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Panoskaltsis T, Papadimitriou C, Pallas N, Karamveri C, Kyziridis D, Hristakis C, Kiriakopoulos V, Kalakonas A, Vaikos D, Tzavara C, Tentes AA. Prognostic Value of En-Block Radical Bowel Resection in Advanced Ovarian Cancer Surgery With HIPEC. Cancer Control 2023; 30:10732748231165878. [PMID: 36958947 PMCID: PMC10041633 DOI: 10.1177/10732748231165878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/25/2023] Open
Abstract
PURPOSE To identify prognostic factors of survival and recurrence in advanced ovarian cancer patients undergoing radical surgery and HIPEC. METHODS In a single Department of Surgical Oncology, Peritoneal Surface Malignancy Program, and over a 16-year period, from a total of 274 epithelial ovarian cancer patients, retrospectively, we identified 152 patients undergoing complete (CC-0) or near-complete (CC-1) cytoreduction, including at least one colonic resection, and HIPEC. RESULTS Mean age of patients was 58.8 years and CC-0 was possible in 72.4%. Rates of in-hospital mortality and major morbidity were 2.6% and 15.7%. Only 122 (80.3%) patients completed Adjuvant Systemic Chemotherapy (ASCH). Rates of metastatic Total Lymph Nodes (TLN), Para-Aortic and Pelvic Lymph Nodes (PAPLN) and Large Bowel Lymph Nodes (LBLN) were 58.7%, 58.5%, and 51.3%, respectively. Median, 5- and 10-year survival rates were 39 months, 43%, and 36.2%, respectively. The recurrence rate was 35.5%. On univariate analysis, CC-1, high Peritoneal Cancer Index (PCI), in-hospital morbidity, and no adjuvant chemotherapy were adverse factors for survival and recurrence. On multivariate analysis, negative survival indicators were the advanced age of patients, extensive peritoneal dissemination, low total number of TLN and no systemic PAPLN. Metastatic LBLN and segmental resection of the small bowel (SIR) were associated with a high risk for recurrence. CONCLUSION CC-O is feasible in most advanced ovarian cancer patients and HIPEC may confer a survival benefit. Radical bowel resection, with its entire mesocolon, may be necessary, as its lymph nodes often harbor metastases influencing disease recurrence and survival. The role of metastatic bowel lymph nodes has to be taken into account when assessing the impact of systemic lymphadenectomy in this group of patients.
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Affiliation(s)
- T Panoskaltsis
- Gynaecological Oncology Unit, 2nd Academic Department of Obstetrics and Gynaecology, Aretaieion Hospital, 68989The National and Kapodistrian University of Athens, Athens, Greece
- Department of Surgical Oncology, Peritoneal Surface Malignancy Program, 376520Metropolitan Hospital, Athens, Greece
| | - C Papadimitriou
- Oncology Unit, 2nd Department of Surgery Aretaieion Hospital, 68989The National and Kapodistrian University of Athens, Athens, Greece
| | - N Pallas
- Department of Surgical Oncology, Peritoneal Surface Malignancy Program, 376520Metropolitan Hospital, Athens, Greece
| | - C Karamveri
- Department of Surgical Oncology, Peritoneal Surface Malignancy Program, 376520Metropolitan Hospital, Athens, Greece
| | - D Kyziridis
- Department of Surgical Oncology, Peritoneal Surface Malignancy Program, Euromedica Kyanous Stavros, Thessaloniki, Greece
| | - C Hristakis
- Department of Surgical Oncology, Peritoneal Surface Malignancy Program, Euromedica Kyanous Stavros, Thessaloniki, Greece
| | - V Kiriakopoulos
- Department of Surgical Oncology, Peritoneal Surface Malignancy Program, 376520Metropolitan Hospital, Athens, Greece
| | - A Kalakonas
- Department of Surgical Oncology, Peritoneal Surface Malignancy Program, Euromedica Kyanous Stavros, Thessaloniki, Greece
| | - D Vaikos
- Department of Surgical Oncology, Peritoneal Surface Malignancy Program, Euromedica Kyanous Stavros, Thessaloniki, Greece
| | - C Tzavara
- Department of Hygiene, Epidemiology and Medical Statistics, Centre for Health Services Research, School of Medicine, 68989The National and Kapodistrian University of Athens, Athens, Greece
| | - A A Tentes
- Department of Surgical Oncology, Peritoneal Surface Malignancy Program, 376520Metropolitan Hospital, Athens, Greece
- Department of Surgical Oncology, Peritoneal Surface Malignancy Program, Euromedica Kyanous Stavros, Thessaloniki, Greece
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Gwilym BL, Pallmann P, Waldron CA, Thomas-Jones E, Milosevic S, Brookes-Howell L, Harris D, Massey I, Burton J, Stewart P, Samuel K, Jones S, Cox D, Clothier A, Edwards A, Twine CP, Bosanquet DC, Benson R, Birmpili P, Blair R, Bosanquet DC, Dattani N, Dovell G, Forsythe R, Gwilym BL, Hitchman L, Machin M, Nandhra S, Onida S, Preece R, Saratzis A, Shalhoub J, Singh A, Forget P, Gannon M, Celnik A, Duguid M, Campbell A, Duncan K, Renwick B, Moore J, Maresch M, Kamal D, Kabis M, Hatem M, Juszczak M, Dattani N, Travers H, Shalan A, Elsabbagh M, Rocha-Neves J, Pereira-Neves A, Teixeira J, Lyons O, Lim E, Hamdulay K, Makar R, Zaki S, Francis CT, Azer A, Ghatwary-Tantawy T, Elsayed K, Mittapalli D, Melvin R, Barakat H, Taylor J, Veal S, Hamid HKS, Baili E, Kastrisios G, Maltezos C, Maltezos K, Anastasiadou C, Pachi A, Skotsimara A, Saratzis A, Vijaynagar B, Lau S, Velineni R, Bright E, Montague-Johnstone E, Stewart K, King W, Karkos C, Mitka M, Papadimitriou C, Smith G, Chan E, Shalhoub J, Machin M, Agbeko AE, Amoako J, Vijay A, Roditis K, Papaioannou V, Antoniou A, Tsiantoula P, Bessias N, Papas T, Dovell G, Goodchild F, Nandhra S, Rammell J, Dawkins C, Lapolla P, Sapienza P, Brachini G, Mingoli A, Hussey K, Meldrum A, Dearie L, Nair M, Duncan A, Webb B, Klimach S, Hardy T, Guest F, Hopkins L, Contractor U, Clothier A, McBride O, Hallatt M, Forsythe R, Pang D, Tan LE, Altaf N, Wong J, Thurston B, Ash O, Popplewell M, Grewal A, Jones S, Wardle B, Twine C, Ambler G, Condie N, Lam K, Heigberg-Gibbons F, Saha P, Hayes T, Patel S, Black S, Musajee M, Choudhry A, Hammond E, Costanza M, Shaw P, Feghali A, Chawla A, Surowiec S, Encalada RZ, Benson R, Cadwallader C, Clayton P, Van Herzeele I, Geenens M, Vermeir L, Moreels N, Geers S, Jawien A, Arentewicz T, Kontopodis N, Lioudaki S, Tavlas E, Nyktari V, Oberhuber A, Ibrahim A, Neu J, Nierhoff T, Moulakakis K, Kakkos S, Nikolakopoulos K, Papadoulas S, D'Oria M, Lepidi S, Lowry D, Ooi S, Patterson B, Williams S, Elrefaey GH, Gaba KA, Williams GF, Rodriguez DU, Khashram M, Gormley S, Hart O, Suthers E, French S. Short-term risk prediction after major lower limb amputation: PERCEIVE study. Br J Surg 2022; 109:1300-1311. [PMID: 36065602 DOI: 10.1093/bjs/znac309] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Revised: 05/06/2022] [Accepted: 07/31/2022] [Indexed: 01/22/2023]
Abstract
BACKGROUND The accuracy with which healthcare professionals (HCPs) and risk prediction tools predict outcomes after major lower limb amputation (MLLA) is uncertain. The aim of this study was to evaluate the accuracy of predicting short-term (30 days after MLLA) mortality, morbidity, and revisional surgery. METHODS The PERCEIVE (PrEdiction of Risk and Communication of outcomE following major lower limb amputation: a collaboratIVE) study was launched on 1 October 2020. It was an international multicentre study, including adults undergoing MLLA for complications of peripheral arterial disease and/or diabetes. Preoperative predictions of 30-day mortality, morbidity, and MLLA revision by surgeons and anaesthetists were recorded. Probabilities from relevant risk prediction tools were calculated. Evaluation of accuracy included measures of discrimination, calibration, and overall performance. RESULTS Some 537 patients were included. HCPs had acceptable discrimination in predicting mortality (931 predictions; C-statistic 0.758) and MLLA revision (565 predictions; C-statistic 0.756), but were poor at predicting morbidity (980 predictions; C-statistic 0.616). They overpredicted the risk of all outcomes. All except three risk prediction tools had worse discrimination than HCPs for predicting mortality (C-statistics 0.789, 0.774, and 0.773); two of these significantly overestimated the risk compared with HCPs. SORT version 2 (the only tool incorporating HCP predictions) demonstrated better calibration and overall performance (Brier score 0.082) than HCPs. Tools predicting morbidity and MLLA revision had poor discrimination (C-statistics 0.520 and 0.679). CONCLUSION Clinicians predicted mortality and MLLA revision well, but predicted morbidity poorly. They overestimated the risk of mortality, morbidity, and MLLA revision. Most short-term risk prediction tools had poorer discrimination or calibration than HCPs. The best method of predicting mortality was a statistical tool that incorporated HCP estimation.
