Source:http://linkedlifedata.com/resource/pubmed/id/10448289
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rdf:type | |
lifeskim:mentions |
umls-concept:C0006142,
umls-concept:C0024202,
umls-concept:C0026882,
umls-concept:C0034840,
umls-concept:C0079419,
umls-concept:C0220901,
umls-concept:C0237881,
umls-concept:C0750502,
umls-concept:C1257890,
umls-concept:C1446409,
umls-concept:C1514562,
umls-concept:C1516213,
umls-concept:C1880389,
umls-concept:C1883204,
umls-concept:C1883221,
umls-concept:C2603343
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pubmed:issue |
3
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pubmed:dateCreated |
1999-8-23
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pubmed:abstractText |
The aim of our study was to evaluate if p53 mutations, especially those in the L2/L3 domains of the p53 gene, add prognostic information for node-positive and steroid receptor positive breast cancer patients. Two hundred and five tumour samples from a randomised clinical trial of 596 lymph node- and steroid receptor positive breast cancer patients were included. All patients had been randomly allocated to receive 20 mg of adjuvant tamoxifen (TAM) daily for 2 years or TAM plus one cycle of low-dose, short-term chemotherapy. For detection of p53 mutations we used in vitro amplification by polymerase chain reaction and consecutively performed temperature gradient gel electrophoresis (PCR-TGGE) and direct sequencing. We found p53 mutations in 42/205 (20%) cases: 16/42 (38%) p53 mutations occurred within the L2/L3 domains of the p53 gene, and 26/42 (62%) outside the L2/L3 domains. p53 mutation served as a statistically significant parameter in predicting disease-free survival in univariate (P = 0.02) and multivariate (P = 0.009) analysis. For overall survival, no significant differences were observed. Patients with tumours that had p53 mutations within the L2/L3 domains of the gene showed no significant difference to those with mutations outside the L2/L3 domains for disease-free survival. For overall survival, mutations in the L2/L3 domains showed a marginally significant difference (P = 0.05) in multivariate analysis, but not in univariate analysis (P = 0.13). We conclude that mutation in the L2/L3 domains of the p53 gene is not an independent prognostic indicator of disease outcome for patients suffering from breast cancer with lymph node metastases and positive steroid receptors.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0959-8049
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pubmed:author |
pubmed-author:FridrikMM,
pubmed-author:GnantMM,
pubmed-author:HausmaningerHH,
pubmed-author:JakeszRR,
pubmed-author:KubistaEE,
pubmed-author:KuceraEE,
pubmed-author:MittlböckMM,
pubmed-author:ReinerAA,
pubmed-author:SamoniggHH,
pubmed-author:SeifertMM,
pubmed-author:SpeiserPP,
pubmed-author:SzaboLL,
pubmed-author:ZeillingerRR
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pubmed:issnType |
Print
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pubmed:volume |
35
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
398-405
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:10448289-Adult,
pubmed-meshheading:10448289-Aged,
pubmed-meshheading:10448289-Breast Neoplasms,
pubmed-meshheading:10448289-Disease-Free Survival,
pubmed-meshheading:10448289-Female,
pubmed-meshheading:10448289-Genes, p53,
pubmed-meshheading:10448289-Humans,
pubmed-meshheading:10448289-Lymphatic Metastasis,
pubmed-meshheading:10448289-Middle Aged,
pubmed-meshheading:10448289-Mutation,
pubmed-meshheading:10448289-Polymerase Chain Reaction,
pubmed-meshheading:10448289-Prognosis,
pubmed-meshheading:10448289-Receptors, Steroid,
pubmed-meshheading:10448289-Survival Analysis,
pubmed-meshheading:10448289-Tamoxifen,
pubmed-meshheading:10448289-Zinc
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pubmed:year |
1999
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pubmed:articleTitle |
Prognostic significance of mutations in the p53 gene, particularly in the zinc-binding domains, in lymph node- and steroid receptor positive breast cancer patients. Austrian Breast Cancer Study Group.
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pubmed:affiliation |
Department of Gynaecology and Obstetrics, University of Vienna Medical School, Austria. elisabeth.kucera@akh-wien.ac.at
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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