Gene/Protein
Disease
Symptom
Drug
Enzyme
Compound
Pivot Concepts:
Gene/Protein
Disease
Symptom
Drug
Enzyme
Compound
Target Concepts:
Gene/Protein
Disease
Symptom
Drug
Enzyme
Compound
Query: EC:3.4.24.3 (
collagenase
)
18,340
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Overexpression of tissue inhibitor of
metalloproteinase-1
at either the messenger RNA or protein level has been related to a poorer prognosis in breast cancer. We investigated the role of tissue inhibitor of
metalloproteinase-1
tissue expression, which was evaluated by immunohistochemistry staining of paraffin-embedded samples, as a possible prognostic indicator in breast cancer. The study included 266 patients treated by primary surgery. Tumors were scored tissue inhibitor of
metalloproteinase-1
positive when at least 10% of the cells showed moderate or strong staining. Staining was observed in 76 (28.6%) patients; by multivariate analysis, factors independently associated with tissue inhibitor of
metalloproteinase-1
positivity included more than 9 metastatic axillary nodes, high
Mib
-1 expression, and positivity for plasminogen activator inhibitor and CD44. With a median follow-up of 125 months, tissue inhibitor of
metalloproteinase-1
expression showed a significant prognostic role in disease-free and overall survival by univariate analysis. Multivariate analysis confirmed an independent negative prognostic impact of tissue inhibitor of
metalloproteinase-1
on overall but not disease-free together with high values of
Mib
-1. The number of involved axillary nodes, and triple negativity were independent predictors of either poorer disease-free or overall survival. In our study, tissue inhibitor of
metalloproteinase-1
expression was significantly related to markers of tumor aggressiveness and was a powerful indicator of poorer prognosis, with a difference in 10-year disease-free and overall survival of 14% and 28%, respectively, between tissue inhibitor of
metalloproteinase-1
-negative and tissue inhibitor of
metalloproteinase-1
-positive cases. Expression of tissue inhibitor of
metalloproteinase-1
also was an independent prognostic factor in node-positive cases, indicating a possible role of tissue inhibitor of
metalloproteinase-1
as a marker of reduced chemosensitivity. Thus, tissue inhibitor of
metalloproteinase-1
may have a role in clinical practice as a prognostic and predictive factor and a possible target for future therapies.
...
PMID:Is tissue inhibitor of metalloproteinase-1 a new prognosticator for breast cancer? An analysis of 266 cases. 2239 69
