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Knechtel, G; Hofmann, G; Gerger, A; Renner, W; Langsenlehner, T; Szkandera, J; Wolf, G; Samonigg, H; Krippl, P; Langsenlehner, U.
Analysis of common germline polymorphisms as prognostic factors in patients with lymph node-positive breast cancer.
J Cancer Res Clin Oncol. 2010; 136(12):1813-1819 Doi: 10.1007/s00432-010-0839-2
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Führende Autor*innen der Med Uni Graz
Absenger Gudrun
Gerger Armin
Hofmann Guenter
Co-Autor*innen der Med Uni Graz
Langsenlehner Tanja
Langsenlehner Uwe
Renner Wilfried
Samonigg Hellmut
Szkandera Joanna
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Abstract:
Women with breast cancer that initially involves local lymph nodes have a higher risk for local recurrence or developing metastases. Recent data suggest that germline polymorphism is a significant, previously unrecognized factor in breast cancer progression and metastasis. We assessed the influence of 16 selected common germline polymorphisms in disease-free survival and overall survival among 216 women diagnosed with lymph node-positive breast cancer. The rare allele of FAS 1377G > A was significantly associated with prolonged disease-free survival (P = 0.012, risk ratio of recurrence (RR) = 0.557, 95% confidence interval (CI) = 0.353-0.878) in univariate analysis. After adjusting for known breast cancer prognostic factors the association remained significant (P = 0.050, RR = 0.500, CI = 0.309-0.809). In overall survival analysis we found a significant association of the FAS 1377G > A (P = 0.040, RR = 0.451, CI = 0.496-1.188) and IL10 592C > A polymorphisms (P = 0.020, RR = 1.707, CI = 1.087-2.680) in the univariate Cox regression. The effect remained statistically significant in the multivariate analysis for the IL10 592C > A polymorphism (P = 0.013, RR 1.841, CI 1.140-2.973). No association was found for MTHFR 677C > T, VEGF 936C > T, CCND1 870G > A, TGFB1 29T > C, FASLG 844C > T, FAS 670A > G, GPB3 825C > T, ITGA2 807C > T, ITGA2 1648G > A, ITGB3 176T > C, MMP1 -1607 1G/2G, MMP3 5A/6A, PTGS2 8473T > C, IL10 592C > A and SULT1A1 638G > A polymorphisms and disease-free survival or overall survival. Our data suggest that the FAS 1377G > A and IL10 592C > A polymorphisms could modify disease-free and overall survival in women with lymph node-positive breast cancer.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Aged, 80 and over -
Antigens, CD95 - genetics
Breast Neoplasms - genetics Breast Neoplasms - pathology
Disease Progression -
Disease-Free Survival -
Female -
Gene Frequency -
Genetic Predisposition to Disease -
Genotype -
Germ-Line Mutation -
Humans -
Interleukin-10 - genetics
Lymph Nodes - pathology
Lymphatic Metastasis -
Middle Aged -
Multivariate Analysis -
Neoplasm Staging -
Polymorphism, Single Nucleotide -
Prognosis -

Find related publications in this database (Keywords)
Breast cancer
Prognosis
Polymorphism
Lymph node-positive
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