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21.
  • Escala-Garcia, Maria, et al. (author)
  • A network analysis to identify mediators of germline-driven differences in breast cancer prognosis
  • 2020
  • In: Nature Communications. - : NATURE PUBLISHING GROUP. - 2041-1723. ; 11:1
  • Journal article (peer-reviewed)abstract
    • Identifying the underlying genetic drivers of the heritability of breast cancer prognosis remains elusive. We adapt a network-based approach to handle underpowered complex datasets to provide new insights into the potential function of germline variants in breast cancer prognosis. This network-based analysis studies similar to 7.3 million variants in 84,457 breast cancer patients in relation to breast cancer survival and confirms the results on 12,381 independent patients. Aggregating the prognostic effects of genetic variants across multiple genes, we identify four gene modules associated with survival in estrogen receptor (ER)-negative and one in ER-positive disease. The modules show biological enrichment for cancer-related processes such as G-alpha signaling, circadian clock, angiogenesis, and Rho-GTPases in apoptosis.
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22.
  • Hartkopf, Andreas D., et al. (author)
  • Disseminated tumour cells from the bone marrow of early breast cancer patients : Results from an international pooled analysis
  • 2021
  • In: European Journal of Cancer. - : Elsevier BV. - 0959-8049. ; 154, s. 128-137
  • Journal article (peer-reviewed)abstract
    • Purpose: Presence of disseminated tumour cells (DTCs) in the bone marrow (BM) has been described as a surrogate of residual disease in patients with early breast cancer (EBC). PADDY (Pooled Analysis of DTC Detection in Early Breast Cancer) is a large international analysis of pooled data that aimed to assess the prognostic impact of DTCs in patients with EBC. Experimental design: Individual patient data were collected from 11 centres. Patients with EBC and available follow-up data in whom BM sampling was performed at the time of primary diagnosis before receiving any anticancer treatment were eligible. DTCs were identified by antibody staining against epithelial cytokeratins. Multivariate Cox regression was used to compare the survival of DTC-positive versus DTC-negative patients. Results: In total, 10,307 patients were included. Of these, 2814 (27.3%) were DTC-positive. DTC detection was associated with higher tumour grade, larger tumour size, nodal positivity, oestrogen receptor and progesterone receptor negativity, and HER2 positivity (all p < 0.001). Multivariate analyses showed that DTC detection was an independent prognostic marker for overall survival, disease-free survival and distant disease-free survival with hazard ratios (HR) and 95% confidence intervals (CI) of 1.23 (95% CI: 1.06–1.43, p = 0.006), 1.30 (95% CI: 1.12–1.52, p < 0.001) and 1.30 (95% CI: 1.08–1.56, p = 0.006), respectively. There was no association between locoregional relapse-free survival and DTC detection (HR 1.21; 95% CI 0.68–2.16; p = 0.512). Conclusions: DTCs in the BM represent an independent prognostic marker in patients with EBC. The heterogeneous metastasis-initiating potential of DTCs is consistent with the concept of cancer dormancy.
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23.
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  • Result 21-23 of 23
Type of publication
journal article (23)
Type of content
peer-reviewed (23)
Author/Editor
Fasching, Peter A. (19)
Beckmann, Matthias W ... (19)
Chang-Claude, Jenny (17)
Hamann, Ute (17)
Couch, Fergus J. (17)
Cox, Angela (16)
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Cross, Simon S. (16)
Lambrechts, Diether (16)
Nevanlinna, Heli (15)
Giles, Graham G (15)
Brauch, Hiltrud (15)
Hall, Per (15)
Easton, Douglas F. (15)
Schmidt, Marjanka K. (15)
Blomqvist, Carl (14)
Haiman, Christopher ... (14)
Andrulis, Irene L. (14)
Anton-Culver, Hoda (14)
Mannermaa, Arto (14)
Zheng, Wei (14)
Pharoah, Paul D. P. (14)
Le Marchand, Loïc (14)
Brenner, Hermann (13)
John, Esther M (13)
Arndt, Volker (13)
Dunning, Alison M. (13)
Benitez, Javier (13)
Bojesen, Stig E. (13)
Czene, Kamila (13)
Guenel, Pascal (13)
Hopper, John L. (13)
Margolin, Sara (13)
Winqvist, Robert (13)
Garcia-Closas, Monts ... (13)
Wang, Qin (12)
Milne, Roger L. (12)
Bolla, Manjeet K. (12)
Jakubowska, Anna (12)
Peto, Julian (12)
Schmutzler, Rita K. (12)
Southey, Melissa C. (12)
Truong, Thérèse (12)
Olson, Janet E. (12)
Chenevix-Trench, Geo ... (11)
Devilee, Peter (11)
Radice, Paolo (11)
Simard, Jacques (11)
Hunter, David J (11)
Lubinski, Jan (11)
Flesch-Janys, Dieter (11)
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University
Karolinska Institutet (19)
Lund University (17)
Uppsala University (14)
University of Gothenburg (3)
Linköping University (2)
Högskolan Dalarna (2)
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Umeå University (1)
Stockholm University (1)
Karlstad University (1)
Swedish University of Agricultural Sciences (1)
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Language
English (23)
Research subject (UKÄ/SCB)
Medical and Health Sciences (21)
Natural sciences (2)

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