Overexpression of MAGE-A9 predicts unfavorable outcome in breast cancer
pmid: 25445503
Overexpression of MAGE-A9 predicts unfavorable outcome in breast cancer
Melanoma-associated antigens (MAGEs) are a group of well-characterized members of the cancer/testis antigen (CTA) family, which is one of the largest groups of human tumor-associated antigens. MAGE-A9 is a particular member in the context of the MAGE-A gene family and was defined as presenting prognostic relevance in certain type of human cancer. However, the expression of MAGE-A9 in invasive ductal breast cancer (IDC) and the relationship with the clinical attributes of IDC, especially prognostic characteristic, remain poorly understood. In this present study, one-step quantitative reverse transcription polymerase chain reaction (18 fresh-frozen IDC tissues and corresponding non-cancerous tissues) and immunohistochemistry by tissue microarrays (82 IDC tissue samples and 70 matched tumor-adjacent non-cancerous tissue samples) were performed to characterize expression of the MAGE-A9 gene in IDC. Kaplan-Meier survival and Cox regression analyses were performed to evaluate the prognosis of IDC. The results of qPCR and IHC analysis showed that the expression of MAGE-A9 in IDC was significantly higher than that in corresponding non-cancerous tissue. Moreover, the expression level of MAGE-A9 protein in IDC was significantly related to histological grade (p = 0.011) and distant metastasis (p = 0.019). Multivariate analysis with the Cox regression model showed that MAGE-A9 protein expression (p = 0.009), histological grade (p = 0.014), lymph node metastasis (p = 0.012) and distant metastasis (p = 0.011) were independent prognostic factors for overall survival of IDC patients. The data suggest that MAGE-A9 expression is correlated with malignant attributes of IDC and it may serve as a novel prognostic factor and an ideal candidate for targeted therapy in IDC treatment.
- Nantong University China (People's Republic of)
- Second Affiliated Hospital of Nanjing Medical University China (People's Republic of)
- Jiangsu Provincial Authorities Hospital China (People's Republic of)
- Huadong Medical Institute of Biotechniques China (People's Republic of)
- Nanjing Medical University China (People's Republic of)
Adult, Aged, 80 and over, Reverse Transcriptase Polymerase Chain Reaction, Carcinoma, Ductal, Breast, Breast Neoplasms, Kaplan-Meier Estimate, Middle Aged, Prognosis, Immunohistochemistry, Neoplasm Proteins, Up-Regulation, Antigens, Neoplasm, Tissue Array Analysis, Biomarkers, Tumor, Humans, Female, Aged, Proportional Hazards Models, Retrospective Studies
Adult, Aged, 80 and over, Reverse Transcriptase Polymerase Chain Reaction, Carcinoma, Ductal, Breast, Breast Neoplasms, Kaplan-Meier Estimate, Middle Aged, Prognosis, Immunohistochemistry, Neoplasm Proteins, Up-Regulation, Antigens, Neoplasm, Tissue Array Analysis, Biomarkers, Tumor, Humans, Female, Aged, Proportional Hazards Models, Retrospective Studies
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