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Prognostic significance of cyclooxygenase-2 and response to chemotherapy in invasive ductal breast carcinoma patients by real time surface plasmon resonance analysis.

Abstract
Cyclooxygenase-2 (COX-2), an inducible enzyme, has been implicated in the progression and angiogenesis of breast cancer. The aim of the study is to quantify the concentration of COX-2 and its association with clinico-pathological parameters and response to treatment in patients with invasive ductal carcinoma receiving both neo-adjuvant and adjuvant chemotherapy. The level of COX-2 was estimated using a novel biosensor-based surface plasmon resonance technique in serum of 84 patients with breast cancer (48 patients of neo-adjuvant chemotherapy and 36 patients of adjuvant chemotherapy) and 40 age- and gender-matched normal individuals. A significant increase in COX-2 level was observed in patients compared with normal individuals (p>0.0001). The COX-2 level in serum was found to be significantly higher in patients with lymph node involvement (p<0.0061). 68% (33/48) of the patients receiving neo-adjuvant chemotherapy showed significantly (p<0.0025) reduced COX-2 levels. This study shows significant decrease of COX-2 level in patients with breast cancer treated with both neo-adjuvant and adjuvant chemotherapy. Estimation of COX-2 level in serum may serve as a tumor biomarker in patients with breast cancer.
AuthorsAbhay Kumar Singh, Rajinder Parshad, Shweta Pasi, Thirumurthy Madhavan, Satya N Das, Biswajit Mishra, Kamaldeep Gill, Krishna Dalal, Sharmistha Dey
JournalDNA and cell biology (DNA Cell Biol) Vol. 30 Issue 10 Pg. 801-7 (Oct 2011) ISSN: 1557-7430 [Electronic] United States
PMID21476934 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antineoplastic Agents
  • Biomarkers, Tumor
  • Cyclooxygenase 2
  • PTGS2 protein, human
Topics
  • Adult
  • Aged
  • Antineoplastic Agents (administration & dosage, therapeutic use)
  • Biomarkers, Tumor (blood, genetics)
  • Blotting, Western
  • Breast Neoplasms (blood, diagnosis, mortality, pathology, therapy)
  • Breast Neoplasms, Male (blood, diagnosis, mortality, pathology, therapy)
  • Carcinoma, Ductal, Breast (blood, diagnosis, mortality, pathology, therapy)
  • Chemotherapy, Adjuvant
  • Cyclooxygenase 2 (blood, genetics)
  • Disease-Free Survival
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoadjuvant Therapy
  • Neoplasm Invasiveness
  • Prognosis
  • Surface Plasmon Resonance (instrumentation, methods)

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