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Lack of TIMP-1 tumour cell immunoreactivity predicts effect of adjuvant anthracycline-based chemotherapy in patients (n = 647) with primary breast cancer. A Danish Breast Cancer Cooperative Group Study
European Journal of Cancer, 06/26/09
Willemoe GL et al. - In a study to determine whether the benefit of epirubicin vs methotrexate differs according to tissue inhibitor of metalloproteinases 1 (TIMP-1) tumour cell immunoreactivity, it was reported that lack of TIMP-1 tumour cell immunoreactivity seems to predict a favourable effect of epirubicin-containing adjuvant therapy in primary breast cancer.
Methods- Tissue micro arrays from 647 pts randomly assigned to CMF or CEF in DBCG trial 89D were included.
- Primary endpoint was invasive disease-free survival (IDFS).
- A central assessment of TIMP-1 status was performed using immunohistochemistry (IHC).
- Tumours were regarded as TIMP-1-positive if epithelial breast cancer cells were stained using the anti-TIMP-1 monoclonal antibody VT7.
- By central assessment, 75% of tumours were classified as tumour cell TIMP-1-positive.
- Among CEF-treated pts, individuals with TIMP-1-negative tumours had a significantly longer IDFS than pts with TIMP-1-positive tumours.
- The multivariate Cox regression analysis of IDFS showed that CEF was superior to CMF among pts with TIMP-1-negative tumours, while no significant difference could be demonstrated among pts with TIMP-1-positive tumours.
- A non-significant TIMP-1 status (positive or negative) vs treatment (CMF or CEF) interaction was detected for IDFS and OS.
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Angiosarcoma of the Breast: A Rare Clinicopathological Entity
American Journal of Clinical Oncology, 12/07/09
Gene expression of ERbeta isoforms in laser microdissected human breast cancers: Implications for gene expression analyses
Cellular Oncology, 12/07/09
Co-expression of plexin-B1 and Met in human breast and ovary tumours enhances the risk of progression
Cellular Oncology, 12/07/09
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