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FOXC1 is a potential prognostic biomarker with functional significance in basal-like breast cancer.

Abstract
Gene expression signatures for a basal-like breast cancer (BLBC) subtype have been associated with poor clinical outcomes, but a molecular basis for this disease remains unclear. Here, we report overexpression of the transcription factor FOXC1 as a consistent feature of BLBC compared with other molecular subtypes of breast cancer. Elevated FOXC1 expression predicted poor overall survival in BLBC (P = 0.0001), independently of other clinicopathologic prognostic factors including lymph node status, along with a higher incidence of brain metastasis (P = 0.02) and a shorter brain metastasis-free survival in lymph node-negative patients (P < 0.0001). Ectopic overexpression of FOXC1 in breast cancer cells increased cell proliferation, migration, and invasion, whereas shRNA-mediated FOXC1 knockdown yielded opposite effects. Our findings identify FOXC1 as a theranostic biomarker that is specific for BLBC, offering not only a potential prognostic candidate but also a potential molecular therapeutic target in this breast cancer subtype.
AuthorsPartha S Ray, Jinhua Wang, Ying Qu, Myung-Shin Sim, Jaime Shamonki, Sanjay P Bagaria, Xing Ye, Bingya Liu, David Elashoff, Dave S Hoon, Michael A Walter, John W Martens, Andrea L Richardson, Armando E Giuliano, Xiaojiang Cui
JournalCancer research (Cancer Res) Vol. 70 Issue 10 Pg. 3870-6 (May 15 2010) ISSN: 1538-7445 [Electronic] United States
PMID20406990 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright(c)2010 AACR.
Chemical References
  • Biomarkers, Tumor
  • FOXC1 protein, human
  • Forkhead Transcription Factors
  • RNA, Messenger
  • RNA, Small Interfering
Topics
  • Apoptosis
  • Biomarkers, Tumor (genetics, metabolism)
  • Blotting, Western
  • Bone Neoplasms (genetics, metabolism, secondary)
  • Breast (metabolism, pathology)
  • Breast Neoplasms (genetics, metabolism, pathology)
  • Carcinoma, Basal Cell (genetics, metabolism, pathology)
  • Cell Adhesion
  • Cell Movement
  • Cell Proliferation
  • Cells, Cultured
  • Female
  • Forkhead Transcription Factors (antagonists & inhibitors, genetics, metabolism)
  • Gene Expression Profiling
  • Humans
  • Oligonucleotide Array Sequence Analysis
  • Prognosis
  • RNA, Messenger (genetics, metabolism)
  • RNA, Small Interfering (pharmacology)
  • Reverse Transcriptase Polymerase Chain Reaction
  • Survival Rate

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