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Query: UMLS:C0006142 (
breast cancer
)
160,383
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
Survivin, a member of the inhibitor of apoptosis protein family, is widely expressed in a variety of human cancer tissues. Survivin inhibits activation of caspases, and its overexpression can lead to resistance to apoptotic stimuli. In this study,
survivin
protein expression was assessed by immunohistochemical staining of 195 invasive
breast cancer
specimens. Overall, 79.5% of the tumors were positive for
survivin
. The expression of epidermal growth factor receptor (EGFR) family, human epidermal growth factor receptor 2 (HER2) and EGFR, was also examined in 53 cases, and consequently, it was indicated that
survivin
positivity might be correlated with the coexpression of HER2 and EGFR. To clarify the regulatory mechanism of
survivin
expression in
breast cancer
cells, the effect of HER2 and/or EGFR expression on the
survivin
levels was examined. It was revealed that the
survivin
protein level was up-regulated by the coexpression of HER2 and EGFR, leading to the increased resistance against etoposide-induced apoptosis in
breast cancer
cells. Conversely,
survivin
levels and apoptosis resistance were decreased when cells were treated with HER2-specific inhibitor, Herceptin. Although Herceptin could down-regulate both phosphatidylinositol 3-kinase (PI3K)/AKT signal and mitogen-activated protein/extracellular signal-related kinase (ERK) kinase 1 (MEK1)/ERK signal in HER2-positive
breast cancer
cells, PI3K-specific inhibitor but not MEK1-specific inhibitor could decrease the
survivin
levels. The present study clarified the regulatory mechanism of HER2 in the expression of
survivin
protein in
breast cancer
cells.
...
PMID:Survivin expression is regulated by coexpression of human epidermal growth factor receptor 2 and epidermal growth factor receptor via phosphatidylinositol 3-kinase/AKT signaling pathway in breast cancer cells. 1632 51
Survivin gene and its two alternatively spliced variants,
survivin
-2 B and
survivin
- Delta Ex3 gene were cloned from human
breast cancer
cell lines B-cap37 firstly. A new gene designated as
survivin
-image (SI) was cloned from above cell lines, which has not been reported yet to clone from any cell lines. It was found that the novel gene 507 bp comprises partial
survivin
gene (345 bp), partial image gene (155 bp) of eye cancer and other insertion of 7 bp by analyzing with a series of recent bioinformatics software at the level of nucleotide and protein deduced. Predicted 3-D structures of the new molecule showed greatly similar to that of
survivin
in N-terminal containing BIR by homology modeling. These results suggested SI gene (GenBank accession No.AY830084) might be a novel alternatively spliced isoforms of the
survivin
gene involved in other functional significances related to tumorigenesis.
...
PMID:Molecular cloning and bioinformatics analysis of a novel spliced variant of survivin from human breast cancer cells. 1632 64
Survivin, a novel member of the IAP family, was observed to express in the most common human cancers. Anti-cancer therapy targeting
survivin
had drawn considerable attention. This study focused on high-level expression of recombinant protein TAT-
survivin
(T34A) mutant in E. coli, purification and bioactivity of pro-apoptosis to various cell lines in vitro. The cDNA encoding
survivin
was cloned by RT-PCR from
breast cancer
cell lines B-cap37. After PCR site-directed mutagenesis and construction of expression vector pRSET-B-TAT-
survivin
(T34A), targeted TAT-
survivin
(T34A) protein was expressed highly in E. coli BL21 (DE3) by 0.5mM IPTG induction and its yield could reach 650 mg/l in fermentation culture. The fusion protein in a form of inclusion body was then solubilized, refolded and purified to a purity of 98% by cation exchange chromatography and size-exclusion chromatography. Four hundred and eighty milligrams protein of interest was obtained in per liter fermentation culture. This showed that the efficient procedures of large-scale expression and purification were successful for the mass production of the recombinant protein. Pro-apoptosis effects of target protein on four cancer cell lines and one normal cell line from human were confirmed by the change of morphology, and pro-apoptosis activity was evaluated by MTT, fluorescent staining of nuclei and flow cytometry assay. Results indicated that B-cap37 and SW1990 were very sensitive to TAT-
survivin
(T34A) protein. This finding revealed the recombinant protein was promising as an anti-cancer drug.
...
