DNA Amplifications and Aneuploidy, High Proliferative Activity and Impaired Cell Cycle Control Characterize Breast Carcinomas with Poor Prognosis

In order to explore whether specific cytogenetic abnormalities can be used to stratify tumors with a distinctly different clinical course, we performed comparative genomic hybridization (CGH) of tumors from patients who were diagnosed with metastatic disease after an interval of less than 2 years or...

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Main Authors: Harald Blegen, John S. Will, B. Michael Ghadimi, Hesed‐Padilla Nash, Anders Zetterberg, Gert Auer, Thomas Ried
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Analytical Cellular Pathology
Online Access:http://dx.doi.org/10.1155/2003/491362
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author Harald Blegen
John S. Will
B. Michael Ghadimi
Hesed‐Padilla Nash
Anders Zetterberg
Gert Auer
Thomas Ried
author_facet Harald Blegen
John S. Will
B. Michael Ghadimi
Hesed‐Padilla Nash
Anders Zetterberg
Gert Auer
Thomas Ried
author_sort Harald Blegen
collection DOAJ
description In order to explore whether specific cytogenetic abnormalities can be used to stratify tumors with a distinctly different clinical course, we performed comparative genomic hybridization (CGH) of tumors from patients who were diagnosed with metastatic disease after an interval of less than 2 years or who remained free from distant metastases for more than 10 years. All patients presented with distant metastases after mastectomy indicating that none of the patients in this study was cured and free of remaining tumor cells. Tumors in the group of short‐term survivors showed a higher average number of chromosomal copy alterations compared to the long‐term survivors. Of note, the number of sub‐chromosomal high‐level copy number increases (amplifications) was significantly increased in the group of short‐term survivors. In both short‐ and long‐term survivors recurrent chromosomal gains were mapped to chromosomes 1q, 4q, 8q, and 5p. Copy number changes that were more frequent in the group of short‐term survivors included gains of chromosome 3q, 9p, 11p and 11q and loss of 17p. Our results indicate that low‐ and high grade malignant breast adenocarcinomas are characterized by a specific pattern of chromosomal copy number changes. Furthermore, immunohistochemical evaluation of the expression levels of Ki‐67, p27KIP1, p21WAF1, p53, cyclin A and cyclin E revealed a correlation between increased proliferative activity and poor outcome.
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spelling doaj-art-921d234fd71f4a3996f9b5eb7a6e26202025-02-03T01:23:43ZengWileyAnalytical Cellular Pathology0921-89121878-36512003-01-0125310311410.1155/2003/491362DNA Amplifications and Aneuploidy, High Proliferative Activity and Impaired Cell Cycle Control Characterize Breast Carcinomas with Poor PrognosisHarald Blegen0John S. Will1B. Michael Ghadimi2Hesed‐Padilla Nash3Anders Zetterberg4Gert Auer5Thomas Ried6Department of Oncology‐Pathology, Karolinska Institute, Cancer Center Karolinska, R8:04, SE‐171 76, Stockholm, SwedenGenetics Department, Division of Clinical Sciences, National Cancer Institute, NIH, Building 9, Room 1N105, 9 Memorial Drive, Bethesda, MD 20892, USAGenetics Department, Division of Clinical Sciences, National Cancer Institute, NIH, Building 9, Room 1N105, 9 Memorial Drive, Bethesda, MD 20892, USAGenetics Department, Division of Clinical Sciences, National Cancer Institute, NIH, Building 9, Room 1N105, 9 Memorial Drive, Bethesda, MD 20892, USADepartment of Oncology‐Pathology, Karolinska Institute, Cancer Center Karolinska, R8:04, SE‐171 76, Stockholm, SwedenDepartment of Oncology‐Pathology, Karolinska Institute, Cancer Center Karolinska, R8:04, SE‐171 76, Stockholm, SwedenGenetics Department, Division of Clinical Sciences, National Cancer Institute, NIH, Building 9, Room 1N105, 9 Memorial Drive, Bethesda, MD 20892, USAIn order to explore whether specific cytogenetic abnormalities can be used to stratify tumors with a distinctly different clinical course, we performed comparative genomic hybridization (CGH) of tumors from patients who were diagnosed with metastatic disease after an interval of less than 2 years or who remained free from distant metastases for more than 10 years. All patients presented with distant metastases after mastectomy indicating that none of the patients in this study was cured and free of remaining tumor cells. Tumors in the group of short‐term survivors showed a higher average number of chromosomal copy alterations compared to the long‐term survivors. Of note, the number of sub‐chromosomal high‐level copy number increases (amplifications) was significantly increased in the group of short‐term survivors. In both short‐ and long‐term survivors recurrent chromosomal gains were mapped to chromosomes 1q, 4q, 8q, and 5p. Copy number changes that were more frequent in the group of short‐term survivors included gains of chromosome 3q, 9p, 11p and 11q and loss of 17p. Our results indicate that low‐ and high grade malignant breast adenocarcinomas are characterized by a specific pattern of chromosomal copy number changes. Furthermore, immunohistochemical evaluation of the expression levels of Ki‐67, p27KIP1, p21WAF1, p53, cyclin A and cyclin E revealed a correlation between increased proliferative activity and poor outcome.http://dx.doi.org/10.1155/2003/491362
spellingShingle Harald Blegen
John S. Will
B. Michael Ghadimi
Hesed‐Padilla Nash
Anders Zetterberg
Gert Auer
Thomas Ried
DNA Amplifications and Aneuploidy, High Proliferative Activity and Impaired Cell Cycle Control Characterize Breast Carcinomas with Poor Prognosis
Analytical Cellular Pathology
title DNA Amplifications and Aneuploidy, High Proliferative Activity and Impaired Cell Cycle Control Characterize Breast Carcinomas with Poor Prognosis
title_full DNA Amplifications and Aneuploidy, High Proliferative Activity and Impaired Cell Cycle Control Characterize Breast Carcinomas with Poor Prognosis
title_fullStr DNA Amplifications and Aneuploidy, High Proliferative Activity and Impaired Cell Cycle Control Characterize Breast Carcinomas with Poor Prognosis
title_full_unstemmed DNA Amplifications and Aneuploidy, High Proliferative Activity and Impaired Cell Cycle Control Characterize Breast Carcinomas with Poor Prognosis
title_short DNA Amplifications and Aneuploidy, High Proliferative Activity and Impaired Cell Cycle Control Characterize Breast Carcinomas with Poor Prognosis
title_sort dna amplifications and aneuploidy high proliferative activity and impaired cell cycle control characterize breast carcinomas with poor prognosis
url http://dx.doi.org/10.1155/2003/491362
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