P-glycoprotein expression in locally advanced breast cancer treated by neoadjuvant chemotherapy
1992

P-glycoprotein Expression in Breast Cancer

Sample size: 26 publication Evidence: low

Author Information

Author(s): A.R. Dixon, J. Bell, I.O. Ellis, C.W. Elston, R.W. Blamey

Primary Institution: City Hospital, Nottingham, UK

Hypothesis

Can P-glycoprotein expression be used to identify patients who may avoid multidrug resistance chemotherapy in breast cancer?

Conclusion

The study found no clear clinical utility for P-glycoprotein expression in identifying patients who could avoid multidrug resistance chemotherapy.

Supporting Evidence

  • Twelve tumors exhibited an objective response to the chemotherapy.
  • None of the 26 primary tumors studied stained clearly positive for P-glycoprotein.
  • Small amounts of weak stromal staining were observed in two tumors treated by tamoxifen.

Takeaway

The researchers looked at a protein called P-glycoprotein in breast cancer to see if it could help doctors choose better treatments, but they didn't find it useful.

Methodology

The study used immunohistochemistry to investigate P-glycoprotein expression in tumor samples from patients treated with chemotherapy.

Limitations

The study had a small sample size and did not demonstrate a clear role for P-glycoprotein in drug resistance in vivo.

Participant Demographics

Twenty-four women with locally advanced primary breast cancer.

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