Effects of systemic inflammation on relapse in early breast cancer
Abstract Chronic inflammation has been a proposed mechanism of resistance to aromatase inhibitors in breast cancer. Stratifying by HER2 status, a matched case-control study from the Wellness After Breast Cancer-II cohort was performed to assess whether or not elevated serum inflammatory biomarkers (...
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Nature Portfolio
2021
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oai:doaj.org-article:c1797f3e22424ecda689fbfd301944902021-12-02T14:19:03ZEffects of systemic inflammation on relapse in early breast cancer10.1038/s41523-020-00212-62374-4677https://doaj.org/article/c1797f3e22424ecda689fbfd301944902021-01-01T00:00:00Zhttps://doi.org/10.1038/s41523-020-00212-6https://doaj.org/toc/2374-4677Abstract Chronic inflammation has been a proposed mechanism of resistance to aromatase inhibitors in breast cancer. Stratifying by HER2 status, a matched case-control study from the Wellness After Breast Cancer-II cohort was performed to assess whether or not elevated serum inflammatory biomarkers (C-Reactive protein [CRP], interleukin-6 [IL-6], and serum amyloid A [SAA]) and/or the presence of a high-risk IL-6 promoter genotype were associated with recurrence of hormone receptor positive (HR+) early breast cancer. Estrogen levels were also measured and correlated with biomarkers and disease outcomes. CRP and SAA were significantly associated with an increased risk of recurrence in the HR+/HER2− group, but not the HR+/HER2+ group. Mean serum estrogen levels were non-significantly elevated in patients who relapsed vs. non-relapsed patients. Surprisingly, high-risk IL-6 promoter polymorphisms were strongly associated with HER2+ breast cancer relapse, which has potential therapeutic implications, as elevated intracellular IL-6 has been associated with trastuzumab resistance in pre-clinical models.Nicholas P. McAndrewLisa BottalicoClementina MesarosIan A. BlairPatricia Y. TsaoJennifer M. RosadoTapan GangulySarah J. SongPhyllis A. GimottyJun J. MaoAngela DeMicheleNature PortfolioarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENnpj Breast Cancer, Vol 7, Iss 1, Pp 1-10 (2021) |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Nicholas P. McAndrew Lisa Bottalico Clementina Mesaros Ian A. Blair Patricia Y. Tsao Jennifer M. Rosado Tapan Ganguly Sarah J. Song Phyllis A. Gimotty Jun J. Mao Angela DeMichele Effects of systemic inflammation on relapse in early breast cancer |
description |
Abstract Chronic inflammation has been a proposed mechanism of resistance to aromatase inhibitors in breast cancer. Stratifying by HER2 status, a matched case-control study from the Wellness After Breast Cancer-II cohort was performed to assess whether or not elevated serum inflammatory biomarkers (C-Reactive protein [CRP], interleukin-6 [IL-6], and serum amyloid A [SAA]) and/or the presence of a high-risk IL-6 promoter genotype were associated with recurrence of hormone receptor positive (HR+) early breast cancer. Estrogen levels were also measured and correlated with biomarkers and disease outcomes. CRP and SAA were significantly associated with an increased risk of recurrence in the HR+/HER2− group, but not the HR+/HER2+ group. Mean serum estrogen levels were non-significantly elevated in patients who relapsed vs. non-relapsed patients. Surprisingly, high-risk IL-6 promoter polymorphisms were strongly associated with HER2+ breast cancer relapse, which has potential therapeutic implications, as elevated intracellular IL-6 has been associated with trastuzumab resistance in pre-clinical models. |
format |
article |
author |
Nicholas P. McAndrew Lisa Bottalico Clementina Mesaros Ian A. Blair Patricia Y. Tsao Jennifer M. Rosado Tapan Ganguly Sarah J. Song Phyllis A. Gimotty Jun J. Mao Angela DeMichele |
author_facet |
Nicholas P. McAndrew Lisa Bottalico Clementina Mesaros Ian A. Blair Patricia Y. Tsao Jennifer M. Rosado Tapan Ganguly Sarah J. Song Phyllis A. Gimotty Jun J. Mao Angela DeMichele |
author_sort |
Nicholas P. McAndrew |
title |
Effects of systemic inflammation on relapse in early breast cancer |
title_short |
Effects of systemic inflammation on relapse in early breast cancer |
title_full |
Effects of systemic inflammation on relapse in early breast cancer |
title_fullStr |
Effects of systemic inflammation on relapse in early breast cancer |
title_full_unstemmed |
Effects of systemic inflammation on relapse in early breast cancer |
title_sort |
effects of systemic inflammation on relapse in early breast cancer |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/c1797f3e22424ecda689fbfd30194490 |
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