Prognostic significance of TGFβ-1 and pSmad2/3 in breast cancer patients with T1-2, N0 tumours

D Koumoundourou, T Kassimatis, V Zolota… - Anticancer …, 2007 - ar.iiarjournals.org
D Koumoundourou, T Kassimatis, V Zolota, E Tzorakoeleftherakis, P Ravazoula, V Vassiliou
Anticancer research, 2007ar.iiarjournals.org
Background: The transforming growth factor beta (TGFβ) signaling pathway has been shown
to exert divergent effects and to cross-talk with estrogen pathways in mammary gland
tumorigenesis. TGF signaling in early stage breast cancer was investigated by examining
the expression of TGFβ-1 and the signaling mediators pSmad2/3 and Smad4. Their
association with oestrogen and progesterone receptors, as well as with clinical and
pathological features was also analyzed. Patients and Methods: Sixty-one tumor specimens …
Background
The transforming growth factor beta (TGFβ) signaling pathway has been shown to exert divergent effects and to cross-talk with estrogen pathways in mammary gland tumorigenesis. TGF signaling in early stage breast cancer was investigated by examining the expression of TGFβ-1 and the signaling mediators pSmad2/3 and Smad4. Their association with oestrogen and progesterone receptors, as well as with clinical and pathological features was also analyzed.
Patients and Methods
Sixty-one tumor specimens from surgically treated patients with primary T1-2,N0 breast cancer were examined. The expression of TGFβ-1, pSmad2 and Smad4 was assessed implementing immunohistochemical assays.
Results
TGFβ-1, pSmad2/3 and Smad4 were expressed in 50.9%, 74.0% and 61.0% of specimens, respectively. The degree of expression of the three molecules was significantly associated with each other. Loss of pSmad2/3 expression indicated a shorter disease-free survival in all patients, including those with oestrogen receptor-positive tumors. Patients not expressing TGFβ-1 were 4.6 times more likely to experience distant recurrence.
Conclusion
Our results demonstrate that pSmad2/3 and TGFβ-1 may be promising novel prognostic markers for T1-2,N0 breast carcinomas.
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