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Breast cancer survival is associated with telomere length in peripheral blood cells

Svenson, Ulrika (author)
Umeå universitet,Patologi
Nordfjäll, Katarina (author)
Umeå universitet,Patologi
Stegmayr, Birgitta (author)
Umeå universitet,Medicin
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Manjer, Jonas (author)
Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups
Nilsson, Peter (author)
Tavelin, Björn (author)
Umeå universitet,Onkologi
Henriksson, Roger (author)
Umeå universitet,Onkologi
Lenner, Per (author)
Umeå universitet,Onkologi
Roos, Göran (author)
Umeå universitet,Patologi
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 (creator_code:org_t)
2008
2008
English.
In: Cancer Research. - 0008-5472 .- 1538-7445. ; 68:10, s. 3618-3623
  • Journal article (peer-reviewed)
Abstract Subject headings
Close  
  • Telomeres are essential for maintaining chromosomal stability. Previous studies have indicated that individuals with shorter blood telomeres may be at higher risk of developing various types of cancer, such as in lung, bladder, and kidney. We have analyzed relative telomere length (RTL) of peripheral blood cells in relation to breast cancer incidence and prognosis. The study included 265 newly diagnosed breast cancer patients and 446 female controls. RTL was measured by real-time PCR, and our results show that the patient group displayed significantly longer telomeres compared with controls (P < 0.001). Age-adjusted odds ratios (OR) for breast cancer risk increased with increasing telomere length, with a maximal OR of 5.17 [95% confidence interval (95% CI), 3.09-8.64] for the quartile with the longest telomeres. Furthermore, RTL carried prognostic information for patients with advanced disease. Node positive (N+) patients with short telomeres (16 mm (median tumor diameter), short telomeres were associated with a significantly better outcome than longer telomeres (P = 0.006). Cox regression analysis showed that long RTL was a significant independent negative prognostic factor (hazards ratio, 2.92; 95% CI, 1.33-6.39; P = 0.007). Our results indicate that blood RTL may serve as a prognostic indicator in breast cancer patients with advanced disease.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska och farmaceutiska grundvetenskaper -- Mikrobiologi inom det medicinska området (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Microbiology in the medical area (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Keyword

Age Factors
Aged
Breast Neoplasms/*blood/*mortality
Chromosomal Instability
Female
Humans
Middle Aged
Odds Ratio
Prognosis
Proportional Hazards Models
Reverse Transcriptase Polymerase Chain Reaction
Risk
Telomere/*ultrastructure
Treatment Outcome
Tumor Markers; Biological/*metabolism

Publication and Content Type

ref (subject category)
art (subject category)

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