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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Autores principales: 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
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/c1797f3e22424ecda689fbfd30194490
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle 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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