The key hypoxia regulated gene CAIX is upregulated in basal-like breast tumours and is associated with resistance to chemotherapy
2009

CAIX and Chemotherapy Resistance in Basal-like Breast Tumors

Sample size: 456 publication 10 minutes Evidence: high

Author Information

Author(s): Tan E Y, Yan M, Campo L, Han C, Takano E, Turley H, Candiloro I, Pezzella F, Gatter K C, Millar E K A, O'Toole S A, McNeil C M, Crea P, Segara D, Sutherland R L, Harris A L, Fox S B

Primary Institution: Nuffield Department of Clinical Laboratory Sciences, John Radcliffe Hospital, Oxford, UK

Hypothesis

The aggressive phenotype of basal-like breast tumors is due to an intrinsically elevated hypoxic response.

Conclusion

Basal-like breast tumors are associated with increased CAIX expression, which correlates with worse outcomes and chemotherapy resistance.

Supporting Evidence

  • Basal-like tumors account for 14% of the studied breast tumors.
  • These tumors showed a significantly worse disease-free survival compared to luminal tumors.
  • CAIX expression was positively correlated with tumor size and grade.

Takeaway

Some breast tumors are more aggressive and harder to treat because they don't get enough oxygen, and this can make them resistant to chemotherapy.

Methodology

Tumor samples from 621 patients were analyzed for hypoxia markers and correlated with clinical outcomes.

Potential Biases

Potential bias in patient selection and tumor classification.

Limitations

Data was not available for all patients, and the study focused on specific tumor markers.

Participant Demographics

Median age of participants was 55 years, with a range from 24 to 87 years.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 3.86–20.29

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1038/sj.bjc.6604844

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