Clinical significance of cathepsin D assay in breast cancer tissues
Yukashi Itoh MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorShunzo Kobayashi MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorHirotaka Iwase MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorHiroko Yamashita MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorTatsuya Kuzushima MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorHiroji Iwata MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorToshinari Yamashita MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorAkihiro Naitoh MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorCorresponding Author
Dr. Kazuko Itoh MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
1, Kawasumi, Mizuhocho, Mizuho-ku, Aichi-ken, Nagoya 467 JapanSearch for more papers by this authorAkira Masaoka MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorYukashi Itoh MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorShunzo Kobayashi MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorHirotaka Iwase MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorHiroko Yamashita MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorTatsuya Kuzushima MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorHiroji Iwata MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorToshinari Yamashita MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorAkihiro Naitoh MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorCorresponding Author
Dr. Kazuko Itoh MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
1, Kawasumi, Mizuhocho, Mizuho-ku, Aichi-ken, Nagoya 467 JapanSearch for more papers by this authorAkira Masaoka MD
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan
Search for more papers by this authorAbstract
Cathepsin D was assayed in 74 primary breast cancer specimens by enzyme immunoassay (EIA) and immunohistochemical assay (ICA). Of the 74 specimens, 38 (51.4%) were scored positive by ICA, and 25 (33.8%) were scored positive by EIA. The coincidence rate between ICA and EIA was 71.6% (53/74). There was no significant correlation between cathepsin D and menopausal status, tumor size, number of metastatic lymph nodes, histologic type of the tumor, or steroid receptor status. Cathepsin D status designated by EIA or ICA predicted neither disease-free survival (DFS) nor overall survival (OAS). Subset analysis with estrogen receptor, menopausal, and lymph node status revealed no association between cathepsin D and survival. Univariate analysis revealed no association between cathepsin D and DFS or OAS. Therefore, cathepsin D is not an independent prognostic factor in breast cancer. © 1995 Wiley-Liss, Inc.
References
- 1 Berger MS, Locher GW, Saurer S, et al: Correlation of c-erbB-2 gene amplification and protein expression in human breast carcinoma with nodal status and nuclear grading. Cancer Res 48: 1238–1243, 1988.
- 2 Adnane J, Gaudray P, Simon MP, et al.: Proto-oncogene amplification and human breast tumor phenotype. Oncogene 4: 1389–1395, 1989.
- 3 Coles C, Condie A, Chetty U, et al.: p53 mutations in breast cancer. Cancer Res 52: 5291–5298, 1992.
- 4 Yamashita H, Kobayashi S, Ivvase H, et al.: Analysis of oncogenes and tumor suppressor genes in human breast cancer. Jpn J Cancer Res 84: 871–878, 1993.
- 5 Iwase H, Kobayashi S, Itoh Y, et al.: Clinical value of enzyme immunoassay of epidermal growth factor receptor in human breast cancer. Breast Cancer Res Treat 28: 215–221, 1993.
- 6 Rochefort H: Cathepsin D in breast cancer. Breast Cancer Res Treat 16: 3–13, 1990.
- 7
Rochefort H,
Augereau P,
Capony F, et al.:
The 52K cathepsin-D of breast cancer: structure, regulation, function and clinical value.
In
ME Lippman,
RB Dickson (eds):
“ Breast Cancer: Cellular Molecular Biology”.
Boston:
Kluwer,
1988,
p 207–221.
10.1007/978-1-4613-1733-3_9 Google Scholar
- 8 Rochefort H, Capony F, Garcia M: Cathepsin D in breast cancer: From molecular and cellular biology to clinical applications. Cancer Cells 2: 383–388, 1990.
- 9 Rochefort H, Capony F, Garcia M: Cathepsin D: A protease involved in breast cancer metastasis. Cancer and Metastasis Reviews 9: 321–331, 1990.
- 10 Rochefort H: Biological and clinical significance of cathepsin D in breast cancer. Seminars in Cancer Biology 1: 153–160, 1990.
