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Keywords {🔍}

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Topics {✒️}

double-stranded dna-binding factors pre-publication history her2-positive breast cancer open access article article download pdf her2+/trmt2a+ breast cancers polyclonal affinity-purified antibodies full size image individualizing curative-intent therapy tissue array sections aid clinical decision-making rabbit monoclonal antibody human breast cancer ccih tissue array[16] breast cancer cases ccf tissue arrays breast cancer specimens progesterone receptor expression metastatic breast cancer archived tumor samples breast cancer patients clin breast cancer clearview cancer institute cox proportional hazards er+ breast cancer privacy choices/manage cookies open reading frame human breast tumours authors’ original file bmc cancer 10 thaer khoury & daniel dim original polyclonal antibody gene expression patterns breast tumor classification[16] breast tumor subtypes full access clin cancer res her2 positive cohort slamon dj regulate dna replication hormone receptor status estrogen receptor expression estrogen receptor alpha molecular alteration carries biomed central human cell cycle her2 positive tumors her2 positive tumors[5 emerging targeted therapies her2 positive patients

Questions {❓}

• Brenton JD, Carey LA, Ahmed AA, Caldas C: Molecular classification and molecular forecasting of breast cancer: ready for clinical application?

Schema {🗺️}

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         headline:The expression of TRMT2A, a novel cell cycle regulated protein, identifies a subset of breast cancer patients with HER2 over-expression that are at an increased risk of recurrence
         description:Over-expression of HER2 in a subset of breast cancers (HER2+) is associated with high histological grade and aggressive clinical course. Despite these distinctive features, the differences in response of HER2+ patients to both adjuvant cytotoxic chemotherapy and targeted therapy (e.g. trastuzumab) suggests that unrecognized biologic and clinical diversity is confounding treatment strategies. Furthermore, the small but established risk of cardiac morbidity with trastuzumab therapy compels efforts towards the identification of biomarkers that might help stratify patients. A single institution tissue array cohort assembled at the Clearview Cancer Institute of Huntsville (CCIH) was screened by immunohistochemistry staining using a large number of novel and commercially available antibodies to identify those with a univariate association with clinical outcome in HER2+ patients. Staining with antibody directed at TRMT2A was found to be strongly associated with outcome in HER2+ patients. This association with outcome was tested in two independent validation cohorts; an existing staining dataset derived from tissue assembled at the Cleveland Clinic Foundation (CCF), and in a new retrospective study performed by staining archived paraffin blocks available at the Roswell Park Cancer Institute (RPCI). TRMT2A staining showed a strong correlation with likelihood of recurrence at five years in 67 HER2+ patients from the CCIH discovery cohort (HR 7.0; 95% CI 2.4 to 20.1, p < 0.0004). This association with outcome was confirmed using 75 HER2+ patients from the CCF cohort (HR 3.6; 95% CI 1.3 to 10.2, p < 0.02) and 64 patients from the RPCI cohort (HR 3.4; 95% CI 1.3-8.9, p < 0.02). In bivariable analysis the association with outcome was independent of grade, tumor size, nodal status and the administration of conventional adjuvant chemotherapy in the CCIH and RPCI cohorts. Studies from three independent single institution cohorts support TRMT2A protein expression as a biomarker of increased risk of recurrence in HER2+ breast cancer patients. These results suggest that TRMT2A expression should be further studied in the clinical trial setting to explore its predictive power for response to adjuvant cytotoxic chemotherapy in combination with HER2 targeted therapy.
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            Tissue Array
            Rabbit Monoclonal Antibody
            Progesterone Receptor Expression
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      headline:The expression of TRMT2A, a novel cell cycle regulated protein, identifies a subset of breast cancer patients with HER2 over-expression that are at an increased risk of recurrence
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      dateModified:2010-03-22T00:00:00Z
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      keywords:
         Breast Cancer
         Trastuzumab
         Tissue Array
         Rabbit Monoclonal Antibody
         Progesterone Receptor Expression
         Cancer Research
         Oncology
         Surgical Oncology
         Health Promotion and Disease Prevention
         Biomedicine
         general
         Medicine/Public Health
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            address:
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            address:
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               type:PostalAddress
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      name:University of Rochester, Rochester, USA
      name:The Cleveland Clinic Foundation, Cleveland, USA
      name:The Cleveland Clinic Foundation, Cleveland, USA
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      name:Clearview Cancer Center, Huntsville, USA
      name:Clearview Cancer Center, Huntsville, USA
      name:Clarient Inc, Huntsville, USA
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      name:Clarient Inc, Aliso Veijo, USA
      name:Clarient Inc, Huntsville, USA
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