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Affiliation(s)
- Brenig L Gwilym
- South East Wales Vascular Network, Aneurin Bevan University Health Board, Royal Gwent Hospital, Newport, UK
| | | | | | | | | | | | - Debbie Harris
- Centre for Trials Research, Cardiff University, Cardiff, UK
| | - Ian Massey
- Artificial Limb and Appliance Centre, Rookwood Hospital, Cardiff and Vale University Health Board, Cardiff, UK
| | - Jo Burton
- Artificial Limb and Appliance Centre, Rookwood Hospital, Cardiff and Vale University Health Board, Cardiff, UK
| | - Phillippa Stewart
- Artificial Limb and Appliance Centre, Rookwood Hospital, Cardiff and Vale University Health Board, Cardiff, UK
| | - Katie Samuel
- Department of Anaesthesia, North Bristol NHS Trust, Bristol, UK
| | - Sian Jones
- c/o INVOLVE Health and Care Research Wales, Cardiff, UK
| | - David Cox
- c/o INVOLVE Health and Care Research Wales, Cardiff, UK
| | - Annie Clothier
- South East Wales Vascular Network, Aneurin Bevan University Health Board, Royal Gwent Hospital, Newport, UK
| | - Adrian Edwards
- Division of Population Medicine, Cardiff University, Cardiff, UK
| | - Christopher P Twine
- Bristol, Bath and Weston Vascular Network, North Bristol NHS Trust, Southmead Hospital, Bristol, UK
| | - David C Bosanquet
- South East Wales Vascular Network, Aneurin Bevan University Health Board, Royal Gwent Hospital, Newport, UK
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Ziogas D, Agiannitopoulos K, Pepe G, Potska K, Tsaousis G, Apostolopoulou D, Tsoulos N, Venizelos V, Markopoulos C, Iosifidou R, Karageorgopoulou S, Giassas S, Natsiopoulos I, Papazisis K, Vasilaki-Antonatou M, Psyrri A, Koumarianou A, Papadimitriou C, Papadopoulou E, Nasioulas G. 1709P Cascade genetic testing utilized only in 31% of initial families with pathogenic variants in breast cancer genes. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.1787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Floros T, Papadopoulou E, Metaxa-Mariatou V, Tsantikidi A, Kapetsis G, Florou-Chatzigiannidou C, Meintani A, Touroutoglou N, Boukovinas I, Stavridi F, Papadimitriou C, Ziogas D, Theochari M, Timotheadou E, Fassas A, Saridaki-Zoras Z, Ozdogan M, Demirci U, Nasioulas G. 103P Next generation sequencing (NGS) for the identification of PARP inhibitors’ predictive biomarkers. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Psomiadou V, Lekka S, Tsouma E, Liakea A, Trihia H, Tzaida O, Iavazzo C, Papadimitriou C, Panoskaltsis T, Vorgias G, Vlahos N. 565 Fallopian tube cytological findings in women undergoing salpingectomy. Eur J Obstet Gynecol Reprod Biol 2022. [DOI: 10.1016/j.ejogrb.2021.11.388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Fountzilas E, Eliades A, Koliou G, Achilleos A, Pectasides D, Sgouros J, Papakostas P, Psyrri A, Papadimitriou C, Oikonomopoulos G, Ferentinos K, Koumarianou A, Zarkavelis G, Dervenis C, Aravantinos G, Kosmidis P, Theochari M, Rigakos G, Nikolaidi A, Christopoulou A, Fountzilas G, Patsalis P. SO-2 Prevalence and prognostic role of inherited germline mutations in cancer predisposing genes in unselected patients with pancreatic cancer. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.04.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Zolota A, Solonaki F, Katsanos G, Papagiannis A, Salveridis N, Tranta A, Deligiannidis T, Karakasi KE, Nikolaidou C, Papadimitriou C, Fouza A, Papanikolaou V, Miserlis G, Antoniadis N, Fouzas I. Long-Term (≥25 Years) Kidney Allograft Survivors: Retrospective Analysis at a Single Center. Transplant Proc 2020; 52:3044-3050. [PMID: 32571706 DOI: 10.1016/j.transproceed.2020.02.152] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Revised: 01/14/2020] [Accepted: 02/05/2020] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Despite great improvements in the short-term patient and kidney graft survival, the long-term morbidity and mortality in kidney transplant recipients still remains a significant problem. The aim of the study was to evaluate the impact of both donor and transplant recipient factors, as well as renal function indices on the very long-term (>25 years) kidney allograft survival. MATERIAL AND METHODS Retrospective analysis was performed on the data of 41 kidney transplant recipients (KTR), group A: follow-up = 25 years, 20 KTR, 10 male, mean age (mean [M] ± standard deviation [SD]): 34.6 ± 12.6 years, 14 living donors (LD), 6 cadaveric donors (CD); group B: follow-up > 25 years, 21 KTR, 16 male, mean age (M ± SD): 30.86 ± 12.37 years, 14 LD, 7 CD). Kidney graft origin, post-kidney transplantation diabetes mellitus, HLA compatibility, delayed graft function, and acute rejection episodes were also analyzed retrospectively. Statistical analysis with Mann-Whitney test and Kaplan-Meier survival analysis was performed (SPSS 20.0 for Windows). RESULTS The mean age of CDs was lower than that of LDs: CD mean age (M ± SD): 23.84 ± 16.26 years vs LD mean age: 52.75 ± 12.42 years (P < .001). Cadaveric kidney graft was associated with better renal allograft function 10, 15, and 25 years post kidney transplant. None of the other factors analyzed reached statistical significance between the 2 groups. CONCLUSION The age of the donor and the kidney graft origin are important co-factors of the very long-term kidney allograft survival.
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Affiliation(s)
- A Zolota
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece.
| | - F Solonaki
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - G Katsanos
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - A Papagiannis
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - N Salveridis
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - A Tranta
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - T Deligiannidis
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - K E Karakasi
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - C Nikolaidou
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - C Papadimitriou
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - A Fouza
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - V Papanikolaou
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - G Miserlis
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - N Antoniadis
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
| | - I Fouzas
- Organ Transplantation Unit, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
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Koumarianou A, Makrantonakis P, Zagouri F, Papadimitriou C, Christopoulou A, Samantas E, Christodoulou C, Psyrri A, Bafaloukos D, Aravantinos G, Papakotoulas P, Baka S, Andreadis C, Alexopoulos A, Bompolaki I, Kampoli Κ, Liori S, Karvounis K, Ardavanis A. ABREAST: a prospective, real-world study on the effect of nab-paclitaxel treatment on clinical outcomes and quality of life of patients with metastatic breast cancer. Breast Cancer Res Treat 2020; 182:85-96. [PMID: 32418045 DOI: 10.1007/s10549-020-05677-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Accepted: 05/09/2020] [Indexed: 11/28/2022]
Abstract
PURPOSE The efficacy of nab-paclitaxel in patients with metastatic breast cancer (MBC) has been demonstrated in randomized clinical trials. However, real-world evidence on effectiveness remains limited. PATIENTS AND METHODS The primary objective of this multicenter prospective study was to assess the overall response rate (ORR) of patients with MBC treated with nab-paclitaxel. Secondary objectives included progression-free survival (PFS), overall survival (OS) and quality of life, assessed with the Functional Assessment of Cancer Therapy-Breast (FACT-B) instrument. RESULTS Eligible patients (N = 150; 36% with de novo MBC presentation) with a median age of 64.5 years were enrolled (86% were ER+, 33.3% (50/150) were ≥ 70 years of age and 53% were treated in the third or later line of treatment). A median of 6 cycles were administered but 26% of patients required dose reduction due to toxicity. The ORR was 26.7% [95% confidence interval (CI) 19.6-33.7], the median PFS was 6.2 months (95% CI 5.2-7.3), and the median OS 21.1 months (95% CI 17.2-not estimable). There was no statistical significant difference in the median PFS of patients < and ≥ 70 years of age. The patients' baseline FACT-B total score remained unchanged. The serious and non-serious adverse event incidence rates were 13% and 48%, respectively. CONCLUSIONS This prospective study provides further evidence on quality of life, efficacy, and safety of nab-paclitaxel in patients with MBC and sheds more light in special subpopulations such as the elderly and those treated beyond the second line.
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Affiliation(s)
- A Koumarianou
- Hematology Oncology Unit, Fourth Department of Internal Medicine, ATTIKON University General Hospital, National and Kapodistrian University of Athens, Medical School, Rimini 1, 124 62, Haidari, Athens, Greece.
