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학술저널
저자정보
김호성 (중앙대학교) 김범규 (중앙대학교) 차성재 (중앙대학교) 이태진 (중앙대학교) 박성준 (중앙대학교) 임현묵 (중앙대학교) 박성일 (중앙대학교)
저널정보
대한외과학회 Annals of Surgical Treatment and Research 대한외과학회지 Vol.73 No.2
발행연도
2007.8
수록면
87 - 95 (9page)

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Purpose: HER-2/neu is the most frequently amplified oncogene in breast cancer. Topoisomerase Ⅱ-α is a key enzyme in DNA replication and it is a molecular target for many anti-cancer drugs that are called topo Ⅱ inhibitors; in addition, it is a new marker of proliferation. Because of the physical proximity of the ER-2/neu and topoisomerase Ⅱ-α genes, co-amplification of the HER-2/neu and topoisomerase Ⅱ-α may be important determinates of the response to chemotherapy for advanced breast cancer patients.
Methods: We studied the correlation of gene amplification of HER-2/neu and topoisomerase Ⅱ-α by chromogenic in situ hybridization (CISH) in 43 infiltrating duct carcinomas of the breast. The over-expression of HER-2/neu protein and the staining index for the proliferation marker of topoisomerase Ⅱ-α were examined immunohistochemically. The correlations between the status of HER-2/neu and topoisomerase Ⅱ-α and the other clinicopathologic variables such as tumor size, lymph node metastasis, TNM stage, histologic grade, nuclear grade, and the estrogen receptor and progesteron receptor were investigated.
Results: Of the 43 infiltrating ductal carcinomas, the amplifications of HER-2/neu and topoisomerase Ⅱ-α by CISH were observed in 8 cases (18.6%) and 14 cases (32.6%), respectively. Amplification of HER-2/neu showed the statistically significant correlations with tumor size, histologic grade and the topoisomerase Ⅱ-α staining index. Amplification of topoisomerase Ⅱ-α showed statistically significant correlations with axillary lymph node metastasis, the stage, the nuclear grade and the estrogen receptor status.
Conclusion: These data suggest that amplification of HER-2/neu oncogene and topoisomerase Ⅱ-α by CISH may be valuable for determining the response to chemotherapy, and detection of HER-2/neu and topoisomerase Ⅱ-α in tumor sections may have prognostic value in human breast cancer.

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UCI(KEPA) : I410-ECN-0101-2013-514-002673221