Glomeruloid microvascular proliferation is associated with lack of response to chemotherapy in breast cancer
2011

GMP and Chemotherapy Response in Breast Cancer

Sample size: 112 publication Evidence: moderate

Author Information

Author(s): Akslen L A, Straume O, Geisler S, Sørlie T, Chi J-T, Aas T, Børresen-Dale A-L, Lønning P E

Primary Institution: The Gade Institute, University of Bergen

Hypothesis

Does glomeruloid microvascular proliferation (GMP) predict lack of response to chemotherapy in breast cancer?

Conclusion

GMP is associated with a lack of response to neoadjuvant chemotherapy in locally advanced breast cancer.

Supporting Evidence

  • GMP was present in 21% of the cases studied.
  • GMP positivity was significantly associated with high-grade tumors.
  • GMP was correlated with TP53 mutations.
  • GMP was linked to a gene expression signature for tumor hypoxia response.
  • GMP positivity was associated with lack of treatment response and progressive disease.

Takeaway

GMP is a marker that can help doctors understand if breast cancer patients will respond to chemotherapy. If GMP is present, the treatment might not work as well.

Methodology

The study evaluated the presence of GMP in 112 cases of locally advanced breast cancer and its association with treatment response.

Limitations

The study's findings need confirmation in larger studies to establish GMP as an independent predictor.

Participant Demographics

Patients were treated for locally advanced breast cancer, with a median age of 64 years.

Statistical Information

P-Value

0.004

Statistical Significance

p=0.004

Digital Object Identifier (DOI)

10.1038/bjc.2011.203

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