The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.
HER-2 gene amplification can be acquired as breast cancer progresses
Open accessAbstract
Amplification and overexpression of the HER-2 oncogene in breast cancer is felt to be stable over the course of disease and concordant between primary tumor and metastases. Therefore, patients with HER-2 -negative primary tumors rarely will receive anti-Her-2 antibody (trastuzumab, Herceptin) therapy. A very sensitive blood test was used to capture circulating tumor cells (CTCs) and evaluate their HER-2 gene status by fluorescence in situ hybridization. The HER-2 status of the primary tumor and corresponding CTCs in 31 patients showed 97% agreement, with no false positives. In 10 patients with HER-2 -positive tumors, the HER-2 /chromosome enumerator probe 17 ratio in each tumor was about twice that of the corresponding CTCs (mean 6.64 ± 2.72 vs. 2.8 ± 0.6). Hence, the ratio of the CTCs is a reliable surrogate marker for the expected high ratio in the primary tumor. Her-2 protein expression of 10 CTCs was sufficient to make a definitive diagnosis of the HER-2 gene status of the whole population of CTCs in 19 patients with recurrent breast cancer. Nine of 24 breast cancer patients whose primary tumor was HER-2 -negative each acquired HER-2 gene amplification in their CTCs during cancer progression, i.e., 37.5% (95% confidence interval of 18.8–59.4%). Four of the 9 patients were treated with Herceptin-containing therapy. One had a complete response and 2 had a partial response.
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Toy, W., Shen, Y., Won, H., Green, B., Sakr, R. A., Will, M., Li, Z., Gala, K., Fanning, S., King, T. A., et al. (2013) · Nature Genetics · doi:10.1038/ng.2822 · Cited by 1,248
Detection, clinical relevance and specific biological properties of disseminating tumour cells
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Metadata
- Authors
- Meng, S., Tripathy, D., Shete, S., Ashfaq, R., Haley, B., Perkins, S., Beitsch, P., Khan, A., Euhus, D., Osborne, C., Frenkel, E., Hoover, S., Leitch, M., Clifford, E., Vitetta, E., Morrison, L., Herlyn, D., Terstappen, L. W. M. M., Fleming, T., Fehm, T., Tucker, T., Lane, N., Wang, J., & Uhr, J.
- Venue
- Proceedings of the National Academy of Sciences
- Published
- 2004-06-11
- Volume
- 101
- Issue
- 25
- Pages
- 9393-9398
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- OpenAlex
- W2125785648
- Cited by
- 508
- References
- 13
- FWCI
- 11.16
- Type
- journal article
- Language
- en
- Open access
- green
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- Meng, S., Tripathy, D., Shete, S., Ashfaq, R., Haley, B., Perkins, S., Beitsch, P., Khan, A., Euhus, D., Osborne, C., Frenkel, E., Hoover, S., Leitch, M., Clifford, E., Vitetta, E., Morrison, L., Herlyn, D., Terstappen, L. W. M. M., Fleming, T., . . . Uhr, J. (2004). HER-2 gene amplification can be acquired as breast cancer progresses. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.0402993101
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.