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Methyl-p-hydroxyphenyllactate-esterase activity in breast cancer: a potentially new prognostic factor in short-term follow-up.

Abstract
We assayed methyl-p-hydroxyphenyllactate esterase (MeHPLAase) activity in 48 cases of primary breast cancer. MeHPLAase activity did not show significant correlation with estrogen receptor and progesterone receptor levels. No significant relationship was found between enzymatic activity and tumor diameter, lymph node status, mitotic activity, degree of nuclear differentiation, and proportion of the S-phase fraction. During the follow-up period (median, 18.8 months; range, 6-69 months), recurrences were observed in 18 of 48 (37%) cases. The Weibull survival regression model using the enzymatic activity as a continuous covariate showed that levels of enzymatic activity were directly associated with the risk of recurrence (P = 0.02). Assuming the mean value of enzymatic activity as the cutoff value, we found a statistically significant relationship between high MeHPLAase activity and shorter recurrence-free survival. On multivariate analysis, MeHPLAase activity proved to be an independent factor for predicting a short period of recurrence-free survival.
AuthorsA Carbone, F G Serra, G Ferrandina, G Scambia, D Terribile, R Bellantone, M Piantelli, F O Ranelletti
JournalCancer research (Cancer Res) Vol. 57 Issue 23 Pg. 5406-9 (Dec 01 1997) ISSN: 0008-5472 [Print] United States
PMID9393767 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Biomarkers, Tumor
  • Receptors, Estrogen
  • Receptors, Progesterone
  • Carboxylic Ester Hydrolases
  • methyl-p-hydroxyphenyllactate esterase
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Biomarkers, Tumor (analysis)
  • Breast Neoplasms (enzymology, mortality, pathology, surgery)
  • Carboxylic Ester Hydrolases (analysis, metabolism)
  • Female
  • Follow-Up Studies
  • Humans
  • Lymph Node Excision
  • Lymphatic Metastasis
  • Middle Aged
  • Mitotic Index
  • Multivariate Analysis
  • Neoplasm Metastasis
  • Neoplasm Recurrence, Local
  • Postmenopause
  • Premenopause
  • Prognosis
  • Receptors, Estrogen (analysis)
  • Receptors, Progesterone (analysis)
  • Regression Analysis
  • Survival Rate
  • Time Factors

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