- 11 Westley B, Rochefort H: A secreted glycoprotein induced by estrogen in human breast cancer cell lines Cell 20: 352–362, 1980.
- 12 Rochefort H, Cavailles V, Augereau P, et al.: Overexpression and hormonal regulation of pro-cathepsin D in mammary and endometrial cancer. J Steroid Biochem 34: 177–182, 1989.
- 13 Vignon F, Capony F, Chambon M, et al.: Autocrine growth stimulation of the MCF-7 breast cancer cells by the estrogen-regulated 52k protein. Endocrinolgoy 118: 1537–1545, 1986.
- 14 Briozzo P, Morisset M, Capony F, et al.: In vitro degradation of extracellular matrix with Mr 52,000 cathepsin D secreted by breast cancer cells. Cancer Res 48: 3688–3692, 1988.
- 15 Spyratos F, Brouillet JP, Defrenne A, et al.: An independent prognostic factor for metastasis of breast cancer. Lancet ii: 1115–1118, 1989.
- 16 Kute TE, Shao L-M, Sugg K, et al.: Cathepsin D as a prognostic indicator for node-negative breast cancer patients using both immunoassays and enzymatic assays. Cancer Res 52: 1–6, 1992.
- 17 Namer M, Ramaioli A, Fontana X, et al.: Prognositic value of total cathepsin D in breast tumors. Breast Cancer Res Treat 19: 85–93, 1991.
- 18 Ravdin PM: Evaluation of cathepsin D as a prognostic factor in breast cancer. Breast Cancer Res Treat 24: 219–226, 1993.
- 19 Janicke F, Schmitt M, Pache L, et al.: Urokinase (uPA) and its inhibitor PAI-1 are strong and independent prognostic factors in node-negative breast cancer. Breast Cancer Res Treat 24: 195–208, 1993.
- 20
Henry JA,
McCarthy AL,
Angus B, et al.:
Prognostic significance of the estrogen-regulated protein, cathepsin D, in breast cancer.
Cancer
65:
265–271,
1990.
10.1002/1097-0142(19900115)65:2<265::AID-CNCR2820650214>3.0.CO;2-1 CAS PubMed Web of Science® Google Scholar
- 21
Kandalaft PL,
Chang KL,
Ahn CW, et al.:
Prognostic significance of immunohistochemical analysis of cathepsin D in low-stage breast cancer.
Cancer
71:
2756–2763,
1993.
10.1002/1097-0142(19930501)71:9<2756::AID-CNCR2820710912>3.0.CO;2-1 CAS PubMed Web of Science® Google Scholar
- 22 Domagala W. Striker G, Szadowska A, et al.: Cathepsin D in invasive ductal NOS breast carcinoma as defined by immunohistochemistry: No correlation with survival at 5 years. Am J Pathol 141: 1003–1012, 1992.
- 23 Duffy MJ, Brouillet JP, Reilly D, et al.: Cathepsín D concentration in breast cancer cytosols: Correlation with biochemical, histological, and clinical findings. Clin Chem 37: 101–104, 1991.
- 24 Thrope SM, Rochefort H, Garcia M, et al.: Association between high correlations of Mr 52,000 cathepsin D and poor prognosis in primary human breast cancer. Cancer Res. 49: 6008–6014, 1989.
- 25 Granata G, Coradini D, Cappelletti V, et al.: Prognostic relevance of cathepsin D versus oestrogen receptors in node negative breast cancers. Eur J Cancer 27: 970–972, 1991.
- 26 Garcia M, Retana GS, Pages A, et al.: Distribution of the Mr 52,000 estrogen-regulated protein in benign breast diseases and other tissues by immunohistochemistry. Cancer Res 46, 3734–3738, 1986.
- 27 Rochefort H: Response to P.M. Ravdin (BCRT 24: 219–226, 1993), Evaluation of cathepsin D as a prognostic factor in breast cancer. Breast Cancer Res Treat 26: 107–109, 1993.
- 28 Ravdin PM: Reply. Breast Cancer Res Treat 26: 110–111, 1993.