HER2乳腺癌亚群对蒽环类药物的病理反应与拓扑异构酶i α基因扩增相关

Journal of surgery and science Pub Date : 2014-12-01
Takashi Ishikawa, Takeshi Sasaki, Mikiko Tanabe, Kazutaka Narui, Kumiko Kida, Kazuhiro Shimada, Daisuke Shimizu, Akimitsu Yamada, Satoshi Morita, Mari S Oba, Kae Kawachi, Akinori Nozawa, Yasushi Ichikawa, Kazuaki Takabe, Itaru Endo
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引用次数: 0

摘要

背景:her2阳性乳腺癌对蒽环类药物的敏感性增强,当拓扑异构酶i α (TOP2A)在辅助和转移情况下共同扩增时。然而,在her2阳性乳腺癌的新辅助治疗中,蒽环类药物敏感性与TOP2A扩增之间的关系尚不清楚。方法:对术前接受蒽环类药物和环磷酰胺治疗的18例患者的活检组织进行TOP2A基因状态的FISH检测。结果:6/17例患者中TOP2A基因扩增,与化疗方案的病理反应显著相关。结论:TOP2A扩增可预测蒽环类药物敏感性。因此,HER2/TOP2A共扩增亚型可以单独使用含蒽环类药物有效治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Pathological Response to Anthracycline is Associated with Topoisomerase IIα Gene Amplification in the HER2 Breast Cancer Subset.

The Pathological Response to Anthracycline is Associated with Topoisomerase IIα Gene Amplification in the HER2 Breast Cancer Subset.

Background: HER2-positive breast cancer sensitivity to anthracyclines is enhanced when topoisomerase IIα (TOP2A) is co-amplified under both adjuvant and metastatic settings. However, the relationship between anthracycline sensitivity and TOP2A amplification in HER2-positive breast cancers in neoadjuvant settings is not known.

Methods: The TOP2A gene status was examined by FISH in biopsies from 18 patients who received anthracycline and cyclophosphamide before surgery.

Results: The TOP2A gene was amplified in 6/17 patients and was significantly associated with pathological response to the chemotherapy regimen.

Conclusions: TOP2A amplification could predict anthracycline-sensitivity. Thus, the HER2/TOP2A co-amplified subtype may be effectively treated by anthracycline-containing regimens alone.

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