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Erschienen in: Medical Oncology 3/2014

01.03.2014 | Original Paper

Tissue microarray analysis of X-linked inhibitor of apoptosis (XIAP) expression in breast cancer patients

verfasst von: Ying-Chun Xu, Qiang Liu, Jia-Qi Dai, Zhi-Qiang Yin, Lei Tang, Yue Ma, Xiao-Lin Lin, Hong-Xia Wang

Erschienen in: Medical Oncology | Ausgabe 3/2014

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Abstract

The goal of this study was to determine the diagnostic and prognostic potential of X-linked inhibitor of apoptosis (XIAP) expression in breast cancer. We analyzed a tissue microarray comprised of 100 breast cancer cases and 70 matched normal samples. Analysis of an online database, which included 2,977 patients, was also performed. There was a significant difference in cytoplasmic expression of XIAP (XIAP-C) between breast cancer tissue and matched normal (p < 0.001). Staining of XIAP-C was defined as negative (breast cancer 8.42 % vs. normal 30.91 %), slight (40.0 vs. 45.45 %), moderate (43.16 vs. 23.64 %), or high (8.42 vs. 0 %). High XIAP-C protein expression correlated with human epidermal growth factor receptor 2 (HER-2) status (p = 0.010) and with human p53 mutant-type (P53) status (p = 0.039). We found that XIAP expression did not correlate with disease-free survival (p = 0.706) and overall survival (p = 0.496) of breast cancer patients. An Internet-based system analysis confirmed our results. In the subgroup analysis, basal-like breast cancer patients with high XIAP levels in the tumor had a significantly increased risk of relapse; thus, the up-regulation of XIAP appeared to be predictive of poor relapse-free survival (p = 0.013). Kaplan–Meier curves also identified a significant correlation between distant metastasis-free survival and XIAP expression in patients with lymph-node-negative disease (p = 0.030). In summary, expression of XIAP-C was significantly higher in breast cancer compared to normal tissue. XIAP-C expression correlated with HER-2 status and may be considered a prognostic biomarker for basal-like breast cancer patients.
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Metadaten
Titel
Tissue microarray analysis of X-linked inhibitor of apoptosis (XIAP) expression in breast cancer patients
verfasst von
Ying-Chun Xu
Qiang Liu
Jia-Qi Dai
Zhi-Qiang Yin
Lei Tang
Yue Ma
Xiao-Lin Lin
Hong-Xia Wang
Publikationsdatum
01.03.2014
Verlag
Springer US
Erschienen in
Medical Oncology / Ausgabe 3/2014
Print ISSN: 1357-0560
Elektronische ISSN: 1559-131X
DOI
https://doi.org/10.1007/s12032-013-0764-8

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