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Imaging, Diagnosis, Prognosis |
Authors' Affiliations: 1 Institute of Pathology and 2 Breast Centre, Charité, Universitätsmedizin Berlin, Berlin, Germany; 3 Institute of Pathology, University Hospital of the Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany; and 4 Department of Urology, Johns Hopkins Medical Institutions, Baltimore, Maryland
Requests for reprints: Glen Kristiansen, Institut für Pathologie, Charité, Universitätsmedizin Berlin, Schumannstrasse 20-21, 10117 Berlin, Germany. Phone: 49-30-450-536145; Fax: 49-30-450-563945; E-mail: glen.kristiansen{at}charite.de.
Purpose: We aimed to evaluate the expression of the human anterior gradient-2 (AGR2) in breast cancer on RNA and protein level and to correlate it with clinicopathologic data, including patient survival.
Experimental Design: AGR2 mRNA expression was assessed by reverse transcription-PCR in 25 breast cancer samples and normal tissues. A polyclonal rabbit AGR antiserum was used for immunohistochemistry on 155 clinicopathologically characterized cases. Statistical analyses were applied to test for prognostic and diagnostic associations.
Results: Immunohistochemical detection of AGR2 was statistically significantly associated with positive estrogen receptor status and lower tumor grade. AGR2-positive tumors showed significantly longer overall survival times in univariate analyses. For the subgroup of nodal-negative tumors, an independent prognostic value of AGR2 was found.
Conclusions: The expression of AGR2 in breast cancer is strongly associated with markers of tumor differentiation (estrogen receptor positivity, lower tumor grade). A prognostic effect of AGR2 for overall survival could be shown, which became independently significant for the group of nodal-negative tumors.
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