Biomolecular markers of breast cancer.

Abstract

Here, the structure, function, biological and pathological significance and clinical utility of the principal biomolecular markers of breast cancer is reviewed. Each marker was scored for clinical utility using a recently developed tumor marker utility grading system (TMUGS). Among the tissue markers, ERs and PRs are important prognostic/predictive factors and the only tissue markers routinely determined. ER cross-talks with other growth factors while co-regulatory factors enhance (co-activators) or decrease (co-repressors) its transcriptional activity. C-erbB-2 and Ki67/MIB-1 select for adjuvant chemotherapy a subgroup of lymph-node negative patients at a high risk of relapse. Monoclonal antibodies (trastuzumab, gefitinib, erlotinib and bevacizumab) targeting tissue markers and involved in tumor growth and metastasization (EGFR, C-erbB-2, VEGF) have been developed; they showed therapeutical single agent activity as well as potent synergy with chemotherapy agents in metastatic cancer. Among circulating markers, some are potentially useful in the early detection and monitoring of metastatic disease; nevertheless, none is routinely recommended. To suspect distant metastases, CEA-TPA-CA15.3 panel attained accuracy of about 90%. ECD HER2-neu, p53 and nucleophosmin antibodies seem suitable candidates for different associations. Preliminary observations suggest that an early detection with tumor markers and successive treatment of relapses significantly prolongs disease-free and overall survival in selected patients. In conclusion, biomolecular markers are improving understanding of biology and management of breast cancer.

• Authors: Andrea Nicolini, Angelo Carpi, Giulio Tarro
• Journal: Frontiers in bioscience : a journal and virtual library (Front Biosci) Vol. 11 Pg. 1818-43 (May 01 2006) ISSN: 1093-9946 [Print] United States
• PMID: 16368559 (Publication Type: Journal Article, Review)

Chemical References

• Antigens, Neoplasm
• Biomarkers, Tumor
• E-Selectin
• Ki-67 Antigen
• Receptors, Estrogen
• Receptors, Progesterone
• Tumor Suppressor Protein p53
• Vascular Endothelial Growth Factor A
• Intercellular Adhesion Molecule-1
• Receptor, ErbB-2

Topics

• Antigens, Neoplasm (metabolism)
• Biomarkers, Tumor
• Breast Neoplasms (genetics, metabolism)
• Cell Line, Tumor
• E-Selectin (metabolism)
• Gene Expression Regulation, Neoplastic
• Genes, p53
• Humans
• Intercellular Adhesion Molecule-1 (metabolism)
• Ki-67 Antigen (biosynthesis)
• Models, Biological
• Receptor, ErbB-2 (metabolism)
• Receptors, Estrogen (metabolism)
• Receptors, Progesterone (metabolism)
• Tumor Suppressor Protein p53 (metabolism)
• Vascular Endothelial Growth Factor A (metabolism)