PMID- 27780920 OWN - NLM STAT- MEDLINE DCOM- 20180222 LR - 20220310 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 47 DP - 2016 Nov 22 TI - Prognostic value of plasma levels of HIF-1a and PGC-1a in breast cancer. PG - 77793-77806 LID - 10.18632/oncotarget.12796 [doi] AB - Cellular adaptive mechanisms are crucial for tumorigenesis and a common feature in solid tumor progression. Hypoxia-inducible factor-1alpha (HIF-1alpha) facilitates the biological response to hypoxia, advancing angiogenesis and metastatic potential of the tumor. The peroxisome proliferator-activated receptor gamma coactivators 1alpha (PGC-1alpha) enhances mitochondrial biogenesis, favored by migratory/invasive cancer cells. We conducted a prospective, long-term follow up study to determine whether HIF-1alpha and PGC-1alpha can be implemented as predictive biomarker in breast cancer. HIF-1alpha and PGC-1alpha plasma concentrations were measured in patients and in healthy controls by enzyme linked immune sorbent assay. Breast cancer patients had significantly higher HIF-1alpha and PGC-1alpha levels, which correlated with clinicopathological features, overall with more aggressive cancer characteristics. Disease free and overall survival of breast cancer patients with high HIF-1alpha and PGC-1alpha were significantly poorer than in patients with low plasma levels. In multivariate analysis, high amount of PGC-1alpha showed independent prognostic value. Our data suggests that HIF-1alpha and PGC-1alpha may be promising, noninvasive, biomarkers with a high potential for future clinical implication to identify subgroups of patients with poorer prognosis and to indicate early, subclinical metastasis. FAU - Cai, Feng-Feng AU - Cai FF AD - Department of Breast Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, PR China. FAU - Xu, Cheng AU - Xu C AD - Department of Breast Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, PR China. FAU - Pan, Xin AU - Pan X AD - Department of Central Laboratory, Yangpu Hospital, Tongji University School of Medicine, Shanghai, PR China. FAU - Cai, Lu AU - Cai L AD - Department of Breast Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, PR China. FAU - Lin, Xiao-Yan AU - Lin XY AD - Department of Breast Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, PR China. FAU - Chen, Su AU - Chen S AD - Department of Molecular and Cellular Biology, School of Forensic Sciences, Xi'an Jiao Tong University Health Science Center, Xi'an, Shaanxi, PR China. FAU - Biskup, Ewelina AU - Biskup E AD - Department of Oncology, Department of Internal Medicine, University Hospital of Basel, Basel, Switzerland. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (PPARGC1A protein, human) RN - 0 (Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Breast Neoplasms/blood/*metabolism/*pathology MH - Female MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/*blood MH - Middle Aged MH - Neoplasm Staging MH - Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha/*blood MH - Prognosis MH - Prospective Studies MH - Survival Analysis PMC - PMC5363621 OTO - NOTNLM OT - ELISA OT - HIF-1alpha OT - PGC-1alpha OT - breast cancer OT - prognosis COIS- CONFLICTS OF INTEREST The authors have declared no conflicts of interest. EDAT- 2016/10/27 06:00 MHDA- 2018/02/23 06:00 PMCR- 2016/11/22 CRDT- 2016/10/27 06:00 PHST- 2016/07/22 00:00 [received] PHST- 2016/10/10 00:00 [accepted] PHST- 2016/10/27 06:00 [pubmed] PHST- 2018/02/23 06:00 [medline] PHST- 2016/10/27 06:00 [entrez] PHST- 2016/11/22 00:00 [pmc-release] AID - 12796 [pii] AID - 10.18632/oncotarget.12796 [doi] PST - ppublish SO - Oncotarget. 2016 Nov 22;7(47):77793-77806. doi: 10.18632/oncotarget.12796.