Source:http://linkedlifedata.com/resource/pubmed/id/16327431
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
2005-12-5
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pubmed:abstractText |
The prognostic significance of ER-alpha expression in benign proliferative breast disease has been confirmed in epithelial hyperplasia of usual type (HUT). However, little is known about the role of ER-beta in these lesions. Therefore, this study was performed to test the hypothesis that, in HUT lesions, the ratio of ER-alpha:ER-beta is an accurate determinant of breast cancer risk and of predicting subsequent progression to invasive breast cancer. This case-control study analyzed a cohort of benign proliferative breast lesions and foci of ductal HUT in 117 patients with long follow-up (20 years). These foci were analyzed by morphometric image analysis together with immunohistochemistry using monoclonal antibodies to ER-beta1 and to ER-alpha. The data were compared with ER-beta expression in all breast carcinomas that subsequently developed in the same patients as well as to ER-alpha expression in the corresponding tissues. In cases that progressed to carcinoma, the ratio of ER-alpha to ER-beta in HUT was significantly higher (P < 0.001) than in those that did not progress. None of the HUT foci from patients who progressed to breast cancer were simultaneously ER-alpha negative and ER-beta positive. Using both ER-beta and ER-alpha in a logistic model demonstrated a 75% correct classification rate for the cohort studied. These findings confirm the diagnostic and prognostic value of defining the ER-alpha and ER-beta status of HUT lesions identified morphologically. The data support the hypothesis that high ER-alpha:ER-beta levels characterize those cases within HUT likely to progress to breast cancer. The data also reveal that a reduced level of ER-beta relative to ER-alpha is an accurate predictor of individual cases of HUT likely to progress to invasive breast carcinoma, thus supporting the concept that ER-alpha transcriptional activity is directly modulated by ER-beta.
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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 |
Dec
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pubmed:issn |
0147-5185
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
29
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1593-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:16327431-Breast,
pubmed-meshheading:16327431-Breast Neoplasms,
pubmed-meshheading:16327431-Case-Control Studies,
pubmed-meshheading:16327431-Cohort Studies,
pubmed-meshheading:16327431-Disease Progression,
pubmed-meshheading:16327431-Estrogen Receptor alpha,
pubmed-meshheading:16327431-Estrogen Receptor beta,
pubmed-meshheading:16327431-Female,
pubmed-meshheading:16327431-Follow-Up Studies,
pubmed-meshheading:16327431-Humans,
pubmed-meshheading:16327431-Hyperplasia,
pubmed-meshheading:16327431-Logistic Models,
pubmed-meshheading:16327431-Longitudinal Studies,
pubmed-meshheading:16327431-Precancerous Conditions,
pubmed-meshheading:16327431-Prognosis,
pubmed-meshheading:16327431-Risk Factors
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pubmed:year |
2005
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pubmed:articleTitle |
Prognostic significance of estrogen receptor Beta in epithelial hyperplasia of usual type with known outcome.
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pubmed:affiliation |
Departments of Cellular and Molecular Pathology, University of Liverpool, Liverpool, UK.
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pubmed:publicationType |
Journal Article,
Comparative Study
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