DNA topoisomerase IIα expression and the response to primary chemotherapy in breast cancer
2003

DNA Topoisomerase IIα and Breast Cancer Chemotherapy Response

Sample size: 128 publication Evidence: moderate

Author Information

Author(s): MacGrogan G, Rudolph P, Mascarel I de, Mauriac L, Durand M, Avril A, Dilhuydy J M, Robert J, Mathoulin-Pélissier S, Picot V, Floquet A, Sierankowski G, Coindre J M

Primary Institution: Institut Bergonié

Hypothesis

The study aims to analyze the effect of Topo IIα expression on the response to primary chemotherapy in breast cancer patients.

Conclusion

Higher levels of Topo IIα expression are associated with better responses to anthracycline-based chemotherapy in breast cancer patients.

Supporting Evidence

  • High expression of Ki-S7 (>15%) was associated with tumor regression ≥50%.
  • Ki-S7 positivity ranged from 0 to 50% with a median value of 15%.
  • Patients' ages ranged from 31 to 70 years, with a mean of 53 years.

Takeaway

This study found that breast cancer tumors with more Topo IIα protein responded better to chemotherapy, which helps doctors choose the right treatment.

Methodology

Immunohistochemical detection of Topo IIα was performed on tumor core biopsies from patients treated with primary chemotherapy.

Potential Biases

Potential biases may arise from the retrospective nature of the study and the specific patient population analyzed.

Limitations

The study was limited to a specific cohort and may not generalize to all breast cancer patients.

Participant Demographics

Patients were aged 31 to 70 years, with a mean age of 53 and a median age of 55.

Statistical Information

P-Value

0.004

Confidence Interval

1.3–6.4

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601185

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