| | - P Makrantonakis
- Second Chemotherapeutic Clinic, THEAGENIO Anti-Cancer Hospital of Thessaloniki, Thessaloniki, Greece
| | - F Zagouri
- Therapeutic Clinic, ALEXANDRA General Hospital, Faculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - C Papadimitriou
- Oncology Unit, 2nd Dept. of Surgery, ARETAIEIO University Hospital, National and Kapodistrian University of Athens, Athens, Greece
| | - A Christopoulou
- Oncology Department, AGIOS ANDREAS General Hospital of Patras, Patras, Greece
| | - E Samantas
- Third Oncology Clinic, AGIOI ANARGIROI Athens General Hospital, Athens, Greece
| | - C Christodoulou
- Second Oncology Clinic, METROPOLITAN Athens Private Hospital, Piraeus, Greece
| | - A Psyrri
- Division Medical Oncology, ATTIKON University General Hospital of Athens, Haidari, Greece
| | - D Bafaloukos
- First Oncology Clinic, METROPOLITAN Athens Private Hospital, Piraeus, Greece
| | - G Aravantinos
- Second Oncology Clinic, AGIOI ANARGIROI Athens General Hospital, Athens, Greece
| | - P Papakotoulas
- First Chemotherapeutic Oncology Department, THEAGENION Anti-Cancer Hospital of Thessaloniki, Thessaloniki, Greece
| | - S Baka
- Oncology Department, European INTERBALKAN Private Hospital of Thessaloniki, Thessaloniki, Greece
| | - C Andreadis
- Third Department of Clinical Oncology and Chemotherapy, THEAGENION Anti-Cancer Hospital of Thessaloniki, Thessaloniki, Greece
| | - A Alexopoulos
- Oncology Department, HYGEIA Athens Private Hospital, Maroussi, Athens, Greece
| | - I Bompolaki
- Oncology Department, AGIOS GEORGIOS General Hospital of Chania, Chania, Crete, Greece
| | - Κ Kampoli
- Hematology Oncology Unit, Fourth Department of Internal Medicine, ATTIKON University General Hospital, National and Kapodistrian University of Athens, Medical School, Rimini 1, 124 62, Haidari, Athens, Greece
| | - S Liori
- First Department of Medical Oncology, AGIOS SAVVAS Athens General Hospital, Athens, Greece
| | - K Karvounis
- Medical Department Hematology/Oncology, Genesis Pharma S.A, Halandri, Athens, Greece
| | - A Ardavanis
- First Department of Medical Oncology, AGIOS SAVVAS Athens General Hospital, Athens, Greece
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Tabernero J, Prager G, Stintzing S, Lenz H, Nygren H, Papadimitriou C. Open label phase III study of arfolitixorin vs leucovorin in mFOLFOX-6 for first-line treatment of metastatic colorectal cancer: AGENT. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz246.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Michalaki V, Poydorou A, Frangulidis G, Vezakis A, Theodosopoulos T, Karvouni E, Papadimitriou C. Sunitinib rechallenge in pancreatic neuroendocrine tumors. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz155.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Balasis G, Papadimitriou C, Boutsi AZ. Ionospheric response to solar and interplanetary disturbances: a Swarm perspective. Philos Trans A Math Phys Eng Sci 2019; 377:20180098. [PMID: 31079587 PMCID: PMC6527954 DOI: 10.1098/rsta.2018.0098] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/01/2019] [Indexed: 06/09/2023]
Abstract
The ionospheric response to solar and interplanetary disturbances has been the subject of intense study for several decades. For 5 years now, the European Space Agency's Swarm fleet of satellites surveys the Earth's topside ionosphere, measuring magnetic and electric fields at low-Earth orbit with unprecedented detail. Herein, we study in situ the ionospheric response in terms of the occurrence of plasma instabilities based on 2 years of Swarm observations. Plasma instabilities are an important element of space weather because they include irregularities like the equatorial spread F events, which are responsible for the disruption of radio communications. Moreover, we focus on three out of the four most intense geospace magnetic storms of solar cycle 24 that occurred in 2015, including the St Patrick's Day event, which is the strongest magnetic storm of the present solar cycle. We examine the associated ionospheric response at Swarm altitudes through the estimation of a Swarm Dst-like index. The newly proposed Swarm derived Dst index may be suitable for space weather applications. This article is part of the theme issue 'Solar eruptions and their space weather impact'.
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Affiliation(s)
- G. Balasis
- Institute for Astronomy, Astrophysics, Space Applications and Remote Sensing, National Observatory of Athens, Athens, Greece
| | - C. Papadimitriou
- Institute for Astronomy, Astrophysics, Space Applications and Remote Sensing, National Observatory of Athens, Athens, Greece
- Space Applications & Research Consultancy – SPARC, Athens, Greece
| | - A. Z. Boutsi
- Institute for Astronomy, Astrophysics, Space Applications and Remote Sensing, National Observatory of Athens, Athens, Greece
- Department of Physics, National and Kapodistrian University of Athens, Athens, Greece
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Rounis K, Koukaki T, Christodoulou C, Papadimitriou C, Tryfonopoulos D, Mavroudis D, Aggelaki S, Fostira F, Saloustros E. Adjuvant radiotherapy induces secondary tumor events in breast cancer patients with Li-Fraumeni syndrome. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz096.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Fountzila E, Kotoula V, Koliou GA, Giannoulatou E, Gogas H, Papadimitriou C, Tikas I, Papadopoulou K, Zagouri F, Christodoulou C, Koutras A, Razis E, Papakostas P, Samantas E, Aravantinos G, Psyrri A, Pectasides D, Futreal A, Tsimberidou AM, Fountzilas G. Actionable mutations and overall survival in 3,211 patients with cancer: The Hellenic cooperative oncology group precision medicine initiative. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy303.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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14
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Carlsson G, Guren T, Haux J, Pfeiffer P, Taflin H, Mavroudis D, Georgoulias V, Papadimitriou C, Kentepozidis N, Boumpas D, Skintemo L, Ganlöv K, Gustavsson B. ISO-CC-005; A phase I/II study of arfolitixorin (MTHF) in combination with 5-FU, irinotecan, and oxaliplatin ± bevacizumab in patients with metastasizing colorectal cancer. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy281.115] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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15
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Fountzila E, Kotoula V, Pentherdoudakis G, Manousou K, Vrettou E, Poulios C, Papadimitriou C, Raptou G, Pectasides E, Polychronidou G, Karayannopoulou G, Chrisafi S, Papakostas P, Makatsoris T, Psyrri A, Samantas E, Bobos M, Christodoulou C, Pectasides D, Fountzilas G. Prognostic implications of mismatch repair deficiency in patients with early-stage colorectal and endometrial cancer. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy303.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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16
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Michalaki V, Poydorou A, Frangulidis G, Vezakis A, Karvouni E, Papadimitriou C. Gemcitabine/nabpaclitaxel efficacy in elderly patients with metastatic or locally advanced pancreatic adenocarcinoma. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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17
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Michalaki V, Frangulidis G, Poydorou A, Theodosopoulos T, Vezakis A, Dafnios N, Frangou M, Karvouni E, Papadimitriou C. Immunohistochemical study of KRAS, NRAS, BRAF and MSI phenotype in small bowel adenocarcinoma. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy151.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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18
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Michalaki V, Koutroulis G, Psychogios I, Karvouni E, Vasiliou I, Papadimitriou C. Detection of early cardiac effects of docetaxel plus trastuzumab and pertuzumab through strain rate imaging in patients with HER2-positive metastatic breast cancer. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx365.059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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19
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Bournakis E, Lianidou E, Strati A, Zavridou M, Sfika A, Bournakis A, Papadimitriou C. ARV7 status and CTC count: A combined biomarker for the baseline therapeutic decision in each line of mCRPC treatment. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx370.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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20
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Karanikiotis C, Kesisis G, Xanthakis I, Alexopoulos A, Barbounis V, Panopoulos C, Andreadis C, Papadimitriou C. Rationale and design of the real-world Hellenic disease management patterns with everolimus for women with hormone-receptor-positive, human epidermal growth factor ReceptOR-2 negative advanced breast cancer (The MIRROR) study. Breast 2017. [DOI: 10.1016/s0960-9776(17)30234-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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21
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Fostira F, Fountzila E, Vagena A, Apostolou P, Konstanta I, Papadimitriou C, Razis E, Christodoulou C, Timotheadou E, Mollaki V, Papamentzelopoulou M, Vlachos I, Yannoukakos D, Konstantopoulou I. Pathology of BRCA1- and BRCA2-associated breast cancers: known and less known connections. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw363.53] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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22
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Apostolou P, Pertesi M, Aleporou-Marinou V, Dimitrakakis C, Papadimitriou C, Razis E, Christodoulou C, Fountzilas G, Yannoukakos D, Konstantopoulou I, Fostira F. Haplotype analysis reveals that the recurrent BRCA1 deletion of exons 23 and 24 is a Greek founder mutation. Clin Genet 2016; 91:482-487. [PMID: 27357818 DOI: 10.1111/cge.12824] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Revised: 06/07/2016] [Accepted: 06/24/2016] [Indexed: 11/28/2022]
Abstract
A recurrent large genomic rearrangement (LGR) encompassing exons 23 and 24 of the BRCA1 gene has been identified in breast-ovarian cancer families of Greek origin. Its breakpoints have been determined as c.5406 + 664_*8273del11052 (RefSeq: NM_007294.3) and a diagnostic polymerase chain reaction (PCR) has been set up for rapid screening. In a series of 2,092 high-risk families completely screened for BRCA1 and BRCA2 germline mutations, we have found the deletion in 35 families (1.68%), representing 7.83% of the mutations identified in both genes and 10.3% of the total BRCA1 mutations. In order to characterize this deletion as a founder mutation, haplotype analysis was conducted in 60 carriers from 35 families, using three BRCA1 intragenic microsatellite markers and four markers surrounding the BRCA1 locus. Our results demonstrate a common shared core disease-associated haplotype of 2.89Mb. Our calculations estimate that the deletion has originated from a common ancestor 1450 years ago, which most probably inhabited the Asia Minor area. The particular (LGR) is the third mutation of such type that is proven to have a Greek founder effect in the Greek population, illustrating the necessity for LGRs testing in individuals of Greek descent.
