Title |
Insulin-like growth factor 1 receptor expression and IGF1R 3129G > T polymorphism are associated with response to neoadjuvant chemotherapy in breast cancer patients: results from the NEOZOTAC trial (BOOG 2010-01)
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Published in |
Breast Cancer Research, January 2016
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DOI | 10.1186/s13058-015-0663-3 |
Pubmed ID | |
Authors |
Stefanie de Groot, Ayoub Charehbili, Hanneke W. M. van Laarhoven, Antien L. Mooyaart, N. Geeske Dekker-Ensink, Saskia van de Ven, Laura G. M. Janssen, Jesse J. Swen, Vincent T. H. B. M. Smit, Joan B. Heijns, Lonneke W. Kessels, Tahar van der Straaten, Stefan Böhringer, Hans Gelderblom, Jacobus J. M. van der Hoeven, Henk-Jan Guchelaar, Hanno Pijl, Judith R. Kroep, on behalf of the Dutch Breast Cancer Research Group |
Abstract |
The insulin-like growth factor 1 (IGF-1) pathway is involved in cell growth and proliferation and is associated with tumorigenesis and therapy resistance. This study aims to elucidate whether variation in the IGF-1 pathway is predictive for pathologic response in early HER2 negative breast cancer (BC) patients, taking part in the phase III NEOZOTAC trial, randomizing between 6 cycles of neoadjuvant TAC chemotherapy with or without zoledronic acid. Formalin-fixed paraffin-embedded tissue samples of pre-chemotherapy biopsies and operation specimens were collected for analysis of IGF-1 receptor (IGF-1R) expression (n = 216) and for analysis of 8 candidate single nucleotide polymorphisms (SNPs) in genes of the IGF-1 pathway (n = 184) using OpenArray® RealTime PCR. Associations with patient and tumor characteristics and chemotherapy response according to Miller and Payne pathologic response were performed using chi-square and regression analysis. During chemotherapy, a significant number of tumors (47.2 %) showed a decrease in IGF-1R expression, while in a small number of tumors an upregulation was seen (15.1 %). IGF-1R expression before treatment was not associated with pathological response, however, absence of IGF-1R expression after treatment was associated with a better response in multivariate analysis (P = 0.006) and patients with a decrease in expression during treatment showed a better response to chemotherapy as well (P = 0.020). Moreover, the variant T allele of 3129G > T in IGF1R (rs2016347) was associated with a better pathological response in multivariate analysis (P = 0.032). Absent or diminished expression of IGF-1R after neoadjuvant chemotherapy was associated with a better pathological response. Additionally, we found a SNP (rs2016347) in IGF1R as a potential predictive marker for chemotherapy efficacy in BC patients treated with TAC. ClinicalTrials.gov NCT01099436 . Registered April 6, 2010. |
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Country | Count | As % |
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United Kingdom | 2 | 33% |
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Unknown | 3 | 50% |
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Science communicators (journalists, bloggers, editors) | 2 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 63 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 10 | 16% |
Student > Bachelor | 10 | 16% |
Other | 9 | 14% |
Researcher | 5 | 8% |
Student > Master | 5 | 8% |
Other | 16 | 25% |
Unknown | 8 | 13% |
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Sports and Recreations | 2 | 3% |
Other | 9 | 14% |
Unknown | 13 | 21% |