PMID:High-level expression, purification and pro-apoptosis activity of HIV-TAT-survivin (T34A) mutant to cancer cells in vitro. 1640 57
In lung cancer cyclooxygenase-2 (COX-2) expression has been reported to stabilise
survivin
, an inhibitor of apoptosis (IAP) which prevents cell death by blocking activated caspases. COX-2 expression limits the ubiquitination of
survivin
, protecting it from degradation. To determine if COX-2 expression in
breast cancer
showed an association with
survivin
expression, we assessed the levels of each protein in ductal carcinoma in situ (DCIS) and invasive
breast cancer
(IBC); relating expression patterns to recurrence of DCIS after surgery. Patterns of COX-2 and
survivin
expression were determined by intensity-graded immunohistochemistry of the primary tumours. Patients with DCIS (n=161) which had either recurred (n=47) or shown no evidence of recurrence (n=114) 5 years following primary surgery were studied. These were compared to 58 cases of IBC. Survivin was expressed in the cytoplasm of 59% of DCIS and 17% of IBC. High levels of both cytoplasmic
survivin
and COX-2 expression significantly correlated to DCIS recurrence. COX-2 expression was present in 72% of DCIS, and levels of expression positively correlated with cytoplasmic
survivin
expression in DCIS and invasive disease. The majority of DCIS that recurred expressed both proteins (69%) vs 39% nonrecurrent. Recurrence was not seen in DCIS lacking both proteins at 5 years (P=0.001). Expression of the IAP
survivin
is increased in DCIS and correlates closely with COX-2 expression. Increased expression of IAP, (leading to reduced apoptosis) may explain the effect of COX-2 in increasing recurrence of DCIS after surgical treatment.
...
PMID:Survivin expression in in situ and invasive breast cancer relates to COX-2 expression and DCIS recurrence. 1642 96
In
breast cancer
, overexpression of ErbB2 or aberrant regulation of
survivin
, a member of the inhibitor of apoptosis family, is associated with resistance to chemo/hormone therapy and predicts for a poor clinical outcome. A functional link between the two predictive factors has not been previously shown. Here, using genetic and pharmacologic approaches to block ErbB2 signaling, we show that ErbB2 regulates
survivin
protein expression in ErbB2-overexpressing
breast cancer
cells. Selective knockdown of ErbB2 using small interfering RNA markedly reduced
survivin
protein, resulting in apoptosis of ErbB2-overexpressing
breast cancer
cell lines such as BT474. Alternatively, inhibition of ErbB2 signaling using lapatinib (GW572016), a reversible small-molecule inhibitor of ErbB1/ErbB2 tyrosine kinases, at pharmacologically relevant concentrations, leads to marked inhibition of
survivin
protein with subsequent apoptosis. The effect of lapatinib on
survivin
seems to be predominantly posttranslational, mediated by ubiquitin-proteosome degradation as lactacystin, a proteosome inhibitor, reverses these effects. Furthermore, lapatinib down-regulated the expression of His-tagged
survivin
, which was under the transcriptional control of a heterologous promoter, providing additional evidence supporting a posttranslational mechanism of regulation. In contrast, trastuzumab and gefitinib failed to down-regulate
survivin
in ErbB2-overexpressing
breast cancer
cells. Importantly, the clinical relevance of these findings was illustrated in patients with ErbB2-overexpressing
breast cancer
whose clinical response to lapatinib was associated with marked inhibition of
survivin
in their tumors. These findings shed new light on the mechanism by which ErbB2 overexpression protects against apoptotic stimuli in
breast cancer
and identifies therapeutic interventions to improve clinical outcomes in these aggressive tumors.
...
PMID:Regulation of survivin by ErbB2 signaling: therapeutic implications for ErbB2-overexpressing breast cancers. 1645 23
The chemotherapeutic drug paclitaxel induces microtubular stabilization and mitotic arrest associated with increased
survivin
expression. Survivin is a member of the inhibitor of apoptosis (iap) family which is highly expressed in during G2/M phase where it regulates spindle formation during mitosis. It is also constitutively overexpressed in most cancer cells where it may play a role in chemotherapeutic resistance. MCF-7
breast cancer
cells stably overexpressing the sense strand of
survivin
(MCF-7(
survivin
-S) cells) were more resistant to paclitaxel than cells depleted of
survivin
(MCF-7(
survivin
-AS) despite G2/M arrest in both cell lines. However,
survivin
overexpression did not protect cells relative to control MCF-7(pcDNA3) cells. Paclitaxel-induced cytotoxicity can be enhanced by retinoic acid and here we show that RA strongly reduces
survivin
expression in MCF-7 cells and prevents paclitaxel-mediated induction of
survivin
expression. Mitochondrial release of cytochrome c after paclitaxel alone or in combination with RA was weak, however robust Smac release was observed. While RA/paclitaxel-treated MCF-7 (pcDNA3) cultures contained condensed apoptotic nuclei, MCF-7(
survivin
-S) nuclei were morphologically distinct with hypercondensed disorganized chromatin and released mitochondrial AIF-1. RA also reduced paclitaxel-associated levels of cyclin B1 expression consistent with mitotic exit. MCF-7(
survivin
-S) cells displayed a 30% increase in >2N/<4N ploidy while there was no change in this compartment in vector control cells following RA/paclitaxel. We propose that RA sensitizes MCF-7 cells to paclitaxel at least in part through
survivin
downregulation and the promotion of aberrant mitotic progression resulting in apoptosis. In addition we provide biochemical and morphological data which suggest that RA-treated MCF-7(
survivin
-S) cells can also undergo catastrophic mitosis when exposed to paclitaxel.