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Affiliation(s)
- P Apostolou
- Molecular Diagnostics Laboratory, INRaSTES, National Center for Scientific Research "Demokritos", Athens, Greece.,Department of Genetics & Biotechnology, Faculty of Biology, National and Kapodistrian University of Athens, Athens, Greece
| | - M Pertesi
- Molecular Diagnostics Laboratory, INRaSTES, National Center for Scientific Research "Demokritos", Athens, Greece.,Division of Hematology and Transfusion Medicine, Faculty of Medicine, Department of Laboratory Medicine, Lund University, Lund, Sweden
| | - V Aleporou-Marinou
- Department of Genetics & Biotechnology, Faculty of Biology, National and Kapodistrian University of Athens, Athens, Greece
| | - C Dimitrakakis
- Breast Unit of the 1st Department of Obstetrics and Gynecology, Athens University Medical School, Athens, Greece
| | - C Papadimitriou
- Department of Clinical Therapeutics, "Alexandra" Hospital, School of Medicine, University of Athens, Athens, Greece
| | - E Razis
- Third Medical Oncology Department, Hygeia Hospital, Athens, Greece
| | - C Christodoulou
- Second Department of Medical Oncology, Metropolitan Hospital, Piraeus, Greece
| | - G Fountzilas
- School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - D Yannoukakos
- Molecular Diagnostics Laboratory, INRaSTES, National Center for Scientific Research "Demokritos", Athens, Greece
| | - I Konstantopoulou
- Molecular Diagnostics Laboratory, INRaSTES, National Center for Scientific Research "Demokritos", Athens, Greece
| | - F Fostira
- Molecular Diagnostics Laboratory, INRaSTES, National Center for Scientific Research "Demokritos", Athens, Greece
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23
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Michalaki V, Theodosopoulos T, Dafnios N, Vezakis A, Karvouni E, Papadimitriou C. P-013 Prognostic significance of cyclin D1 and p21 (WAF1/CIP1) in Gastric Cancer. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw199.13] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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24
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Wu S, Angelikopoulos P, Papadimitriou C, Moser R, Koumoutsakos P. A hierarchical Bayesian framework for force field selection in molecular dynamics simulations. Philos Trans A Math Phys Eng Sci 2016; 374:rsta.2015.0032. [PMID: 26712642 DOI: 10.1098/rsta.2015.0032] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/18/2015] [Indexed: 06/05/2023]
Abstract
We present a hierarchical Bayesian framework for the selection of force fields in molecular dynamics (MD) simulations. The framework associates the variability of the optimal parameters of the MD potentials under different environmental conditions with the corresponding variability in experimental data. The high computational cost associated with the hierarchical Bayesian framework is reduced by orders of magnitude through a parallelized Transitional Markov Chain Monte Carlo method combined with the Laplace Asymptotic Approximation. The suitability of the hierarchical approach is demonstrated by performing MD simulations with prescribed parameters to obtain data for transport coefficients under different conditions, which are then used to infer and evaluate the parameters of the MD model. We demonstrate the selection of MD models based on experimental data and verify that the hierarchical model can accurately quantify the uncertainty across experiments; improve the posterior probability density function estimation of the parameters, thus, improve predictions on future experiments; identify the most plausible force field to describe the underlying structure of a given dataset. The framework and associated software are applicable to a wide range of nanoscale simulations associated with experimental data with a hierarchical structure.
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Affiliation(s)
- S Wu
- Professorship for Computational Science, Clausiusstrasse 33, ETH-Zurich 8092, Switzerland
| | - P Angelikopoulos
- Professorship for Computational Science, Clausiusstrasse 33, ETH-Zurich 8092, Switzerland
| | - C Papadimitriou
- Department of Mechanical Engineering, University of Thessaly, Leoforos Athinon, Pedion Areos, Volos 38334, Greece
| | - R Moser
- Institute of Computational Engineering and Science, UT-Austin, 201 East 24th Street, Stop C0200, Austin, TX 78712-1229, USA
| | - P Koumoutsakos
- Professorship for Computational Science, Clausiusstrasse 33, ETH-Zurich 8092, Switzerland
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25
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Bournakis E, Kostouros E, Soupos N, Dimopoulos A, Papadimitriou C. 2557 Platinum-based therapy in heavily pretreated m CRPC patients. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31376-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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26
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Michalaki V, Frangulidis G, Kondi-Pafgiti A, Papakonstandinou J, Vezakis A, Papadimitriou C. 2217 The role of cyclin D1 and p21(WAF1/CIP1) in gastric cancer. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31133-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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27
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Thomakos N, Koutroumpa I, Trachana S, Sotiropoulou M, Haidopoulos D, Papadimitriou C, Bamias A, Vlachos G, Rodolakis A. Significance of omentectomy during surgical staging for uterine serous carcinoma. Gynecol Oncol 2015. [DOI: 10.1016/j.ygyno.2015.01.215] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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28
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Tranoulis A, Thomakos N, Haidopoulos D, Sotiropoulou M, Kathopoulis N, Davidovic-Grigoraki M, Papadimitriou C, Bamias A, Vlachos G, Rodolakis A. Accuracy of frozen section in the diagnosis of mucinous ovarian tumors. Gynecol Oncol 2015. [DOI: 10.1016/j.ygyno.2015.01.269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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29
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Papadimitriou C, Wenzel M. Der protektive Effekt von D2O bei Bakterien (E. coli) / he Protective Effect of Heavy Water (D2O) on Bacteria (E. coli). ACTA ACUST UNITED AC 2014. [DOI: 10.1515/znc-1989-11-1228] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
E. coli suspended in D2O showed a better survival than in H2O when the bacteria were treated with various damaging agents like UV , heat and freezing. On the contrary E. coli grown in D2O - containing media - therefore being fully deuterated - were more sensitive than normally grown bacteria.
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Affiliation(s)
- C. Papadimitriou
- Institut für Pharmazie, Freie Universität Berlin, Berlin-Dahlem, Bundesrepublik Deutschland
| | - M. Wenzel
- Institut für Pharmazie, Freie Universität Berlin, Berlin-Dahlem, Bundesrepublik Deutschland
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Abstract
Abstract
This study was aimed at investigating whether cells of CFU-C derived colonies could form secondary colonies. Bone marrow cultures of volumes of agar medium between 25 μl and 75 μl contained in glass capillaries were stimulated with mouse lung-conditioned medium (MLCM) containing granulocyte/macrophage colony-stimulating factor (GM-CSF). Agar gels with colonies of up to ≥ 20 were blown out into identical culture medium, completely dispersed on a whirl-mix to single cell suspensions, and used for establishing secondary agar cultures. In these secondary cultures considerable numbers of secondary granulocytic, mixed granulocytic/macrophage and macrophage colonies as well as numerous clusters arose. In contrast, when single colonies were recultured, only few secondary cell aggregates were formed. When primary cultures containing up to ≥ 20 cell aggregates were used for serial reculture at intermittent intervals of 3 and 4 days, a 2 -7-fold increase of colony-forming cells was found in tertiary cultures as was monitored by 7 day colony counts. And by use of different kinds of CSF-containing media, an over 4-fold increase of secondary over primary colonies was obtained with bovine lung-conditioned medium (BLCM) in primary and L-cell-conditioned medium (LCCM) in secondary 7 day cultures. Primary capillary cultures were found to be devoid of CFU-S. Also, setting up bone marrow cultures in petri dishes and stimulating with MLCM, growth of primary as well as secondary colonies was obtained. The results indicate some self-renewal potential of CFU-C in vitro.
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Affiliation(s)
- G. E. Hübner
- Institut für Pharmazie, Freie Universität Berlin, Königin-Luise-Straße 2—4, D-1000 Berlin 33
- Institut für Immunologie und Onkologie, Bayer AG, Friedrich-Ebert-Straße, D-5600 Wuppertal 1
| | - F. Ali-Osman
- Institut für Pharmazie, Freie Universität Berlin, Königin-Luise-Straße 2—4, D-1000 Berlin 33
| | - M. Kästner
- Institut für Pharmazie, Freie Universität Berlin, Königin-Luise-Straße 2—4, D-1000 Berlin 33
| | - C. Papadimitriou
- Institut für Pharmazie, Freie Universität Berlin, Königin-Luise-Straße 2—4, D-1000 Berlin 33
| | - H. R. Maurer
- Institut für Pharmazie, Freie Universität Berlin, Königin-Luise-Straße 2—4, D-1000 Berlin 33
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31
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Mylona E, Melissaris S, Giannopoulou I, Theohari I, Papadimitriou C, Keramopoulos A, Nakopoulou L. Y-box-binding protein 1 (YB1) in breast carcinomas: Relation to aggressive tumor phenotype and identification of patients at high risk for relapse. Eur J Surg Oncol 2014; 40:289-96. [DOI: 10.1016/j.ejso.2013.09.008] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2013] [Revised: 08/27/2013] [Accepted: 09/05/2013] [Indexed: 01/15/2023] Open
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32
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Lakis S, Koletsa T, Kostopoulos I, Papadimitriou C, Skarlos D, Koutras A, Res E, Matsiakou F, Linardou H, Kotoula V, Fountzilas G. Abstract P6-05-27: p53, c-Myc and EGFR protein interactions confer worse prognosis in patients with triple negative breast cancer (TNBC). Cancer Res 2013. [DOI: 10.1158/0008-5472.sabcs13-p6-05-27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background - aim: TNBC is a heterogeneous disease comprising different molecular subtypes that are mostly defined by gene expression profiling and are related to patient outcome. Herein, we investigated the prognostic significance of molecular subtype-related, surrogate protein markers.
Methods: Immunohistochemistry was applied on tissue microarrays containing a series of 330 centrally assessed TNBC from early high-risk breast cancer patients treated with anthracyclines and/or taxanes. The following markers were examined (in parentheses: cut-offs for low/high and negative/positive): Ki67 (14%); p53 (10%); c-Myc (10%); P-cadherin (10%); E-cadherin (10%); Claudin-7 (H-score median: 105); CK5 (1%); EGFR (1%); androgen receptor (AR [1%]).
