Development of a novel method for measuring in vivo breast epithelial cell proliferation in humans
Abstract
Cell proliferation plays an important role in all stages of carcinogenesis. Currently, no safe, direct, in vivo method of measuring breast epithelial cell (BEC) proliferation rates in humans exists. Static immunohistochemical markers of cell proliferation, such as Ki-67 and PCNA indices, have technical limitations including high inter-lab variability, inaccuracy in the presence of agents that cause G1/S cell cycle block and inadequate sensitivity in post-menopausal women with low BEC proliferation rates. We describe here a safe, direct method of measuring BEC proliferation rates in vivo in women using heavy water ((2)H(2)O) labeling coupled with mass spectrometric analysis. Proliferation of normal and tumor BEC was measured from breast tissue biopsies in women undergoing mastectomy (n = 11) and normal BEC from healthy volunteers (n = 16). Women took heavy water (50-150 ml per day) for 1-4 weeks. Pre-menopausal women had significantly higher proliferation rates than post-menopausal women (0.7 +/- 0.1 versus 0.2 +/- 0.1 new cells per day, respectively), and tumor BEC had different proliferation rates than normal BEC from the same breast. The method is analytically reproducible and remains sensitive in the range of low proliferation rates. In summary, this novel method of measuring BEC proliferation in vivo holds promise for assessing the effects of anti-proliferative chemopreventive and chemotherapeutic agents.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
During aging the cell turnover rate declines for several highly-mitotic tissues.
“During aging the cell turnover rate declines for several highly-mitotic tissues.”
From Programmed cell death in aging (2015) · cites this paper as Misell et al., 2005
Cites
(2015) · American Journal Of Pathology · doi:10.2353/ajpath · Cited by 4,961 · see citing works
Protein turnover in mammalian tissues and in the whole body
Waterlow, J. C., Garlick, P. J., & Millward, D. J. (1978) · Medical Entomology and Zoology · Cited by 1,238 · see citing works
Estrogens, Progestogens, Normal Breast Cell Proliferation, and Breast Cancer Risk
Pike, M. C., SPICER, D. V., Dahmoush, L., & Press, M. F. (1993) · Epidemiologic Reviews · doi:10.1093/oxfordjournals.epirev.a036102 · Cited by 1,009 · see citing works
Directly measured kinetics of circulating T lymphocytes in normal and HIV-1-infected humans
Hellerstein, M. K., Hanley, M. B., Cesar, D., Siler, S., Papageorgopoulos, C., Wieder, E., Schmidt, D. J., Hoh, R., Neese, R. A., Macallan, D. C., et al. (1999) · Nature Medicine · doi:10.1038/4772 · Cited by 592 · see citing works
Self-citation(1996) · PubMed · Cited by 323 · see citing works
Kim, H., Peterson, T. G., & Barnes, S. (1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/68.6.1418s · Cited by 309 · see citing works
Neese, R. A., Misell, L. M., Turner, S., Chu, A., Kim, J., Cesar, D., Hoh, R., Antelo, F., Strawford, A., McCune, J. M., et al. (2002) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.232551499 · Cited by 279 · see citing works
Self-citationEstrogen Receptor-Positive Proliferating Cells in the Normal and Precancerous Breast
Shoker, B. S., Jarvis, C., Clarke, R. B., Anderson, E., Hewlett, J., Davies, M. P. A., Sibson, D. R., & Sloane, J. P. (1999) · American Journal Of Pathology · doi:10.1016/s0002-9440(10)65498-3 · Cited by 278 · see citing works
Factors influencing T-cell turnover in HIV-1–seropositive patients
McCune, J. M., Hanley, M. B., Cesar, D., Halvorsen, R. A., Hoh, R., Schmidt, D. K., Wieder, E., Deeks, S. G., Siler, S. Q., Neese, R. A., et al. (2000) · Journal of Clinical Investigation · doi:10.1172/jci8647 · Cited by 231 · see citing works
Self-citationMengel, M., von Wasielewski, R., Wiese, B., Rüdiger, T., Müller‐Hermelink, H. K., & Kreipe, H. H. (2002) · The Journal of Pathology · doi:10.1002/path.1218 · Cited by 213 · see citing works
Macallan, D. C., Fullerton, C. A., Neese, R. A., Haddock, K., Park, S. S., & Hellerstein, M. K. (1998) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.95.2.708 · Cited by 190 · see citing works
Self-citationMeyer, J. S. (1977) · Human Pathology · doi:10.1016/s0046-8177(77)80066-x · Cited by 186 · see citing works
Stable isotopes in clinical research: safety reaffirmed
