Assessment of molecular markers of clinical sensitivity to single-agent taxane therapy for metastatic breast cancer Journal Article
| Authors: | Van Poznak, C.; Tan, L.; Panageas, K. S.; Arroyo, C. D.; Hudis, C.; Norton, L.; Seidman, A. D. |
| Article Title: | Assessment of molecular markers of clinical sensitivity to single-agent taxane therapy for metastatic breast cancer |
| Abstract: | Purpose: The taxanes affect tubulin polymerization and interfere with mitotic transition. A checkpoint blockade at the G1-S boundary would be expected to promote taxane-induced apoptotic cell death through a mechanism that may involve p27. Other proposed determinants of clinical taxane sensitivity/resistance include p53, members of the epidermal growth factor receptor (EGFR) superfamily (eg, HER2, EGFR), and estrogen receptors and progesterone receptors. These molecular markers and their correlation with clinical taxane sensitivity are investigated in this retrospective clinicopathologic study. Patients and Methods: We performed immunohistochemistry (IHC) for estrogen receptors, progesterone receptors, HER2, EGFR, p53, and p27 on 144 breast tumor specimens from patients treated for metastatic breast cancer on a series of clinical trials of single-agent taxane chemotherapy for correlation with clinical response (complete or partial response). Patient characteristics that could influence response (ie, performance status, extent of disease, and prior therapy) were also examined. Results: In univariate analysis, Karnofsky performance status ≥ 90% and no prior history of anthracycline therapy correlated with a good clinical response to single-agent taxane (P = .003 and P = .041, respectively). None of the IHC variables tested were predictive of clinical response to taxane therapy, although p27 negativity showed a trend toward significance (P = .075). Concordance between the polyclonal antibody with HercepTest (DAKO, Carpinteria, CA) and the monoclonal antibody CB-11 (BioGenex, San Ramon, CA) was noted (kappa = 0.943); however, neither univariate nor multivariate analysis demonstrated an association between HER2 status and response to taxane chemotherapy. Conclusion: The IHC biomarkers studied were not predictive of response to single-agent taxane chemotherapy in patients with metastatic breast cancer. Identification of molecular correlates of taxane response remains an important goal. © 2002 by American Society of Clinical Oncology. |
| Keywords: | immunohistochemistry; controlled study; human tissue; protein expression; treatment outcome; retrospective studies; unclassified drug; major clinical study; clinical trial; disease marker; paclitaxel; metastasis; controlled clinical trial; breast cancer; epidermal growth factor receptor; tumor markers, biological; antineoplastic agents, phytogenic; antineoplastic activity; breast neoplasms; protein p53; prediction; cancer resistance; docetaxel; monoclonal antibody; protein p27; neoplasm metastasis; predictive value of tests; tumor suppressor protein p53; chi-square distribution; receptor, erbb-2; receptors, estrogen; receptors, progesterone; multivariate analysis; taxane derivative; estrogen receptor; progesterone receptor; oncogene neu; proliferating cell nuclear antigen; genes, erbb-1; polyclonal antibody; monoclonal antibody cb11; humans; prognosis; human; female; priority journal; article; herceptest; polyclonal antibody a0485 |
| Journal Title: | Journal of Clinical Oncology |
| Volume: | 20 |
| Issue: | 9 |
| ISSN: | 0732-183X |
| Publisher: | American Society of Clinical Oncology |
| Date Published: | 2002-05-01 |
| Start Page: | 2319 |
| End Page: | 2326 |
| Language: | English |
| DOI: | 10.1200/jco.2002.08.125 |
| PUBMED: | 11981003 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Export Date: 14 November 2014 -- Source: Scopus |
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