Her-2/neu status: a neglected marker of prognostication and management of breast cancer patients in India.

BACKGROUND: Categorizing breast tumors based on the ER, PR and HER/Neu 2 receptor status is necessary in order to predict outcome and assist in management of breast cancer. Herfe we assessed this question in South Indian patients. MATERIALS AND METHODS: A total of 619 formalin fixed paraffin embedded breast tumor tissues were collected from pathology archives after receipt of ethical clearance. With the help of primary and secondary conjugated antibodies, expression status of ER, PR and HER2/neu was determined. All the experimental data were assessed for correlations with histopathological features of tumors and clinical presentation of the subjects. RESULTS: In the present study, the ages ranged from 20-87 years with a mean of 50.0±12.q years, and majority of the tumors (84%) were of infiltrating duct cell carcinoma type. Assessment of ER, PR and Her-2/neu expression showed that 46% were triple negative. Interestingly, an inverse relation between ER, PR and HER-2/neu was apparent in 41.2% (p<0.0001) of the tumors, of which 24.5% (p<0.0001) were ER and PR co-negative but HER-2 positive. CONCLUSIONS: ER and PR positive tumors are less common (i.e<30%) compared to HER-2/neu positive tumors (i.e>50%) in Indian breast cancer patients, underlining the need for effective diagnostic screening and specific therapeutic managements in order to improve the survival rate of patients in low resource countries such as India.

Evaluation of Aurora-A gene polymorphism and esophageal cancer risk in a South Indian population.

AIM: Aurora-A is a serine/threonine protein kinase that functions in centrosome maturation and spindle assembly and is involved in regulating chromosome segregation. It is amplified and overexpressed in several human cancers. The aim of the present study was to assess the role of T91A Aurora-A gene polymorphism associated with aneuploidy in human tumors. RESULT: Patients with different upper gastrointestinal tract symptoms who were referred for endoscopy were studied. They were categorized as individuals with esophageal cancer, esophagitis, and normal endoscopy based on endoscopy and histology reports. Healthy volunteers were used as controls for carrying out genomic polymerase chain reaction followed by restriction digestion. The cancer and esophagitis groups showed a higher percentage of cases with the TA genotype compared with the controls and gastrointestinal tract normal endoscopy samples. However, only esophagitis, despite a small sample size, showed a statistically significant association with the TA genotype (odds ratio=3.6082, 95% class interval=1.1276-8.8346, p=0.0411). It was also assessed if the T91A polymorphism plays a role in enhancing the effects of exogenous factors such as smoking, alcohol, tea, betel chewing, and nonvegetarian diet in esophageal pathologies. CONCLUSION: Our results indicate that the TT genotype is protective against these factors as a higher percentage of this genotype was found in individuals with normal endoscopy. This is the first study, to the best of our knowledge, carried out in an Indian population to evaluate the association of Aurora-A gene polymorphism with esophageal cancer.