Jones, P. J. H., & Leatherdale, S. T. (1991) · Clinical Science · doi:10.1042/cs0800277 · Cited by 161 · see citing works
Cos, S., Blask, D. E., Lemus-Wilson, A. M., & Hill, A. B. (1991) · Journal of Pineal Research · doi:10.1111/j.1600-079x.1991.tb00007.x · Cited by 155 · see citing works
Cohen, A., Barankiewicz, J., Lederman, H. M., & Gelfand, E. W. (1983) · Journal of Biological Chemistry · doi:10.1016/s0021-9258(17)44179-2 · Cited by 139 · see citing works
Thor, A. D., Liu, S., Moore, D. H., & Edgerton, S. M. (1999) · Journal of Clinical Oncology · doi:10.1200/jco.1999.17.2.470 · Cited by 137 · see citing works
Rocha, B., Pénit, C., Baron, C., Vasseur, F., Dautigny, N., & Freitas, A. A. (1990) · European Journal of Immunology · doi:10.1002/eji.1830200812 · Cited by 122 · see citing works
Effects of antioestrogens on the proliferation of MCF-7 human breast cancer cells
Wakeling, A. E., Newboult, E., & Peters, S. (1989) · Journal of Molecular Endocrinology · doi:10.1677/jme.0.0020225 · Cited by 112 · see citing works
MIB-1 labelling index is an independent prognostic marker in primary breast cancer
Jansen, R. L. H., Hupperets, P. S. G. J., Arends, J. W., Joosten-Achjanie, S., Volovics, A., Schouten, H. C., & Hillen, H. F. P. (1998) · British Journal of Cancer · doi:10.1038/bjc.1998.515 · Cited by 106 · see citing works
Neese, R. A., Siler, S. Q., Cesar, D., Antelo, F., Lee, D., Misell, L. M., Patel, K., Tehrani, S., Shah, P., & Hellerstein, M. K. (2001) · Analytical Biochemistry · doi:10.1006/abio.2001.5375 · Cited by 102 · see citing works
Self-citationMeasurement of T-cell kinetics: recent methodologic advances
Hellerstein, M. K. (1999) · Immunology Today · doi:10.1016/s0167-5699(99)01529-7 · Cited by 92 · see citing works
Self-citationClahsen, P. C., de Velde, C. J. H. V., Duval, C., Pallud, C., Mandard, A. M., Delobelle-Deroïde, A., van den Broek, L., & van de Vijver, M. J. (1999) · European Journal of Surgical Oncology · doi:10.1053/ejso.1999.0657 · Cited by 90 · see citing works
Influence of age and gland topography on cell kinetics of normal human breast tissue.
Russo, J., Calaf, G. M., Roi, L. D., & Russo, I. H. (1987) · PubMed · Cited by 77 · see citing works
Primary Culture of Human Mammary Epithelial Cells Embedded in Collagen Gels 2
Yang, J., Guzman, R., Richards, J., Jentoft, V., DeVault, M. R., WELLINGS, S. R., & Nandi, S. (1980) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/65.2.337 · Cited by 73 · see citing works
Immunologic Proliferation Marker Ki-S2 as Prognostic Indicator for Lymph Node-Negative Breast Cancer
Rudolph, P., Alm, P., Heidebrecht, H. J., Bolte, H., Ratjen, V., Baldetorp, B., Fernö, M., Olsson, H. L., & Parwaresch, R. M. (1999) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/91.3.271 · Cited by 73 · see citing works
Clarke, C., Titley, J. C., Davies, S., & O'Hare, M. J. (1994) · PubMed · Cited by 72 · see citing works
Gaglia, P., Bernardi, A., Venesio, T., Caldarola, B., Lauro, D., Cappa, A. P. M., Calderini, P., & Liscia, D. S. (1993) · European Journal of Cancer · doi:10.1016/0959-8049(93)90284-m · Cited by 66 · see citing works
Influence of the antioestrogen tamoxifen on normal breast tissue
Kj, W., Price-Thomas, J. M., Candlish, W., & Nicholson, R. (1991) · British Journal of Cancer · doi:10.1038/bjc.1991.395 · Cited by 56 · see citing works
Assay of the Deuterium Enrichment of Water via Acetylene
Previs, S. F., Hazey, J. W., Diraison, F., Beylot, M., David, F., & Brunengraber, H. (1996) · Journal of Mass Spectrometry · doi:10.1002/(sici)1096-9888(199606)31:6 · Cited by 56 · see citing works
Hargreaves, D. F., Knox, F., Swindell, R., Potten, C. S., & Bundred, N. J. (1998) · British Journal of Cancer · doi:10.1038/bjc.1998.606 · Cited by 52 · see citing works
The prognostic value of proliferation indices: a study with in vivo bromodeoxyuridine and Ki-67
Goodson, W. H., Moore, D. H., Ljung, B., Chew, K., Mayall, B. H., Smith, H. S., & Waldman, F. M. (2000) · Breast Cancer Research and Treatment · doi:10.1023/a:1006344010050 · Cited by 47 · see citing works
Asher, E., Payne, C. M., & Bernstein, C. (1995) · Leukemia & lymphoma/Leukemia and lymphoma · doi:10.3109/10428199509059664 · Cited by 44 · see citing works
Meyer, J. S., & Connor, R. E. (1982) · Cancer · doi:10.1002/1097-0142(19820815)50:4 · Cited by 41 · see citing works
Proliferation of normal breast epithelial cells as shown by in vivo labeling with bromodeoxyuridine.
