PMID- 19675743 OWN - NLM STAT- MEDLINE DCOM- 20091217 LR - 20211020 IS - 1612-3174 (Electronic) IS - 1612-3174 (Linking) VI - 7 DP - 2009 May 6 TI - Detection of HER-2/neu, c-myc amplification and p53 inactivation by FISH in Egyptian patients with breast cancer. PG - Doc03 LID - 10.3205/000062 [doi] LID - Doc03 AB - Breast cancer is a leading cause of cancer-related deaths in women worldwide. The clinical course of this disease is highly variable and clinicians continuously search for prognostic parameters that can accurately predict prognosis, and indicate a suitable adjuvant therapy for each patient. Amplification of the two oncogenes HER-2/neu and c-myc and inactivation of the tumor suppressor gene p53 are frequently encountered in breast carcinomas. The purpose of this study was to use the fluorescence in situ hybridization (FISH) for the assessment of HER-2/neu and c-myc amplification and p53 inactivation and to relate these molecular markers with the commonly used clinical and pathological factors. The study was conducted on 34 tissue samples obtained from 33 females and 1 male with breast carcinomas and 17 samples obtained from 16 females and 1 male with benign breast lesions. Results revealed that the level of HER-2/neu, c-myc and p53 in the malignant group was significantly increased as compared to the benign group. On relating the level of the molecular markers to clinicopathological factors, p53 was significantly associated with increased patient's age. The sensitivity of the investigated markers significantly increased with larger tumor size. Concerning tumor grade, HER-2/neu and p53 showed a significant increase in low-grade tumors whereas c-myc showed a highly significant increase in high-grade tumors. With regard to disease staging, HER-2/neu and c-myc were the only markers that showed significant increase at late stages of disease. p53 and HER-2/neu were significantly associated with positive lymph nodal status. A significant correlation was obtained between the levels of the three biomarkers to each other. Conclusively, the combination of HER-2/neu, c-myc and p53 can stratify patients into different risk groups. FAU - Ismail, Manal F AU - Ismail MF AD - Department of Biochemistry, Faculty of Pharmacy, Cairo University, Cairo, Egypt. FAU - Aly, Magdy Sayed AU - Aly MS FAU - Khaled, Hussein M AU - Khaled HM FAU - Mohamed, Hanaa M AU - Mohamed HM LA - eng PT - Comparative Study PT - Journal Article DEP - 20090506 PL - Germany TA - Ger Med Sci JT - German medical science : GMS e-journal JID - 101227686 RN - 0 (Biomarkers, Tumor) RN - 0 (MYC protein, human) RN - 0 (Proto-Oncogene Proteins c-myc) RN - 0 (Tumor Suppressor Protein p53) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Biomarkers, Tumor/analysis MH - Biopsy MH - Breast Neoplasms/diagnosis/epidemiology/*genetics MH - Breast Neoplasms, Male/diagnosis/epidemiology/genetics MH - Egypt/epidemiology MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Middle Aged MH - Neoplasm Staging/methods MH - Nucleic Acid Amplification Techniques/methods MH - Prevalence MH - Proto-Oncogene Proteins c-myc/*analysis/genetics MH - Receptor, ErbB-2/*analysis/genetics MH - Tumor Suppressor Protein p53/*analysis/genetics MH - Young Adult PMC - PMC2716551 OTO - NOTNLM OT - HER-2/neu OT - breast cancer OT - c-myc OT - fluorescent in situ hybridization (FISH) OT - genetic alterations OT - p53 EDAT- 2009/08/14 09:00 MHDA- 2009/12/18 06:00 PMCR- 2009/05/06 CRDT- 2009/08/14 09:00 PHST- 2009/03/04 00:00 [received] PHST- 2009/04/27 00:00 [revised] PHST- 2009/08/14 09:00 [entrez] PHST- 2009/08/14 09:00 [pubmed] PHST- 2009/12/18 06:00 [medline] PHST- 2009/05/06 00:00 [pmc-release] AID - 000062 [pii] AID - 10.3205/000062 [doi] PST - epublish SO - Ger Med Sci. 2009 May 6;7:Doc03. doi: 10.3205/000062.