ABSTRACT
The aim of the study is to identify treatments which predict survival for women with a BRCA1 mutation, including oophorectomy and chemotherapy. 476 women with stage I to stage III breast cancer who carried a BRCA1 mutation were followed from diagnosis until April 2015. Information on treatment was obtained from chart review and patient questionnaires. Dates of death were obtained from the Poland vital statistics registry. Survival curves were compared for different subgroups according to treatment received. Predictors of overall survival were determined using the Cox proportional hazards model. The ten-year overall survival was 78.3 % (95 % CI 74.2-82.6 %) and the ten-year breast cancer-specific survival was 84.2 % (95 % CI 80.5-88.0 %). Sixty-two patients died of breast cancer, 14 patients died of ovarian cancer, and 2 patients died of peritoneal cancer. Oophorectomy was associated with a significant reduction in all-cause mortality in the entire cohort (adjusted HR = 0.41; 95 % CI 0.24-0.69; p = 0.0008) and in breast cancer-specific mortality among ER-negative breast cancer patients (HR = 0.44; 95 % CI 0.22-0.89; p = 0.02). Among women with breast cancer and a BRCA1 mutation, survival is greatly improved by oophorectomy due to the prevention of deaths from both breast and ovarian cancer.
Subject(s)
BRCA1 Protein/genetics , Breast Neoplasms/mortality , Ovarian Neoplasms/mortality , Ovariectomy/methods , Adult , Aged , Breast Neoplasms/drug therapy , Breast Neoplasms/genetics , Drug Therapy , Female , Humans , Middle Aged , Ovarian Neoplasms/surgery , Proportional Hazards Models , Risk Factors , Survival Analysis , Treatment Outcome , Young AdultABSTRACT
Changes in phenolics (PhC) measured as UV-absorbing compounds (UVAC) and their localization as well as growth, lipid peroxidation (TBARS level), H(2)O(2) and Cu accumulation and other ions content in roots of two lentil cultivars (cv. Krak and cv. Tina) contrasting in Cu sensitivity were examined. The aim of this study was to reveal the importance of PhC in Cu tolerance. During Cu treatment, inhibition of growth and increases in lipid peroxidation in roots of both cultivars were observed, but the effects were more pronounced in cv. Tina (more sensitive) than in cv. Krak (less sensitive). Cu at 0.5 mM caused higher Cu and H(2)O(2) accumulation, but lower K(+) content and UVAC levels in the root tips of cv. Tina. Opposite changes were recorded in cv. Krak. Fluorescence microscopic analyses confirmed greater PhC accumulation in cv. Krak (less sensitive) than in cv. Tina (more sensitive) after Cu treatment and showed that these compounds accumulated particularly in vacuoles and the cell wall. Taken together, these results show that, in spite of the high concentration of Cu-stimulated PhC accumulation in cv. Krak, it was not sufficient to counteract the amount of ROS generated by the metal. The role of PhC in different reactions to Cu stress in lentil roots is discussed.
Subject(s)
Copper/pharmacology , Lens Plant/drug effects , Lens Plant/metabolism , Lipid Peroxidation/drug effects , Phenols/metabolism , Seedlings/drug effects , Seedlings/metabolism , Biological Transport/drug effects , Biological Transport/radiation effects , Cell Wall/drug effects , Cell Wall/metabolism , Cell Wall/radiation effects , Copper/metabolism , Hydrogen Peroxide/metabolism , Ions , Lens Plant/growth & development , Lipid Peroxidation/radiation effects , Microscopy, Fluorescence , Plant Roots/drug effects , Plant Roots/growth & development , Plant Roots/metabolism , Plant Roots/radiation effects , Thiobarbituric Acid Reactive Substances/metabolism , Ultraviolet RaysABSTRACT
The phenolics: anthocyanin (ATH), sinapoyl esters and activity of antioxidant enzymes: superoxide dismutase (SOD), catalase (CAT), guaiacol peroxidase (POX), ascorbate peroxidase (APX), glutathione peroxidase (GPX) and glutathione reductase (GR), in red cabbage seedlings subjected to Cu2+ stress were investigated. Cu2+ at low doses (0.5 mM), increased the levels of ATH and sinapoyl derivatives in red cabbage. High Cu2+ concentration (2.5 mM) provoked oxidative stress and enhanced thiobarbituric acid reactive substances (TBARS) content in tissues. A lower level of TBARS was correlated with high ATH content. It seems that synthesis of these isoflavonoids is an effective strategy against reactive oxygen species (ROS). The analysis of the antioxidant enzymes activity suggested that peroxidases were the most active enzymes in red cabbage seedlings exposed to Cu2+ stress. It could results from the fact that phenolic compounds (PhC), which could be also substrates for different peroxidases, were the first line of defence against metal stress.
Subject(s)
Anthocyanins/metabolism , Antioxidants/metabolism , Brassica/drug effects , Copper/toxicity , Oxidative Stress/drug effects , Phenols/metabolism , Seedlings/drug effects , Animals , Brassica/growth & development , Brassica/metabolism , Catalase/metabolism , Dose-Response Relationship, Drug , Glutathione Reductase/metabolism , Oxidative Stress/physiology , Peroxidases/metabolism , Seedlings/growth & development , Seedlings/metabolism , Superoxide Dismutase/metabolismABSTRACT
We identified 4316 unselected incident cases of early-onset breast cancers (<51 ears of age at diagnosis) in 18 Polish hospitals between 1996 and 2003. We were able to obtain a blood sample for DNA analysis from 3472 of these (80.4%). All cases were tested for the presence of three founder mutations in BRCA1. The proportion of cases with a BRCA1 mutation was 5.7%. The hereditary proportions were higher than this for women with breast cancer diagnosed before age 40 (9%), for women with cancer of medullary or atypical medullary histology (28%), for those with bilateral cancer (29%) or with a family history of breast or ovarian cancer (13%). It is reasonable to offer genetic testing to women with early-onset breast cancer in Poland.
Subject(s)
BRCA1 Protein/biosynthesis , Breast Neoplasms/epidemiology , Breast Neoplasms/genetics , Gene Expression Regulation, Neoplastic , Genes, BRCA1 , Genetic Predisposition to Disease , Mutation , Adult , Breast Neoplasms/metabolism , DNA Mutational Analysis , Female , Humans , Middle Aged , Models, Statistical , Poland , Prospective StudiesABSTRACT
BACKGROUND: A common missense variant of the CDKN2A gene (A148T) predisposes to malignant melanoma in Poland. An association between malignant melanoma and breast cancer has been reported in several families with CDKN2A mutations, OBJECTIVE: To determine whether this variant also predisposes to breast cancer. METHODS: Genotyping was undertaken in 4209 cases of breast cancer, unselected for family history, from 18 hospitals throughout Poland and in 3000 controls. RESULTS: The odds ratio (OR) associated with the CDKN2A allele for women diagnosed with breast cancer before the age of 50 was 1.5 (p = 0.002) and after age 50 it was 1.3 (p = 0.2). The effect was particularly strong for patients diagnosed at or before the age of 30 (OR = 3.8; p = 0.0002). CONCLUSIONS: CDKN2A appears to be a low penetrance breast cancer susceptibility gene in Poland. The association should be confirmed in other populations.
