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Sasaki, H; Yu, CY; Dai, M; Tam, C; Loda, M; Auclair, D; Chen, LB; Elias, A.
Elevated serum periostin levels in patients with bone metastases from breast but not lung cancer.
Breast Cancer Res Treat. 2003; 77(3): 245-252. Doi: 10.1023/A:1021899904332
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Co-Autor*innen der Med Uni Graz
Tam-Amersdorfer Carmen
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Abstract:
Periostin is a recently identified gene that is preferentially expressed in periosteum, indicating a potential role in bone formation and maintenance of structure. We independently identified and isolated periostin from cancer tissue, using the palindromic PCR-driven cDNA Differential Display technique. For the present work, we developed a novel sandwich chemiluminescence assay to detect serum periostin level using newly developed monoclonal and polyclonal antibodies. We investigated serum periostin levels in breast cancer and small cell lung cancer patients, especially in patients with bone metastasis. The study included 58 breast cancer and 44 small cell lung cancer patients. Serum periostin levels were elevated in breast cancer patients presenting with bone metastases (92.0 +/- 28.6 ng/ml) compared to similar breast cancer patients without evidence of bone metastasis (55.0 +/- 16.6 ng/ml, p = 0.04). No correlation was found between the serum periostin level and any other prognostic factors, such as clinical stage and lymph node metastasis in breast cancer. Serum periostin levels thus appear to serve as a marker of bone metastasis from breast cancer. In contrast, serum periostin levels were similar in samples from patients with small cell lung cancer who did or did not have bone metastasis. However, increasing T-stage and N-stage of patients with small cell lung cancer were correlated with higher periostin levels (T4, 126.5 +/- 29.7 ng/ml v.s. T2, 64.9 +/- 16.1 ng/ml, p = 0.03; and T4 v.s. T1, 36.3+/- 7.5 ng/ml, p = 0.01; N3, 108.7 +/- 17.3 ng/ml v.s. N2, 49.7+/- 10.9 ng/ml, p = 0.01). Periostin has a substantial homology with the insect cell adhesion molecule, fasciclin I. Thus, expression of periostin may facilitate tumor cell adhesion to the bone surface. In fact, we found by in situ RNA hybridization, that the periostin gene was highly expressed in the stromal cells immediately surrounding the tumor, but not within the breast cancer cells themselves.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Bone Neoplasms - blood
Breast Neoplasms - blood
Carcinoma, Small Cell - blood
Cell Adhesion Molecules - blood
Chemiluminescent Measurements - blood
Female - blood
Humans - blood
In Situ Hybridization - blood
Lung Neoplasms - blood
Male - blood
Middle Aged - blood
Neoplasm Metastasis - blood
Neoplasm Staging - blood
Polymerase Chain Reaction - blood
Predictive Value of Tests - blood
Tumor Markers, Biological - blood

Find related publications in this database (Keywords)
bone metastasis
cell adhesion
tumor invasion
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