Christov, K. T., Chew, K., Ljung, B., Waldman, F., Duarte, L., Goodson, W. H., Smith, H. S., & Mayall, B. H. (1991) · PubMed Central · Cited by 30 · see citing works
Goodson, W. H., Moore, D. H., Ljung, B., Chew, K., Florendo, C., Mayall, B. H., Smith, H. S., & Waldman, F. M. (1998) · Breast Cancer Research and Treatment · doi:10.1023/a:1005926228093 · Cited by 28 · see citing works
Osborne, M. P., Ruperto, J. F., Crowe, J. P., Rosen, P. P., & TELANG, N. T. (1992) · PubMed · Cited by 25 · see citing works
Benign breast disease: indicators of increased breast cancer risk.
Dl, P., & Wd, D. (1992) · PubMed · Cited by 25 · see citing works
Flagged first, then by citations
1 of the 38 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Programmed cell death in aging
Tower, J. (2015) · Ageing Research Reviews · doi:10.1016/j.arr.2015.04.002 · Cited by 426 · see citing works
Impact of Metabolic Heterogeneity on Tumor Growth, Invasion, and Treatment Outcomes
Robertson‐Tessi, M., Gillies, R. J., Gatenby, R. A., & Anderson, A. R. A. (2015) · Cancer Research · doi:10.1158/0008-5472.can-14-1428 · Cited by 274 · see citing works
Measuring proliferation in breast cancer: practicalities and applications
Beresford, M. J., Wilson, G. D., & Makris, A. (2006) · Breast Cancer Research · doi:10.1186/bcr1618 · Cited by 197 · see citing works
Measurement of cell proliferation by heavy water labeling
Busch, R., Neese, R. A., Awada, M., Hayes, G. M., & Hellerstein, M. K. (2007) · Nature Protocols · doi:10.1038/nprot.2007.420 · Cited by 184 · see citing works
Self-citationChemical Basis for Deuterium Labeling of Fat and NADPH
Zhang, Z., Chen, L., Лиу, Л., Su, X., & Rabinowitz, J. D. (2017) · Journal of the American Chemical Society · doi:10.1021/jacs.7b08012 · Cited by 94 · see citing works
Richardson, R. B., Allan, D., & Le, Y. (2014) · Experimental Gerontology · doi:10.1016/j.exger.2014.03.015 · Cited by 86 · see citing works
Nelson, F., Zvirbulis, R., Zonca, B., Li, K.-W., Turner, S., Pasierb, M., Wilton, P., Martínez-Puig, D., & Wu, W. (2014) · Rheumatology International · doi:10.1007/s00296-014-3047-6 · Cited by 55 · see citing works
Vitamin D and mammographic breast density: a systematic review
Yaghjyan, L., Colditz, G. A., & Drake, B. F. (2011) · Cancer Causes & Control · doi:10.1007/s10552-011-9851-3 · Cited by 31 · see citing works
Bankhead, A., Magnuson, N. S., & Heckendorn, R. B. (2007) · Journal of Theoretical Biology · doi:10.1016/j.jtbi.2007.01.011 · Cited by 30 · see citing works
In Vivo Measurement of Microtubule Dynamics Using Stable Isotope Labeling with Heavy Water
Fanara, P., Turner, S., Busch, R., Killion, S., Awada, M., Turner, H., Mahsut, A., LaPrade, K. L., Stark, J. M., & Hellerstein, M. K. (2004) · Journal of Biological Chemistry · doi:10.1074/jbc.m409660200 · Cited by 30 · see citing works
Self-citationLindwall, G., Hsieh, E. A., Misell, L. M., Chai, C. M., Turner, S., & Hellerstein, M. K. (2006) · Journal of Investigative Dermatology · doi:10.1038/sj.jid.5700189 · Cited by 26 · see citing works
Self-citationPhysical activity and mammographic breast density: a systematic review
Yaghjyan, L., Colditz, G. A., & Wolin, K. Y. (2012) · Breast Cancer Research and Treatment · doi:10.1007/s10549-012-2152-z · Cited by 26 · see citing works
The mutational landscape of the adult healthy parous and nulliparous human breast
Cereser, B., Yiu, A., Tabassum, N., Belluz, L. D. B., Zagorac, S., Ancheta, K., Zhong, R., Miere, C., Jeffries-Jones, A. R., Moderau, N., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-40608-z · Cited by 19 · see citing works
