Clinical Cancer Research CTRC-AACR San Antonio Breast Cancer Symposium
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Clinical Cancer Research Vol. 7, 2415-2424, August 2001
© 2001 American Association for Cancer Research


Regular Articles

Gelsolin as a Negative Prognostic Factor and Effector of Motility in erbB-2-positive Epidermal Growth Factor Receptor-positive Breast Cancers1

Ann D. Thor2,,3, Susan M. Edgerton2, Shuqing Liu, Dan H. Moore, II and David J. Kwiatkowski

Evanston Northwestern Hospital Research Institute and Northwestern University, Evanston, Illinois 60201 [A. D. T., S. M. E., S. L.]; University of California at San Francisco, San Francisco, California 93143 [D. H. M.]; and Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts 02115 [D. J. K.]

Purpose: erbB-2 and epidermal growth factor receptor (EGFR) may mediate motility via signaling that enables changes in the actin cytoskeleton. A physical basis for this motility may depend on the coexpression of gelsolin, a Mr 80,000 actin-binding protein.

Experimental Design: The expression of erbB-2, EGFR, and gelsolin was analyzed in 790 archival invasive breast cancers. These data were compared with histological, clinical, and outcome data (median follow-up, 16.3 years).

Results: Protein overexpression was observed in overlapping subsets of breast cancers (38% of cases were erbB-2+; 15% of cases were EGFR+; and 56% of cases were gelsolin+). Tumor gelsolin was associated with overexpression of erbB-2 and EGFR, as well as with an aggressive tumor phenotype. By univariate and multivariate analyses, tumor gelsolin alone was not a prognostic factor. Overexpression of all three factors significantly predicted poor clinical outcome by univariate and multivariate analyses. For example, in node-positive patients, coexpression of all three markers was associated with a 3-year disease-specific survival (as compared with erbB-2+, EGFR+, gelsolin- patients, who had a median survival of 6 years).

Conclusions: These data suggest that gelsolin coexpression may be an important additional prognostic factor in erbB-2+, EGFR+ breast cancer patients. We hypothesize that this is due to the role of gelsolin in mediating motility and invasion.




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HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Cancer Research Clinical Cancer Research
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Molecular Cancer Research Cancer Prevention Research
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Copyright © 2001 by the American Association for Cancer Research.