubMedCrossRef
15.
go back to reference Sekikawa A, Fukui H, Fujii S et al. Possible role of REG Ialpha protein in ulcerative colitis and colitic cancer. Gut 2005;54:1437–44PubMedCrossRef Sekikawa A, Fukui H, Fujii S et al. Possible role of REG Ialpha protein in ulcerative colitis and colitic cancer. Gut 2005;54:1437–44PubMedCrossRef
16.
go back to reference Sekikawa A, Fukui H, Fujii S et al. REG Ialpha protein may function as a trophic and/or anti-apoptotic factor in the development of gastric cancer. Gastroenterology 2005;128:642–53PubMedCrossRef Sekikawa A, Fukui H, Fujii S et al. REG Ialpha protein may function as a trophic and/or anti-apoptotic factor in the development of gastric cancer. Gastroenterology 2005;128:642–53PubMedCrossRef
17.
go back to reference Cavard C, Terris B, Grimber G et al. Overexpression of regenerating islet-derived 1 alpha and 3 alpha genes in human primary liver tumors with beta-catenin mutations. Oncogene 2006;25:599–608PubMedCrossRef Cavard C, Terris B, Grimber G et al. Overexpression of regenerating islet-derived 1 alpha and 3 alpha genes in human primary liver tumors with beta-catenin mutations. Oncogene 2006;25:599–608PubMedCrossRef
18.
go back to reference Minamiya Y, Kawai H, Saito H et al. REG1A expression is an independent factor predictive of poor prognosis in patients with non-small cell lung cancer. Lung Cancer 2008;60:98–104PubMedCrossRef Minamiya Y, Kawai H, Saito H et al. REG1A expression is an independent factor predictive of poor prognosis in patients with non-small cell lung cancer. Lung Cancer 2008;60:98–104PubMedCrossRef
19.
go back to reference Dhar DK, Udagawa J, Ishihara S et al. Expression of regenerating gene I in gastric adenocarcinomas: correlation with tumor differentiation status and patient survival. Cancer 2004;100:1130–6PubMedCrossRef Dhar DK, Udagawa J, Ishihara S et al. Expression of regenerating gene I in gastric adenocarcinomas: correlation with tumor differentiation status and patient survival. Cancer 2004;100:1130–6PubMedCrossRef
20.
go back to reference Yonemura Y, Sakurai S, Yamamoto H et al. REG gene expression is associated with the infiltrating growth of gastric carcinoma. Cancer 2003;98:1394–400PubMedCrossRef Yonemura Y, Sakurai S, Yamamoto H et al. REG gene expression is associated with the infiltrating growth of gastric carcinoma. Cancer 2003;98:1394–400PubMedCrossRef
21.
go back to reference Macadam RC, Sarela AI, Farmery SM et al. Death from early colorectal cancer is predicted by the presence of transcripts of the REG gene family. Br J Cancer 2000;83:188–95PubMedCrossRef Macadam RC, Sarela AI, Farmery SM et al. Death from early colorectal cancer is predicted by the presence of transcripts of the REG gene family. Br J Cancer 2000;83:188–95PubMedCrossRef
22.
go back to reference Harada K, Zen Y, Kanemori Y, Chen TC et al. Human REG I gene is up-regulated in intrahepatic cholangiocarcinoma and its precursor lesions. Hepatology 2001;33:1036–42PubMedCrossRef Harada K, Zen Y, Kanemori Y, Chen TC et al. Human REG I gene is up-regulated in intrahepatic cholangiocarcinoma and its precursor lesions. Hepatology 2001;33:1036–42PubMedCrossRef
23.
go back to reference Motoyama S, Sugiyama T, Ueno Y et al. REG I expression predicts long-term survival among locally advanced thoracic squamous cell esophageal cancer patients treated with neoadjuvant chemoradiotherapy followed by esophagectomy. Ann Surg Oncol 2006;13:1724–31PubMedCrossRef Motoyama S, Sugiyama T, Ueno Y et al. REG I expression predicts long-term survival among locally advanced thoracic squamous cell esophageal cancer patients treated with neoadjuvant chemoradiotherapy followed by esophagectomy. Ann Surg Oncol 2006;13:1724–31PubMedCrossRef
24.
go back to reference Zhou BP, Hung MC. Dysregulation of cellular signaling by HER2/neu in breast cancer. Semin Oncol 2003;30:38–48PubMedCrossRef Zhou BP, Hung MC. Dysregulation of cellular signaling by HER2/neu in breast cancer. Semin Oncol 2003;30:38–48PubMedCrossRef
25.
go back to reference Wang K, Ma Q, Ren Y et al. Geldanamycin destabilizes HER2 tyrosine kinase and suppresses Wnt/beta-catenin signaling in HER2 overexpressing human breast cancer cells. Oncol Rep 2007;17:89–96PubMed Wang K, Ma Q, Ren Y et al. Geldanamycin destabilizes HER2 tyrosine kinase and suppresses Wnt/beta-catenin signaling in HER2 overexpressing human breast cancer cells. Oncol Rep 2007;17:89–96PubMed
26.
go back to reference Kostanova-Poliakova D, Sabova L. Anti-apoptotic proteins-targets for chemosensitization of tumor cells and cancer treatment. Neoplasma 2005;52:441–9PubMed Kostanova-Poliakova D, Sabova L. Anti-apoptotic proteins-targets for chemosensitization of tumor cells and cancer treatment. Neoplasma 2005;52:441–9PubMed
27.
go back to reference Kouzmenko AP, Takeyama K, Ito S et al. Wnt/beta-catenin and estrogen signaling converge in vivo. J Biol Chem 2004;279:40255–8PubMedCrossRef Kouzmenko AP, Takeyama K, Ito S et al. Wnt/beta-catenin and estrogen signaling converge in vivo. J Biol Chem 2004;279:40255–8PubMedCrossRef
Metadata
Title
REG1A Expression is an Independent Factor Predictive of Poor Prognosis in Patients with Breast Cancer
Authors
Yasuhiro Sasaki, MD
Yoshihiro Minamiya, MD, PhD
Naoko Takahashi
Taku Nakagawa, MD, PhD
Yoshihisa Katayose, MD, PhD
Aki Ito, MD
Hajime Saito, MD, PhD
Satoru Motoyama, MD, PhD
Jun-ichi Ogawa, MD, PhD
Publication date
01-11-2008
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 11/2008
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-008-0137-2

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