Results: The majority of tumors (269/327, 81.5%) were grade-III ductal carcinomas of no special type. Tumors were frequently positive for Ki67 (239/314, 76.1%), E-cadherin (193/271, 71.2%), P-cadherin (249/302, 82.5%) and expressed markers of the basal phenotype (CK5+ and/or EGFR+, 268/316, 84.8%). Grade-III, Ki67-high carcinomas and tumours positive for E- and P-cadherin were more prevalent among those of basal phenotype (Fisher's exact p<0.001). Tumors expressing low levels of Claudin-7 were infrequently positive for AR and EGFR proteins (p = 0.015 and p = 0.003, respectively). AR positivity was more frequent among CK5 negative, grade I-II, and Ki67-low tumors (p = 0.021, p = 0.05 and p = 0.011 respectively). When examined individually, none of these markers was related to patient outcome. An interaction was noticed between p53 and c-Myc immunopositivity (Wald's p = 0.028 for disease-free [DFS] and p = 0.005 for overall survival [OS]). Among patients with c-Myc negative tumors, patients with p53 positive tumors (n = 63) had shorter median DFS (46.8 months) and OS (56 months) (HR 1.9; 95%CI 1.0-3.9; p = 0.049 and HR 2.28; 95%CI 1.0-4.8; p = 0.031, respectively) as compared to those with p53 negative tumors (n = 56; median DFS 69 months, OS 70 months). Similarly, in the absence of p53, c-Myc expression correlated with shorter median OS (44.5 months) (HR 2.1; 95%CI 1.0-4.5; p = 0.038) but showed only a trend for shorter DFS as compared to c-Myc negative tumors. p53 protein status was a discriminating factor for EGFR negative tumors (Wald's p = 0.052), whereby p53 positive tumors (n = 54) were associated with reduced DFS as compared to p53 negative tumors (n = 68; median DFS: 47 vs. 68.8 months; HR 2.1; 95%CI 1.1-4.0; p = 0.025). Accordingly, EGFR immunopositivity conferred a trend for shorter DFS within p53 negative cases.
Conclusions: In the current study, it was not possible to assign prognostic significance to individual proteins that have been introduced as surrogate markers for gene expression-based molecular subtypes in TNBC. By contrast, significant interactions involving the status of p53 and c-Myc or EGFR were observed. It seems that aberrant p53 adversely influences tumor behaviour in the absence of c-Myc and EGFR, while the opposite is also effective but to a lesser extent. These findings are hypothesis generating and need to be pursued in sufficiently powered studies for validating the apparently mutually exclusive adverse effects of p53, c-Myc and EGFR on tumor behaviour.
Citation Information: Cancer Res 2013;73(24 Suppl): Abstract nr P6-05-27.
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Affiliation(s)
- S Lakis
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - T Koletsa
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - I Kostopoulos
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | | | - D Skarlos
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - A Koutras
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - E Res
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - F Matsiakou
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - H Linardou
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - V Kotoula
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - G Fountzilas
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
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33
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Koutras AK, Kotoula V, Papadimitriou C, Dionysopoulos D, Zagouri F, Kalofonos HP, Kourea HP, Skarlos DV, Samantas E, Papadopoulou K, Kosmidis P, Pectasides D, Fountzilas G. Vascular endothelial growth factor polymorphisms and clinical outcome in patients with metastatic breast cancer treated with weekly docetaxel. Pharmacogenomics J 2013; 14:248-55. [PMID: 24061601 DOI: 10.1038/tpj.2013.36] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Received: 05/25/2013] [Revised: 08/03/2013] [Accepted: 08/15/2013] [Indexed: 11/09/2022]
Abstract
The aim of the study was to evaluate the association of vascular endothelial growth factor (VEGF) genotypes with treatment efficacy in a phase II trial. This study evaluated weekly docetaxel, as first-line treatment for metastatic breast cancer. Existing data from in vitro and animal model experiments suggest that docetaxel at low doses has anti-angiogenic activity. DNA was extracted from blood samples of 86 patients participating in the trial. Genotyping was performed for selected single-nucleotide polymorphisms (SNPs; VEGF-2578, -1498, -1154, and +936). Moreover, due to the highly polymorphic nature of the studied areas, we were able to analyze additional registered SNPs. All candidate genotypes were evaluated for associations with overall survival (OS), progression-free survival (PFS) and response rate. The VEGF-1154 GG genotype was more frequent in patients not responding to treatment compared with responders (42.9% vs 0.0%, P=0.048). Moreover, the VEGF-2578 AA genotype was associated with longer PFS compared with CC (hazard ratio (HR)=0.40; 95% confidence interval (CI) 0.17-0.98; pairwise P=0.0457). Patients with the VEGF-1190 GG genotype demonstrated shorter PFS compared with those with the alternative genotypes (GA and AA) combined (HR=3.85; 95% CI: 1.20-12.50; P=0.0224). In addition, the VEGF-2551/-2534 homozygous del18bp and VEGF-2430/-2425 homozygous ins1bp genotypes were associated with worse PFS compared with no deletion and no insertion, respectively (HR=2.49; 95% CI: 1.02-6.07; pairwise P=0.0442 and HR=2.57; 95% CI: 1.05-6.27; pairwise P=0.0385, respectively). Furthermore, patients with the VEGF-1498 CC genotype exhibited longer median OS compared with those with the alternatives genotypes (CT and TT) combined (HR=0.27; 95% CI: 0.08-0.89; P=0.0311). In multivariate analysis, the VEGF-2578 AA genotype retained its significance (P=0.0220) for PFS. Our results support the association of specific VEGF genotypes with clinical outcome in patients with metastatic breast cancer treated with a potentially anti-angiogenic regimen, such as weekly docetaxel. However, current results should be validated prospectively in larger cohorts.
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Affiliation(s)
- A K Koutras
- Division of Oncology, Department of Medicine, University Hospital, University of Patras Medical School, Patras, Greece
| | - V Kotoula
- Department of Pathology, Aristotle University of Thessaloniki School of Medicine, Thessaloniki, Greece
| | - C Papadimitriou
- Department of Clinical Therapeutics, 'Alexandra' Hospital, University of Athens School of Medicine, Athens, Greece
| | - D Dionysopoulos
- Department of Medical Oncology, 'Papageorgiou' Hospital, Aristotle University of Thessaloniki School of Medicine, Thessaloniki, Greece
| | - F Zagouri
- Department of Clinical Therapeutics, 'Alexandra' Hospital, University of Athens School of Medicine, Athens, Greece
| | - H P Kalofonos
- Division of Oncology, Department of Medicine, University Hospital, University of Patras Medical School, Patras, Greece
| | - H P Kourea
- Department of Pathology, University Hospital of Patras, Patras, Greece
| | - D V Skarlos
- Second Department of Medical Oncology, 'Metropolitan' Hospital, Piraeus, Greece
| | - E Samantas
- Third Department of Medical Oncology, 'Agii Anargiri' Cancer Hospital, Athens, Greece
| | - K Papadopoulou
- Department of Pathology, Aristotle University of Thessaloniki School of Medicine, Thessaloniki, Greece
| | - P Kosmidis
- Second Department of Medical Oncology, Hygeia Hospital, Athens, Greece
| | - D Pectasides
- Oncology Section, Second Department of Internal Medicine, 'Hippokration' Hospital, Athens, Greece
| | - G Fountzilas
- Department of Medical Oncology, 'Papageorgiou' Hospital, Aristotle University of Thessaloniki School of Medicine, Thessaloniki, Greece
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Terpos E, Christoulas D, Kastritis E, Roussou M, Migkou M, Eleutherakis-Papaiakovou E, Gavriatopoulou M, Gkotzamanidou M, Kanellias N, Manios E, Papadimitriou C, Dimopoulos MA. VTD consolidation, without bisphosphonates, reduces bone resorption and is associated with a very low incidence of skeletal-related events in myeloma patients post ASCT. Leukemia 2013; 28:928-34. [PMID: 24045498 DOI: 10.1038/leu.2013.267] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2013] [Accepted: 09/11/2013] [Indexed: 01/17/2023]
Abstract
We prospectively evaluated the effect of bortezomib, thalidomide and dexamethasone (VTD) consolidation on bone metabolism of 42 myeloma patients who underwent an autologous stem cell transplantation (ASCT). VTD started on day 100 post ASCT; patients received four cycles of VTD (first block), were followed without treatment for 100 days and then received another four VTD cycles (second block). During this 12-month period, bisphosphonates were not administered. Best response included stringent complete remission (sCR) in 15 (35.7%) patients, complete response (CR) in 13 (30.9%), vgPR in 7 (16.6%), PR in 4 (9.5%), while 3 (7.1%) patients developed a progressive disease (PD). Importantly, 33.3% and 47.6% of patients improved their status of response after the first and second VTD block, respectively. VTD consolidation resulted in a significant reduction of circulating C-terminal cross-linking telopeptide of collagen type I (CTX), soluble receptor activator of the nuclear factor-kappa B ligand (sRANKL) and osteocalcin (OC), whereas bone-specific alkaline phosphatase (bALP) remained stable compared with pre-VTD values. During the study period, only one patient with a PD developed a skeletal-related event (that is, radiation to bone). The median time to progression (TTP) after ASCT was 34 months and the median time of next treatment was 40 months. We conclude that VTD consolidation post ASCT reduces bone resorption and is associated with a very low incidence of skeletal-related events (SREs) despite the absence of bisphosphonates; the later do not appear to be necessary in this context.