...
PMID:Regulation of survivin by retinoic acid and its role in paclitaxel-mediated cytotoxicity in MCF-7 breast cancer cells. 1652 75
Variants of
survivin
with differing subcellular localizations might mediate the different functions of
survivin
, i.e. cell-cycle regulation and apoptosis inhibition. Highly proliferative tumors are more sensitive to chemotherapy, whereas apoptosis resistant cells would be refractory to endocrine therapy. Possibly, this explains incongruent data on the association of
survivin
with prognosis in
breast cancer
. Survivin levels were measured using ELISA in 800 x g pellets and 100,000 x g supernatants of
breast cancer
tissues from patients that were treated with either chemotherapy or endocrine therapy for advanced disease. These fractions might be enriched with nuclear or cytoplasmatic located
survivin
variants. Survivin levels were associated with tumors with poor prognostic clinical characteristics. For the patients treated with endocrine therapy, the patients with high
survivin
levels exhibited a significantly shorter progression free survival (PFS) than those who had low levels (pellet
survivin
Hazard Ratio (HR)=2.74, 95% Confidence Interval (CI)=1.31-5.72, p=0.008 and median PFS 5.8 versus 8.6 months, p=0.006, log-rank; cytosolic
survivin
HR=3.03, 95% CI=1.45-6.35, p=0.003). In contrast, for patients treated with chemotherapy, those with high cytosolic
survivin
had a significantly longer PFS than those with low levels (median PFS of 6.2 months, versus 4.7 months for patients with low cytosolic concentrations, p=0.024, log-rank). Thus, high levels of
survivin
are mainly related with a poor response to endocrine therapy, but a good response to chemotherapy. This phenomenon might be related to the different functions of
survivin
.
Breast Cancer
Res Treat 2006 Jul
PMID:High survivin predicts a poor response to endocrine therapy, but a good response to chemotherapy in advanced breast cancer. 1654 27
As a novel member of the IAP (Inhibitor of apoptosis protein) family,
survivin
was observed to be expressed in most human cancerous cells. Fusion protein TATm-
survivin
(T34A) has drawn considerable attention because it is a potential anti-tumor protein that can be transduced into cancer cell with the help of HIV-TAT domain. In this study, the cDNA encoding
survivin
was cloned by RT-PCR from human
breast cancer
cell lines B-Cap-37. An expression vector of pRSET-B-HIV-tatm-
survivin
(T34A) was constructed by PCR after
survivin
(T34A) was mutated by site-directed mutagenesis. Subsequently, the resultant plasmid was transformed into E. coli BL21 (DE3). Recombinant HIV-TATm-Survivin (T34A) protein was expressed efficiently with 0.5mM IPTG as inducer, reaching a yield of 650mg/liter (as inclusion body) in fermentation culture. The inclusion bodies were solubilized, refolded and purified to a purity of 96% by ion exchange chromatograghy and size-exclusion chromatography. Remarkable effects of the purified recombinant HIV-TATm-Survivin (T34A) on the morphology of cell line SW1990 and B-Cap-37 were observed after being administrated for 4h. MTT assay showed recombinant HIV-TATm-
survivin
(T34A) protein could inhibit significantly cell proliferation of SW1990 and B-Cap-37 and SSMC-7721 in vitro. Apoptosis rate and cell circle of SW1990 and B-Cap-37 that had been treated with target protein (final concentration 30 microg/mL) were detected with flow cytometry. Results revealed that more than 65% cancer cells were arrested at G1 phase. The study suggested that TATm-
survivin
(T34A) protein was a hopeful protein drug in the treatment of cancers by facilitating apoptosis of cancer cells. Key words recombinant HIV-TATm-Survivin (T34A), expression and purification, pro-apoptosis bioactivity, SW1990 and B-Cap-37 cancer cell lines
...
