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October 9, 2012PLoS ONEOpen Access

Cancer Stem Cell-Related Gene Periostin: A Novel Prognostic Marker for Breast Cancer

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Key result

High periostin expression in breast cancer patients was associated with a significantly higher rate of 5-year postoperative distant metastasis compared to those without expression (53.89% vs 12.68%, OR 5.829).

Population

1,086 patients with histologically confirmed breast cancer who underwent curative radical operations, mean…

Design

Cohort

Authors

DXDongyang XuWorcester Polytechnic InstituteHXHong XuSoochow UniversityYRYing RenChina Medical University

Discussion

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Implication

High periostin expression may aid metastasis risk stratification in breast cancer; leaves open its value as a therapeutic target.

Study Design

Type

Cohort (n=1,086)

Multicenter

Yes

Structured PICO

P
Population
1,086 patients with histologically confirmed breast cancer who underwent curative operations, with a mean age of 50.7 years, evaluated for periostin expression and prognosis over a 5-year follow-up.
O
Outcome
Correlation of periostin expression with clinico-pathological parameters, distant metastasis, and disease-specific survivalhard clinical

Main Result

Odds Ratio: 5.829 (95% CI 3.582–9.485)

Absolute Event Rate: 53.89% vs 12.68%

p-value: p=0.001

High periostin expression is associated with breast cancer stem cells, chemotherapy resistance, and serves as an independent prognostic marker for poor survival and distant metastasis in breast cancer.

Limitations

  • The underlying genetic mechanism of periostin regulating the breast cancer CSC is still unclear and needs further investigation.

Cite This Study

Xu et al. (2012) conducted a cohort in Breast cancer (n=1,086). High periostin expression vs. Low or no periostin expression was evaluated on 5-year postoperative distant metastasis (OR 5.829, 95% CI 3.582-9.485, p=0.001). High periostin expression in breast cancer patients was associated with a significantly higher rate of 5-year postoperative distant metastasis compared to those without expression (53.89% vs 12.68%, OR 5.829).

synapsesocial.com/papers/6a90496ec63bb9fb07dd83dehttps://doi.org/10.1371/journal.pone.0046670
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Increased expression and serum levels of the stromal cell‐secreted protein periostin in breast cancer bone metastases2010 · 99 citations
  2. 2Periostin expression and epithelial-mesenchymal transition in cancer: a review and an update2011 · 258 citations
  3. 3Periostin: a putative mediator involved in tumour resistance to anti-angiogenic therapy?2011 · 13 citations
  4. 4Role of periostin in cancer progression and metastasis: Inhibition of breast cancer progression and metastasis by anti-periostin antibody in a murine model2011 · 119 citations
  5. 5Left ventricular periostin gene expression is associated with fibrogenesis in experimental renal insufficiency2011 · 20 citations