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Affiliation(s)
- E Terpos
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - D Christoulas
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - E Kastritis
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - M Roussou
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - M Migkou
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - E Eleutherakis-Papaiakovou
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - M Gavriatopoulou
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - M Gkotzamanidou
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - N Kanellias
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - E Manios
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - C Papadimitriou
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
| | - M A Dimopoulos
- Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Athens, Greece
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Zorzou MP, Efstathiou E, Galani E, Bozas G, Kastritis E, Papadimitriou C, Dimopoulos MA, Bamias A. Carboplatin Hypersensitivity Reactions: A Single Institution Experience. J Chemother 2013; 17:104-10. [PMID: 15828452 DOI: 10.1179/joc.2005.17.1.104] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
Carboplatin-related hypersensitivity reactions, frequently encountered in the heavily pretreated subpopulation of patients with gynecologic malignancies, can be severe and even potentially lethal-precluding these patients from an effective salvage treatment. We describe our experience in the management of such reactions and the application of a pretreatment protocol with corticosteroids, antihistamines and a slow infusion rate in order to safely re-administer carboplatin to the above patients. From 1998 to 2004, twenty patients developed an allergic reaction to carboplatin. Sixteen of them (80%) suffered from ovarian cancer. Upon resolution of the acute reaction, thirteen patients were pretreated according to our protocol and were re-exposed to carboplatin. Fifteen patients experienced the reaction during second-line carboplatin-based treatment and 5 patients after 3 or more regimens. Fifteen of the reactions (75%) were severe. Thirteen patients were re-treated with carboplatin after the application of our protocol, all of them successfully, even though 10 patients (77%) experienced minor symptoms during subsequent courses. On the contrary, only one of the 6 patients who were re-treated without the application of the protocol was able to receive further platinum-based treatment. In conclusion, pretreatment with corticosteroids, antihistamines and a slower infusion rate may make re-treatment possible in patients having experienced hypersensitivity to carboplatin.
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Affiliation(s)
- M P Zorzou
- Department of Clinical Therapeutics, Medical School, University of Athens, Athens, Greece
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Grammou A, Samaras P, Papadimitriou C, Papadopoulos AI. A test for adequate wastewater treatment based on glutathione S transferase isoenzyme profile. Ecotoxicol Environ Saf 2013; 90:46-51. [PMID: 23313117 DOI: 10.1016/j.ecoenv.2012.12.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/08/2012] [Revised: 11/28/2012] [Accepted: 12/11/2012] [Indexed: 05/23/2023]
Abstract
Discharge to the environment of treated or non-treated municipal wastewater imposes several threats to coastal and estuarine ecosystems which are difficult to assess. In our study we evaluate the use of the isoenzyme profile of glutathione S transferase (GST) in combination with the kinetic characteristics of the whole enzyme and of heme peroxidase, as a test of adequate treatment of municipal wastewater. For this reason, Artemia nauplii were incubated in artificial seawater prepared by wastewater samples, such as secondary municipal effluents produced by a conventional activated sludge unit and advanced treated effluents produced by the employment of coagulation, activated carbon adsorption and chlorination as single processes or as combined ones. Characteristic changes of the isoenzyme pattern and the enzymes' kinetic properties were caused by chlorinated secondary municipal effluent or by secondary non-chlorinated effluent. Advanced treatment by combination of coagulation and/or carbon adsorption resulted to less prominent changes, suggesting more adequate treatment. Our results suggest that GST isoenzyme profile in combination with the kinetic properties of the total enzyme family is a sensitive test for the evaluation of the adequateness of the treatment of reclaimed wastewater and the reduction of potentially harmful compounds. Potentially, it may offer a 'fingerprint' characteristic of a particular effluent and probably of the treatment level it has been subjected.
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Affiliation(s)
- A Grammou
- School of Biology, Faculty of Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
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Zygogianni A, Syrigos K, Mistakidou K, Fotineas A, Kyrgias G, Ferendouros V, Kouvaris J, Papadimitriou C, Kantzou I, Pantelakos P, Kouloulias V. Structure and function of the oncologic boards in Greece. Description of the institutional and scientific frame; objective problems and difficulties. J BUON 2013; 18:281-288. [PMID: 23613417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
PURPOSE Oncology boards should constitute a routine in all hospitals that are dealing with the care of cancer patients. Unfortunately the procedure which should be followed to deal with this health problem has some deficiencies. METHODS A literature review has recently been attempted, searching Internet databases by using key words such as oncologic board, medical legislation and medical ethics. RESULTS Current mentality suggests that hiding the truth from the patient is wrong and unethical. However, in the Greek society, this is not the case as it seems not right to adopt foreign practices, i.e. to disclose directly to the patient all information relevant to his health status, the intended therapy and possible outcome. Instead, ambiguous information pass onto relatives who in turn bear the burden of informing the patient. CONCLUSIONS The best solution would be the integration of the positive elements of the patient's awareness and the beneficial effects of the involvement of the Greek family in the general care of the cancer patient.
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Affiliation(s)
- A Zygogianni
- 1st Department of Radiology, Aretaieion University Hospital, Athens, Greece.
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Janni W, Sarosiek T, Pikiel J, Karaszewska B, Staroslawska E, Salat C, Caglevic C, Potemski P, Brain E, Briggs K, de Silvio M, Sapunar F, Papadimitriou C. Abstract P5-18-21: A Phase II randomized trial of lapatinib with either vinorelbine or capecitabine as first- and second-line therapy for ErbB2-overexpressing metastatic breast cancer (MBC). Cancer Res 2012. [DOI: 10.1158/0008-5472.sabcs12-p5-18-21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Lapatinib (L), a dual kinase inhibitor of epidermal growth factor receptor and ErbB2, is effective in the treatment of ErbB2+ MBC in combination with capecitabine (C) following progression after trastuzumab, anthracyclines, and taxanes. Vinorelbine (V) is an important chemotherapy option in MBC, and multiple Phase II trials have been conducted in combination with trastuzumab. This randomized, open-label, multicenter, Phase II study (LAP112620, VITAL) evaluated the efficacy and safety of L with either V or C in women with ErbB2+ MBC.
Methods: Patients with MBC who had received ≤1 chemotherapy regimen in the metastatic setting were randomized 2:1 to either L 1250 mg orally once daily (QD) continuously plus V 20 mg/m2 intravenously on Days 1 and 8, every third week, or L 1250 mg orally QD continuously plus C 2000 mg/m2/day orally in 2 doses 12 hours apart on Days 1–14 every third week. Patients were stratified by prior receipt of therapy for MBC (Y/N) and site of metastatic disease (visceral/soft tissue or bone-only). The primary endpoint of progression-free survival (PFS) was assessed once all subjects had been followed for a minimum of 6 months or had otherwise progressed, died or withdrawn, if sooner. The primary focus was to evaluate PFS in the L plus V arm with a descriptive intent only. Other endpoints included overall response rate, overall survival, and safety. Patients progressing on one treatment arm were given the option of crossing over to the other arm.
Results: 112 patients were randomized. The results and conclusions sections will be updated once the primary analysis has been completed in September 2012.
ClinicalTrials.gov - NCT01013740
Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P5-18-21.
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Affiliation(s)
- W Janni
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - T Sarosiek
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - J Pikiel
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - B Karaszewska
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - E Staroslawska
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - C Salat
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - C Caglevic
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - P Potemski
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - E Brain
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - K Briggs
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - M de Silvio
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - F Sapunar
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
| | - C Papadimitriou
- Klinikum der Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Germany; Centrum Medyczne Ostrobramska, NZOZ Magodent, Warsaw, Poland; Wojewodzkie Centrum Onkologii, Centrum Badan Klinicznych, Gdansk, Poland; Przychodnia Lekarska NZOZ “KOMED”, Konin, Poland; Centrum Onkologii Ziemii Lubelskiej, Lublin, Poland; Hämato-Onkologische Gemeinschaftspraxis, München, Germany; Mariano Sanchez Fontecilla, Las Condes, Chile; Wojewodzki Szpital Specjalistyczny, Kopernika, Poland; Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; GlaxoSmithKline Oncology, Uxbridge, Middlesex, United Kingdom; GlaxoSmithKline Oncology, Collegeville, PA; Therapeutic Clinic, General Hospital of Athens, Greece
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Tsoukalas N, Tryfonopoulos D, Lypas G, Papadimitriou C, Pistamalntzian N, Panopoulos C, Demiri S, Koumakis G, Barbounis V, Efremidis A. 135 Preliminary Results of a Medical Unit for Prevention-consultation of Familial and Hereditary Breast Cancer. Eur J Cancer 2012. [DOI: 10.1016/s0959-8049(12)70203-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Tsoukalas N, Tryfonopoulos D, Lypas G, Papadimitriou C, Pistamalntzian N, Panopoulos C, Demiri S, Koumakis G, Barbounis V, Efremidis A. 134 Clinical and Histological Features of Breast Cancer After in Vitro Fertilization. Eur J Cancer 2012. [DOI: 10.1016/s0959-8049(12)70202-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Pistamaltzian NF, Tzavara C, Papadimitriou C, Gyftaki R, Tryfonopoulos D, Panopoulos C, Tsoukalas N, Koumakis G, Demiri S, Koufopoulos N, Misitzis Y, Apostolikas N, Efremidis A. P4-11-15: Increased Propability of Triple Negative Breast Cancer (TNBC) in Premenopausal Patients after Exogenous Hormonal Intake (EHI). Cancer Res 2011. [DOI: 10.1158/0008-5472.sabcs11-p4-11-15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Purpose: HRT is a known risk factor for breast cancer (BC) among post-menopausal women. Our knowledge in relation to EHI (estrogens and/or progestin) and BC among pre-menopausal women is scarce. We have studied whether previous EHI influences BC phenotype, clinical and pathologic characteristics and correlation with other known BC risk factors.
Patients and methods: A prospective analysis (data recorded upon patients first presentation) of an electronic database at a tertiary cancer centre was performed. Patients’ demographics, risk factors for BC (smoking, alcohol use, obesity, family history), clinical profile, EHI parameters (duration, cause) and the tumors’ histopathology (type, grade,ER/PgR and HER2 by IHC and FISH) were analyzed. Premenopausal patients without an EHI history consisted control group.
