Prognostic value of tissue-type plasminogen activator (tPA) and its complex with the type-1 inhibitor (PAI-1) in breast cancer
1999

Prognostic Value of tPA and its Complex in Breast Cancer

Sample size: 865 publication Evidence: moderate

Author Information

Author(s): Witte J H de, Sweep C G J, Klijn J G M, Grebenschikov N, Peters H A, Look M P, Tienoven ThH van, Heuvel J J T M, Vries J Bolt-De, Benraad ThJ, Foekens J A

Primary Institution: Department of Chemical Endocrinology, University Hospital Nijmegen

Hypothesis

The study investigates whether the tPA:PAI-1 complex provides prognostic information in breast cancer patients.

Conclusion

The tPA:PAI-1 complex levels in cytosols are associated with poor survival outcomes, while total tPA levels in pellet extracts are linked to better survival.

Supporting Evidence

  • Statistically significant correlations were found between cytosolic levels and those in pellet extracts.
  • Elevated levels of total tPA in pellet extracts were associated with prolonged relapse-free and overall survival.
  • High levels of the tPA:PAI-1 complex in cytosols were linked to poor relapse-free and overall survival.
  • The prognostic information from the tPA:PAI-1 complex was comparable to that from total PAI-1.

Takeaway

This study found that certain proteins in breast cancer patients can help predict how long they might live without their cancer coming back.

Methodology

The study used enzyme-linked immunosorbent assay (ELISA) to measure tPA and its complex with PAI-1 in patient samples.

Participant Demographics

Patients with primary breast cancer.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690353

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