PMID- 24155038 OWN - NLM STAT- MEDLINE DCOM- 20160602 LR - 20150902 IS - 1880-4233 (Electronic) IS - 1340-6868 (Linking) VI - 22 IP - 5 DP - 2015 Sep TI - The impact of Girdin expression on recurrence-free survival in patients with luminal-type breast cancer. PG - 445-51 LID - 10.1007/s12282-013-0501-3 [doi] AB - BACKGROUND: In patients with luminal-type breast cancer (positive for ER and/or PgR), a complete consensus on the threshold indication for a combination of chemotherapy and endocrine therapy has not been achieved, especially for patients with HER2-negative luminal type (HNLT). Girdin, an actin-binding Akt substrate, plays a crucial role in the migration of cancer cells. This study examined the expression of Girdin in relation to clinicopathological features and other immunohistochemical markers (HER2, Ki-67), especially in patients with HNLT breast cancer. METHODS: One hundred one breast cancer patients who underwent surgery were evaluated. Immunohistochemical staining was performed for Girdin and other biomarkers, such as ER, PgR, HER2, and Ki-67. RESULTS: Positive expression of Girdin was observed in 26 patients. The expression of Girdin was significantly associated with the incidence of lymph node metastases (p = 0.001). Among the other examined biomarkers, positive expression of Ki-67 also showed a significant association with the incidence of lymph node metastases (p = 0.04). In the HNLT breast cancer patients (n = 73), the 5-year recurrence-free survival rate was significantly lower (57 %) in patients with positive expression of both Girdin and Ki-67 than the rate in other patients (92 %) (p = 0.002). CONCLUSION: This study demonstrated that the expression of Girdin in invasive breast cancer is strongly associated with lymph node metastasis. The expression status of Girdin and Ki-67 can be a useful biomarker in stratifying patients with HNLT breast cancer into those with high risk of recurrence and the need for additional chemotherapy. FAU - Nishimae, Kazumi AU - Nishimae K AD - Division of Surgical Oncology, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan. FAU - Tsunoda, Nobuyuki AU - Tsunoda N FAU - Yokoyama, Yukihiro AU - Yokoyama Y FAU - Kokuryo, Toshio AU - Kokuryo T FAU - Iwakoshi, Akari AU - Iwakoshi A FAU - Takahashi, Masahide AU - Takahashi M FAU - Nagino, Masato AU - Nagino M LA - eng PT - Journal Article DEP - 20131024 PL - Japan TA - Breast Cancer JT - Breast cancer (Tokyo, Japan) JID - 100888201 RN - 0 (CCDC88A protein, human) RN - 0 (Ki-67 Antigen) RN - 0 (Microfilament Proteins) RN - 0 (Vesicular Transport Proteins) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Breast Neoplasms/*metabolism/*mortality/*pathology/therapy MH - Female MH - Humans MH - Ki-67 Antigen/metabolism MH - Lymphatic Metastasis/pathology MH - Microfilament Proteins/*metabolism MH - Middle Aged MH - Receptor, ErbB-2/metabolism MH - Retrospective Studies MH - Survival Analysis MH - Vesicular Transport Proteins/*metabolism EDAT- 2013/10/25 06:00 MHDA- 2016/06/03 06:00 CRDT- 2013/10/25 06:00 PHST- 2013/07/16 00:00 [received] PHST- 2013/09/24 00:00 [accepted] PHST- 2013/10/25 06:00 [entrez] PHST- 2013/10/25 06:00 [pubmed] PHST- 2016/06/03 06:00 [medline] AID - 10.1007/s12282-013-0501-3 [doi] PST - ppublish SO - Breast Cancer. 2015 Sep;22(5):445-51. doi: 10.1007/s12282-013-0501-3. Epub 2013 Oct 24.