PMID:[Preparation of recombinant HIV-TATm-survivin (T34A) protein and its pro-apoptosis activity to cancer cells in vitro]. 1660 58
The phytochemical indole-3-carbinol (I3C), found in cruciferous vegetables, and its major acid-catalyzed reaction product 3,3'-diindolylmethane (DIM) showed anticancer activity mediated by its pleiotropic effects on cell cycle progression, apoptosis, carcinogen bioactivation, and DNA repair. To further elucidate the molecular mechanism(s) by which 3,3'-diindolylmethane exerts its effects on
breast cancer
cells, we have used microarray gene expression profiling analysis. We found a total of 1,238 genes altered in 3,3'-diindolylmethane-treated cells, among which 550 genes were down-regulated and 688 genes were up-regulated. Clustering analysis showed significant alterations in some genes that are critically involved in the regulation of cell growth, cell cycle, apoptosis, and signal transduction, including down-regulation of
survivin
. Previous studies have shown that antiapoptotic protein
survivin
is overexpressed in many human cancers, including
breast cancer
. However, very little or no information is available regarding the consequence of down-regulation of
survivin
for cancer therapy. We, therefore, hypothesized that down-regulation of
survivin
as observed by 3,3'-diindolylmethane could be an important approach for the treatment of
breast cancer
. We have tested our hypothesis using multiple molecular approaches and found that 3,3'-diindolylmethane inhibited cell growth and induced apoptosis in MDA-MB-231
breast cancer
cells by down-regulating
survivin
, Bcl-2, and cdc25A expression and also caused up-regulation of p21(WAF1) expression, which could be responsible for cell cycle arrest. Down-regulation of
survivin
by small interfering RNA before 3,3'-diindolylmethane treatment resulted in enhanced cell growth inhibition and apoptosis, whereas overexpression of
survivin
by cDNA transfection abrogated 3,3'-diindolylmethane-induced cell growth inhibition and apoptosis. These results suggest that targeting
survivin
by 3,3'-diindolylmethane could be a new and novel approach for the prevention and/or treatment of
breast cancer
.
...
PMID:Gene expression profiling revealed survivin as a target of 3,3'-diindolylmethane-induced cell growth inhibition and apoptosis in breast cancer cells. 1665 53
Although increasing evidence supports a link between epidermal growth factor receptor (EGFR) signaling and resistance to apoptosis, the mechanism by which the EGFR signaling pathway inhibits apoptosis is not well understood. In this study, we found that epidermal growth factor (EGF) stimulation increased the level of expression of the inhibitor of apoptosis protein
survivin
in
breast cancer
cells but not in normal mammary epithelial cells. We further demonstrated that activation of
survivin
gene expression is mediated by oxygen-independent hypoxia-inducible factor (HIF)-1alpha up-regulation in EGF-treated cancer cells. EGFR signaling activated the phosphoinositide 3-kinase/AKT pathway, subsequently increasing the level of HIF-1alpha under normoxic conditions. HIF-1alpha then activated
survivin
gene transcription through direct binding to the
survivin
promoter. Furthermore, we found that overexpression of HIF-1alpha small interfering RNA blocks EGF-induced
survivin
gene up-regulation and increases apoptosis induced by the chemotherapy drug docetaxel. However, transfection of a plasmid expressing HIF-1alpha gene activates
survivin
gene expression and reduces the apoptotic response. Our results demonstrate a novel pathway for EGFR signaling-mediated apoptosis resistance in human cancer cells. Although the role of HIF-1alpha in regulating cell survival under hypoxic conditions has been studied extensively, our results show that normoxic
breast cancer
cells utilize cross-talk between EGFR signals and HIF-1alpha to up-regulate the anti-apoptotic
survivin
gene, providing a strong rationale for the targeting of HIF-1alpha as a therapeutic approach for both hypoxic and normoxic tumor cells. Understanding key molecular events in EGFR signaling-induced apoptosis resistance should provide new information for the development of novel therapeutic agents targeting EGFR, HIF-1alpha, and/or
survivin
.
...
PMID:Cross-talk between epidermal growth factor receptor and hypoxia-inducible factor-1alpha signal pathways increases resistance to apoptosis by up-regulating survivin gene expression. 1684 54
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