Results: Out of 938 patients treated for BC between 2006 and 2010, 333(35,5%) were premenopausal and 131(39%) of them reported any use of hormones. Median age was identical (43 years,range:20–57) among premenopausal patients with and without EHI history. Mean duration of use was 28 months (range:1–180). Causes of EHI were contraception (35%), pregnancy(17%), menstrual abnormalities(17%) and medically assisted fertilization(17%). Smoking, alcohol use and obesity didn't differ among two groups. Family history for BC was more common (31, 3% vs. 22,8%, p=0,08)among women with EHI. No correlation was found among duration of use and the time of cancer diagnosis, while the mean time from the cessation of hormones to cancer diagnosis was 13 years(range:1–32). Only 18% of breast cancers were diagnosed within the first 5 years after exogenous hormones cessation.
TNBC was found to be significantly increased among premenopausal women with a history for EHI (23,6% vs. 13,4%, p=0,016). This increase was independent of the existence of positive family history for BC (p=0,61). EHI conferred a twofold increase in the risk for a TNBC (OR=1,99 p=0,019). No other clinical or histopathologic parameter showed any difference among the two groups.
Conclusion: Prior use of exogenous hormones, for any cause and irrespective of the coexistence of other risk factors and family history, increases the probability of a triple negative breast cancer diagnosis by twofold. Whether this represents a trend of a changing epidemiology in the types of BC in prior hormone users vs. nonusers, poses an extremely challenging hypothesis to be verified in large epidemiologic studies — given the young age and the treating difficulties of this patient population.
Citation Information: Cancer Res 2011;71(24 Suppl):Abstract nr P4-11-15.
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Affiliation(s)
- NF Pistamaltzian
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - C Tzavara
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - C Papadimitriou
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - R Gyftaki
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - D Tryfonopoulos
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - C Panopoulos
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - N Tsoukalas
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - G Koumakis
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - S Demiri
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - N Koufopoulos
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - Y Misitzis
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - N Apostolikas
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
| | - A Efremidis
- 1Agios Savvas Cancer Hospital of Athens, Athens, Greece; University of Athens, Athens, Greece
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Fountzilas G, Bobos M, Papadimitriou C, Gogas H, Linardou H, Kalogeras K, Pectasides D, Skarlos P, Koutras A, Dafni U. 5178 POSTER Response of Immunohistochemically (IHC) Defined Breast Cancer Sub-types to Dose-dense Sequential Adjuvant Chemotherapy. Pooled Analysis of Two Randomized Hellenic Cooperative Oncology Group (HeCOG) Phase III Trials. Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)71620-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Pallis A, Briasoulis E, Linardou H, Papadimitriou C, Bafaloukos D, Kosmidis P, Murray S. Mechanisms of resistance to epidermal growth factor receptor tyrosine kinase inhibitors in patients with advanced non-small-cell lung cancer: clinical and molecular considerations. Curr Med Chem 2011; 18:1613-28. [PMID: 21428885 DOI: 10.2174/092986711795471383] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2010] [Accepted: 03/16/2011] [Indexed: 11/22/2022]
Abstract
Non-Small-Cell Lung Cancer (NSCLC) with somatic mutations of the epidermal growth factor receptor (EGFR) is anticipated to respond to small-molecule tyrosine kinase inhibitors (TKIs) of the EGFR tyrosine kinase. There are, however, patients with EGFR mutated tumors who do not demonstrate tumor response. The most widely accepted mechanism of 'de novo' (inherent) resistance to these TKIs involves mutations of the KRAS gene. KRAS is a downstream mediator of EGFR-induced cell signaling, such mutations appear to be mutually exclusive from EGFR mutations in lung cancer. The first molecular modifier of resistance identified in patients who developed resistance (termed 'acquired resistance') to TK inhibition was a new acquired somatic EGFR mutation (T790M). Today there is an ever-growing series of molecular events that have recently come to the forefront to explain other instances of TKI resistance not attributable to T790M or KRAS. These include a number of molecules that interact with EGFR or form part of its downstream signaling pathway such as HER-2, IGFR-1, MET and B-RAF. Considering that the majority of studies carried out to date with respect to the identification of resistant clones have not used highly sensitive techniques (e.g. allelic discrimination to identify somatic mutations), coupled with the relatively low number of studies examining multiple molecular markers and the accepted molecular heterogeneity of NSCLC raise question as to the existence of 'acquired' versus 'de-novo' resistance. By examining the current knowledge base with respect to mechanisms of resistance to EGFR TKIs in NSCLC, we explore whether 'acquired' resistance is 'de-novo' resistance in disguise, and discuss the promises and limitations of molecular stratification with respect to strategies incorporating TKIs in the treatment of NSCLC.
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Affiliation(s)
- A Pallis
- Department of Medical Oncology, University General Hospital of Heraklion, Crete, Greece
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Zagouri F, Sergentanis T, Nonni A, Chrysikos D, Bletsa G, Flessas I, Lymperi M, Papadimitriou C, Dimopoulos AM, Zografos G. P115 Decreased Hsp90 expression in the continuum of breast lobular lesions. Breast 2011. [DOI: 10.1016/s0960-9776(11)70059-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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Dimitrakakis C, Tsigginou A, Zagouri F, Sergentanis T, Marinopoulos S, Papadimitriou C, Dimopoulos AM, Zografos G, Antsaklis A. P154 Diagnosis of breast cancer during pregnancy: A five year experience. Breast 2011. [DOI: 10.1016/s0960-9776(11)70097-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Avraam K, Pavlakis K, Papadimitriou C, Vrekoussis T, Panoskaltsis T, Messini I, Patsouris E. The prognostic and predictive value of ERCC-1, p53, bcl-2 and bax in epithelial ovarian cancer. EUR J GYNAECOL ONCOL 2011; 32:516-520. [PMID: 22053665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
AIM To evaluate the expression of ERCC-1 in patients with epithelial ovarian cancer (EOC) and to correlate it with the expression of p53, bcl-2 and bax. MATERIALS AND METHODS Tumor samples from 60 patients with EOC were immunohistochemically investigated for the expression of ERCC1, p53, bcl-2 and bax. RESULTS ERCC-1 expression was significantly decreased in serous and endometrioid compared to clear cell carcinomas. P53 expression was significantly increased in serous compared to clear cell carcinomas. Bax expression was significantly increased in serous carcinomas as compared to MMTs. High disease stage was correlated with low ERCC-1 and high bcl-2 expression. ERCC-1 expression was associated with increased disease-free interval. CONCLUSION ERCC-1 status seems to be correlated with disease-free interval, stage and tumor histologic subtype in patients with EOC. Nevertheless, our results indicate that single-gene expressions may be unreliable and thus caution is needed when used as potential prognostic or predictive markers.
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Affiliation(s)
- K Avraam
- First Department of Pathology, Medical School, University of Athens, Greece
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Pistamaltzian NF, Papadimitriou C, Panopoulos C, Koumakis G, Demiri S, Tsoukalas N, Yannoukakos D, Apostolikas N, Panagopoulos E, Efremidis A. Abstract P6-10-06: Metachronous Contralateral Breast Cancer (CBC) Has More Aggressive Biology and Clinical Characteristics Compared to Synchronous Bilateral Breast Cancer (BBC). Cancer Res 2010. [DOI: 10.1158/0008-5472.sabcs10-p6-10-06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Purpose: Bilateral breast cancer is an uncommon clinical entity. There is no specific treatment strategy and controversial issues concerning diagnostic criteria, management and classification exist.
Method: In order to address some of these issues, a prospective analysis (data recorded upon patients first presentation) of an electronic breast cancer database at a tertiary cancer centre was performed. Patients’ epidemiologic characteristics, clinical profile, genomic analysis information and the tumours’ histopathology were analyzed.
Results: Out of 900 patients treated for breast cancer between 2006 and 2009, 44 diagnosed with bilateral disease (5% of total)having a median age of 53 years(range 32-73). 16 of them (36%)suffered from synchronous disease and 28 (64%)from metachronous { >3 months apart between the initial diagnosis and subsequent contralateral breast tumour).
Genetic analysis revealed 3 patients with inherited breast cancer syndromes (2 with BRCA1 and one with CDH-1 mutation). Among those with synchronous BBC 63% (10/16)were postmenopausal, 50% (8/16)had a positive family history for breast cancer and upon initial diagnosis 80% (13/16)of them presented with early stage disease (stages I,II).Contralateral disease was diagnosed incidentally. In contrast to these patients with synchronous BBC,57% of the patients (16/28)with metachronous CBC were premenopausal and 68% (19/28)had advanced disease (stages III,IV) upon the second diagnosis. Etrogens’ use didn't differ among the two groups, obesity was more common in patients with metachronous CBC, and smoking in the synchronous BBC patients.
Of the 88 tumours, 81(92%) were invasive, with ductal adenoCa being the more common (53% of specimens).
Of synchronous BBC tumours 12/16 (75%)were HR+ positive and 80%(13/16) expressed the same biologic features bilaterally. Of the metachronous tumours, upon initial diagnosis,26% were triple negative and only 7% were found with HER2 amplification, compared with 41% and 26% respectively in the second diagnosis. Conclusions: Synchronous BBC is less prevalent than Metachronous CBC, has more favourable characteristics (earlier stage at diagnosis, hormonal receptor positivity), and occurs mainly among postmenopausal women with positive family history.
Metachronous CBC is more common in premenopausal women and has a tendency to change its biological and clinical characteristics to a more aggressive phenotype (triple negative, HER2 amplification) between initial and latter diagnosis.
