PMID- 15455388 OWN - NLM STAT- MEDLINE DCOM- 20050119 LR - 20220317 IS - 0020-7136 (Print) IS - 0020-7136 (Linking) VI - 113 IP - 4 DP - 2005 Feb 10 TI - C-Met overexpression in node-positive breast cancer identifies patients with poor clinical outcome independent of Her2/neu. PG - 678-82 AB - Receptor tyrosine kinases play an important role in malignant transformation of epithelial cells by activating signal transduction pathways important for proliferation, invasion and metastasis. In a pilot study (n = 40), we evaluated expression of the c-Met and Her2/neu receptor tyrosine kinases and the c-Met ligand hepatocyte growth factor/scatter factor (HGF/SF) in primary breast cancers and their lymph node metastases using both conventional immunohistochemistry and confocal immunofluorescence. Neither c-Met and HGF/SF nor Her2/neu expression correlated with established prognostic factors such as age, lymph node involvement, estrogen receptor (ER), progesterone receptor (PR), tumor size, or grade. Both staining methods confirmed a significant correlation between c-Met overexpression and a high risk of disease progression. Furthermore, among tumors with c-Met overexpression, only 50% also overexpress Her2/neu, thus identifying a subset of patients with aggressive disease in addition to Her2/neu. Median disease-free survival in patients with c-Met overexpressing tumors was 8 months compared to 53 months when c-Met expression was low (p = 0.037; RR = 3.0). This significant impact of c-Met on tumor aggressiveness independent of Her2/neu was also confirmed by multivariate analysis. In conclusion, the role of c-Met expression as a prognostic variable and consequently as an interesting target for novel therapeutic approaches deserves further analysis in a larger cohort of patients. FAU - Lengyel, Ernst AU - Lengyel E AD - Department of Obstetrics and Gynecology, Section of Gynecologic Oncology, University of Chicago, Mail Code 2050, 5841 South Maryland Avenue, Chicago, IL 60637, USA. elengyel@uchicago.edu FAU - Prechtel, Dieter AU - Prechtel D FAU - Resau, James H AU - Resau JH FAU - Gauger, Katja AU - Gauger K FAU - Welk, Anita AU - Welk A FAU - Lindemann, Kristina AU - Lindemann K FAU - Salanti, Georgia AU - Salanti G FAU - Richter, Thomas AU - Richter T FAU - Knudsen, Beatrice AU - Knudsen B FAU - Vande Woude, George F AU - Vande Woude GF FAU - Harbeck, Nadia AU - Harbeck N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Ligands) RN - 0 (Receptors, Estrogen) RN - 0 (Receptors, Progesterone) RN - 67256-21-7 (Hepatocyte Growth Factor) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Breast Neoplasms/drug therapy/*metabolism/*pathology MH - Disease Progression MH - Disease-Free Survival MH - Female MH - Fibrocystic Breast Disease/drug therapy/metabolism/pathology MH - Hepatocyte Growth Factor/metabolism MH - Humans MH - Hyperplasia/drug therapy/metabolism/pathology MH - Ligands MH - Lymph Nodes/pathology MH - Lymphatic Metastasis/*pathology MH - Middle Aged MH - Neoplasm Staging MH - Pilot Projects MH - Proto-Oncogene Proteins c-met/*metabolism MH - Receptor, ErbB-2/*metabolism MH - Receptors, Estrogen/metabolism MH - Receptors, Progesterone/metabolism MH - Risk Factors MH - Survival Rate MH - Treatment Outcome EDAT- 2004/09/30 05:00 MHDA- 2005/01/20 09:00 CRDT- 2004/09/30 05:00 PHST- 2004/09/30 05:00 [pubmed] PHST- 2005/01/20 09:00 [medline] PHST- 2004/09/30 05:00 [entrez] AID - 10.1002/ijc.20598 [doi] PST - ppublish SO - Int J Cancer. 2005 Feb 10;113(4):678-82. doi: 10.1002/ijc.20598.