2003
DOI: 10.1002/ijc.11113
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Role of proliferation in HER2 status predicted response to doxorubicin

Abstract: The role of HER2 in predicting response to doxorubicin (DXR) therapy in breast cancer was evaluated in vivo in a series of breast carcinomas from 220 patients with tumors larger than 2.5 cm and treated with 3 cycles of DXR (75 mg/m(2)) as neoadjuvant chemotherapy. Patients with HER2-positive tumors were more frequently responsive to DXR treatment compared with HER2-negative patients (p = 0.05; Mantel-Haenszel Chi(2) = 0.009). Progesterone receptor (PgR) negativity, but not mutated p53, was also associated with… Show more

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Cited by 51 publications
(37 citation statements)
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“…Notably, relatively high concentrations of CDDP and DOX were used in the present study; however, this is similar to previous studies, of which several also used longer treatment durations (22,25,(29)(30)(31)(32)(33)(34). Data from a previous study (11), in addition to titration data from the present study, provided the optimum conditions for the phosphorylation of ERK in addition to ErbB2/3.…”
Section: Discussionsupporting
confidence: 81%
“…Notably, relatively high concentrations of CDDP and DOX were used in the present study; however, this is similar to previous studies, of which several also used longer treatment durations (22,25,(29)(30)(31)(32)(33)(34). Data from a previous study (11), in addition to titration data from the present study, provided the optimum conditions for the phosphorylation of ERK in addition to ErbB2/3.…”
Section: Discussionsupporting
confidence: 81%
“…Because doxorubicin sensitivity of HER2-positive breast carcinoma cells does not directly depend on the receptor molecule but instead on the higher proliferation of HER2-positive cells compared with negative cells (36), it is possible that in our xenotransplant model consisting in proliferating tumor cells, tumor-initiating cells also proliferate and thereby become sensitive to the drugs' action. Such a possibility would not be inconsistent with the recent findings (3,5) that breast cancers from patients who received neoadjuvant chemotherapy or mice genetically manipulated for developing mammary tumors are substantially enriched for self-renewing cells.…”
Section: Discussionmentioning
confidence: 99%
“…However the underlying mechanisms by which a lack of ER sensitizes cells to chemotherapy cytotoxicity is not fully established. The proliferative activity is notoriously greater in ER -primary breast cancer than in ER+ breast cancer (Campiglio et al 2003) and this relationship could offer a possible explanation.…”
Section: Discussionmentioning
confidence: 99%