Chinese Clinical Oncology

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Identify genetic predictive factors for neoadjuvant chemotherapy in patients with luminal B type locally advanced breast cancer

WANG Mei, WANG Haixin, HU Wei, XIONG Anwen, WU Meihong, LI Yongmei, WANG Wei, WANG Yajie.   

  1. Department of Oncology,Changhai Hospital, the Second Military Medical University, Shanghai 200433, China
  • Received:2013-12-05 Revised:2014-03-09 Online:2014-05-31 Published:2014-05-31
  • Contact: WANG Yajie

Abstract: Objective To screen prognostic genes for neoadjuvant chemotherapy in patients with locally advanced breast cancer of luminal B type.Methods Ten locally advanced breast cancer patients of luminal B type were underwent DA regimen as neoadjuvant chemotherapy(docetaxel 75mg/m2iv, d1;epirubicin 80 mg/m2 iv, d1, 3 weeks as a cycle for 4 cycles). Based on RECIST11 standard, 10 patients were divided into pathological complete remission(pCR) group(n=3) and non-pathological complete remission(npCR) group (n=7). GeneChip human genome was used to screen prognostic genes for neoadjuvant chemotherapy in 10 luminal B breast cancer patients. Florescence quantitative PCR was conducted to confirm the different gene expression. Results Compared with npCR patients, 231 genes expression were up-regulated, 195 genes expression were downregulated in tumor samples of pCR patients;Compared with peri-tumor tissues, 357 genes expression were up-regulated and 544 genes expression were down-regulated in tumor samples of pCR patients. Compared with peri-tumor tissues, 143 genes expression were upregulated and 101 genes expression were down-regulated in the tumor samples of npCR patients. Compared with npCR patients, 98 genes expression were up-regulated and 67 genes expression were downregulated in peri-tumor samples of pCR patients. Statistically significant differences in gene expressions were noted in pCR group vs. npCR group, including 3 up-regulated genes of CYP4Z1, FGFL6 and BCAR4, as well as 3 down-regulated genes of FABP4, S100B and ALPH1L1. The expression of CYP4Z1 and BCAR4 in pCR patients was significantly lower than that of npCR patients(P<0.05) confirmed by florescence quantitative PCR. Conclusion In patients with luminal B locally advanced breast cancer, lower expression of CYP4Z1 and BCAR4 may be associated with higher pCR rates in neoadjuvant chemotherapy receiving DA regimen.

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