If this phenomenon is a result of previously given chemo/radio-therapy or it reperesents the natural evolution to a second primary, remains a challenging question to be answered.
Citation Information: Cancer Res 2010;70(24 Suppl):Abstract nr P6-10-06.
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Affiliation(s)
- NF Pistamaltzian
- Agios Savvas Cancer Hospital, Athens, Greece; NSCR Demokritos, Athens, Greece
| | - C Papadimitriou
- Agios Savvas Cancer Hospital, Athens, Greece; NSCR Demokritos, Athens, Greece
| | - C Panopoulos
- Agios Savvas Cancer Hospital, Athens, Greece; NSCR Demokritos, Athens, Greece
| | - G Koumakis
- Agios Savvas Cancer Hospital, Athens, Greece; NSCR Demokritos, Athens, Greece
| | - S Demiri
- Agios Savvas Cancer Hospital, Athens, Greece; NSCR Demokritos, Athens, Greece
| | - N Tsoukalas
- Agios Savvas Cancer Hospital, Athens, Greece; NSCR Demokritos, Athens, Greece
| | - D Yannoukakos
- Agios Savvas Cancer Hospital, Athens, Greece; NSCR Demokritos, Athens, Greece
| | - N Apostolikas
- Agios Savvas Cancer Hospital, Athens, Greece; NSCR Demokritos, Athens, Greece
| | - E Panagopoulos
- Agios Savvas Cancer Hospital, Athens, Greece; NSCR Demokritos, Athens, Greece
| | - A. Efremidis
- Agios Savvas Cancer Hospital, Athens, Greece; NSCR Demokritos, Athens, Greece
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Tryfonopoulos D, Christakou H, Rapti V, Kontou N, Panopoulos C, Koumakis G, Demiri S, Papadimitriou C, Missitzis I, Apostolikas N, Efremidis A. Abstract PD09-02: Prognostic Effect of Obesity on Breast Cancer. Cancer Res 2010. [DOI: 10.1158/0008-5472.sabcs10-pd09-02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Body mass index (BMI), prior estrogen use, and family history have been described as risk factors for invasive breast cancer. Our purpose was to investigate the influence of obesity on established prognostic pathologic and molecular characteristics of breast cancer. Material and methods: Five-hundred and twelve female consecutive breast cancer patients of mean age 53±11 years were included in this study. Data were recorded in a prospective electronic databank upon first presentation. Risk factors (BMI, family history, prior estrogen use, menopausal status, parity, metabolic syndrome, smoking, alcohol, hypertension, hyperlipidaemia and diabetes) as well as histologic characteristics (TNM, nodal status, grade, LVI) and tumor phenotype (ER, PR, Cerb-B2) were obtained. Patients with a BMI<27 were considered of normal weight whereas patients with a BMI≥27 were considered as obese. Univariate and logistic regression analysis were performed. Results: The 2 groups did not differ for age (p=ns). Patients with a BMI≥27 were more frequently node positive, had a higher incidence of grade 3, LVI positive tumors and had more often a positive family history of breast cancer (P<0.05). On the contrary, patients with a BMI<27 reported more frequently prior estrogen use and were more commonly nulliparous (P<0.05). Regression analysis confirmed that in patients with BMI<27 age and menopausal status were associated with node positive disease, independently of tumor phenotype, grade, LVI, family history, estrogen use and parity (0.951, 95%CI 0.91-0.99 and 3.232, 95%CI 1.2-8.5). Using the same analysis, in patients with BMI≥27 LVI was associated with node positive disease, independently of all other factors (5.253, 95%CI 1.1-26.9).
Discussion: Different risk factors appear to influence lean and obese breast cancer patients. Patients with BMI<27 more frequently have a history of estrogen use and nulliparity. Age and menopausal status are independently associated with node + disease in lean patients. Obese patients (BMI>27) have more frequently positive family history and more aggressive histology (node +, grade 3, LVI+). LVI in obese patients appears to be independently associated with node + disease.
Citation Information: Cancer Res 2010;70(24 Suppl):Abstract nr PD09-02.
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Affiliation(s)
| | - H Christakou
- St Savvas Anticancer Oncology Hospital, Athens, Greece
| | - V Rapti
- St Savvas Anticancer Oncology Hospital, Athens, Greece
| | - N Kontou
- St Savvas Anticancer Oncology Hospital, Athens, Greece
| | - C Panopoulos
- St Savvas Anticancer Oncology Hospital, Athens, Greece
| | - G Koumakis
- St Savvas Anticancer Oncology Hospital, Athens, Greece
| | - S Demiri
- St Savvas Anticancer Oncology Hospital, Athens, Greece
| | | | - I Missitzis
- St Savvas Anticancer Oncology Hospital, Athens, Greece
| | - N Apostolikas
- St Savvas Anticancer Oncology Hospital, Athens, Greece
| | - A. Efremidis
- St Savvas Anticancer Oncology Hospital, Athens, Greece
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Papadimitriou C, Kourea H, Papazisis K, Christodoulou C, Res E, Papakostas P, Petraki K, Bafaloukos D, Razis E, Fountzilas G. Abstract P2-09-18: High VEGFR1 and VEGFR3 Protein Expression Is Associated with Improved Response to the Combination of Paclitaxel (P) and Bevacizumab (Bev) Therapy in Patients with HER2-Negative Metastatic Breast Cancer (MBC). Cancer Res 2010. [DOI: 10.1158/0008-5472.sabcs10-p2-09-18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Treatment with weekly P and 2-weekly Bev has been established as an active 1st line treatment in patients with MBC. However, robust predictive or prognostic biomarkers for this treatment have not been identified as yet.
Patients and Methods: In this retrospective analysis, we evaluated the activity of this combination in patients with HER2-negative MBC. Further, we explored the role of a panel of biomarkers on patients’ outcome. VEGF-A, VEGF-C, VEGFR1, VEGFR2, and VEGFR3 were centrally assessed by immunohistochemistry (IHC) in 70 tissue blocks. P was administered either weekly 90 mg/m2 x12 with 2-weekly Bev 10 µg/kg (86 patients) or 3-weekly 175 mg/m2 x6 with 3-weekly Bev 15µg/kg (38 patients). Bev was administered until progression in the majority of the patients.
Results: The ORR did not differ significantly between the weekly or 3-weekly P schedule (55.8% vs 55.3%). In contrast to the published literature with P monotherapy, median PFS was significantly longer in the 3-weekly compared to the weekly P schedule (20.4 months vs 10.2 months, p=0.029). Median survival has not been reached yet. 2-year survival was 76.1% and 67.3%, respectively (p=0.085). High VEGFR1 and VEGFR3 protein expression, assessed by IHC, was associated with higher response rates (p=0.010 and p=0.039, respectively).
Conclusions: This retrospective analysis confirmed the activity of P and Bev in patients with HER2-negative MBC. Protein expression of VEGFR1 and VEGFR3 was found to be of predictive value. These findings need to be validated in a larger cohort of patients treated with this combination. VEGF polymorphisms (VEGF-2578 and VEGF-1154) are currently assessed in peripheral blood DNA from our patients for possible predictive value.
Citation Information: Cancer Res 2010;70(24 Suppl):Abstract nr P2-09-18.
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Affiliation(s)
| | - H Kourea
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - K Papazisis
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | | | - E Res
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - P Papakostas
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - K Petraki
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - D Bafaloukos
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - E Razis
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
| | - G. Fountzilas
- Hellenic Cooperative Oncology Group (HeCOG), Athens, Greece
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Ihnen M, Wirtz RM, Kalogeras KT, Milde-Langosch K, Schmidt M, Witzel I, Eleftheraki AG, Papadimitriou C, Jänicke F, Briassoulis E, Pectasides D, Rody A, Fountzilas G, Müller V. Combination of osteopontin and activated leukocyte cell adhesion molecule as potent prognostic discriminators in HER2- and ER-negative breast cancer. Br J Cancer 2010; 103:1048-56. [PMID: 20736952 PMCID: PMC2965857 DOI: 10.1038/sj.bjc.6605840] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND To analyse the discriminative impact of osteopontin (OPN) and activated leukocyte cell adhesion molecule (ALCAM), combined with human epidermal growth factor 2 (HER2) and oestrogen receptor (ER) in breast cancer. METHODS Osteopontin, ALCAM, HER2 and ER mRNA expression in breast cancer tissues of 481 patients were analysed (mRNA microarray analysis, kinetic RT-PCR). Hierarchical clustering was performed in training cohort A (N=100, adjuvant treatment) and validation cohorts B (N=200, no adjuvant treatment, low-risk) and C (N=181, adjuvant treatment, high-risk). RESULTS Negative/low ER and HER2, high OPN and low ALCAM mRNA expression helped to identify patients at particularly high risk, showing shorter DFS, P<0.001, and OAS, P=0.001. Although both validation cohorts showed diverse risk and treatment profiles, this marker constellation was concordantly associated with shorter DFS and OAS (P<0.001 and P=0.075 for cohort B and P=0.043 and P<0.001 for cohort C, respectively). In multivariate analysis, this algorithm was the main independent prognostic factor. Cohort B: DFS, P=0.0065, OAS, not significant; cohort C: DFS, P=0.026, OAS, P<0.001. CONCLUSION Activated leukocyte cell adhesion molecule and OPN mRNA expression has a strong discriminative impact on survival within cancer patients with low or negative expression of ER and HER2, so called 'high-risk' breast cancers, and might help in identifying patients who could benefit from new treatment approaches like targeted therapies in the adjuvant setting.
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Affiliation(s)
- M Ihnen
- Department of Gynecology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, Hamburg D-20246, Germany.
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