Stable isotopes, mass spectrometry, and molecular fluxes: Applications to toxicology
Turner, S. (2005) · Journal of Pharmacological and Toxicological Methods · doi:10.1016/j.vascn.2005.08.001 · Cited by 18 · see citing works
An immunohistochemical study of p16INK4a expression in multistep thyroid tumourigenesis
Ball, E., BOND, J. A., Franc, B., DeMicco, C., & Wynford‐Thomas, D. (2007) · European Journal of Cancer · doi:10.1016/j.ejca.2006.08.025 · Cited by 18 · see citing works
Using evolvable genetic cellular automata to model breast cancer
Bankhead, A., & Heckendorn, R. B. (2007) · Genetic Programming and Evolvable Machines · doi:10.1007/s10710-007-9042-x · Cited by 17 · see citing works
Busch, R., Siah, I. M., Gee, T. A., & Hellerstein, M. K. (2008) · Journal of Immunological Methods · doi:10.1016/j.jim.2008.05.014 · Cited by 13 · see citing works
Self-citationLi, K. W., Siraj, S. A., Cheng, E., Awada, M., Hellerstein, M. K., & Turner, S. (2009) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2009.01.006 · Cited by 5 · see citing works
Self-citationSong, A., Zhang, Y., Busch, R., Asquith, B., & Macallan, D. C. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1544193 · Cited by 4 · see citing works
Mutational landscapes of normal breast during age and pregnancy determine cancer riskPreprint
Cereser, B., Tabassum, N., Belluz, L. D. B., Yiu, A. W. P., Zagorac, S., Miere, C., Werner, B., Moderau, N., Jeffries-Jones, A. R., & Stebbing, J. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.09.04.277715 · Cited by 4 · see citing works
Genetic and Epigenetic Pathways to Colon Cancer Relating Experimental Evidence with Modeling
Komarova, N. L., Wodarz, D., Boland, C. R., & Goel, A. (2008) · Modeling and simulation in science, engineering & technology · doi:10.1007/978-0-8176-4713-1_1 · Cited by 1 · see citing works
Applications of mass spectrometry in oncology
Roboz, J. (2008) · Elsevier eBooks · doi:10.1016/b978-044451980-1.50019-7
Proliferation Markers in Breast Cancer
Penault-Llorca, F. M., & Radosevic‐Robin, N. (2016) · Springer eBooks · doi:10.1007/978-3-319-41761-5_7
Role of Apoptosis in Aging: Therapeutic Targets and Strategies
Manna, A., Majumder, C., Halder, S., & Jana, K. (2024) · Springer eBooks · doi:10.1007/978-981-97-7905-5_17
- Authors
- Misell, L. M., Hwang, E. S., Au, A., Esserman, L., & Hellerstein, M. K.
- Affiliations
- KineMed (United States) (US)
- University of California, San Francisco (US)
- Corresponding author
- Misell, Lisa M.
- Venue
- Breast Cancer Research and Treatment
- Published
- 2005-02
- Volume
- 89
- Issue
- 3
- Pages
- 257-264
- ISSN
- 0167-6806 (ISSN-L)
- 1573-7217
- OpenAlex
- W2171939076
- Cited by
- 24
- References
- 38
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2020: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 2 · 2012: 1
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Breast Cancer Research and Treatment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- KineMed
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
- Health Sciences › Medicine › Pathology and Forensic Medicine › Breast Lesions and Carcinomas
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolomics and Mass Spectrometry Studies
- Keywords
- heavy water labeling, deuterium labeling, breast cancer, menopause, chemoprevention, antiproliferative agents, carcinogenesis
- MeSH terms
- Adult, Breast, Breast Neoplasms, Deuterium, DNA, Epithelial Cells, Female, Humans, Menopause, Middle Aged, Monocytes, Mass Spectrometry, Water, Reproducibility of Results, Immunomagnetic Separation, Cell Proliferation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review