Prognostic value of follistatin-like 3 in human invasive breast cancer

dc.creatorHenrique Couto
dc.creatorMarcelo Buzelin
dc.creatorNivaldo Toppa
dc.creatorEnrrico Bloise
dc.creatorAlberto Wainstein
dc.creatorFernando Marcos Dos Reis
dc.date.accessioned2023-10-05T23:00:34Z
dc.date.accessioned2025-09-08T23:54:23Z
dc.date.available2023-10-05T23:00:34Z
dc.date.issued2017
dc.identifier.doihttps://doi.org/10.18632/oncotarget.15026
dc.identifier.issn1949-2553
dc.identifier.urihttps://hdl.handle.net/1843/59238
dc.languagepor
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofOncotarget
dc.rightsAcesso Aberto
dc.subjectCâncer de mama
dc.subject.otherFSTL3
dc.subject.otherFLRG
dc.subject.otherFollistatin
dc.subject.otherActivin
dc.subject.otherBreast cancer
dc.titlePrognostic value of follistatin-like 3 in human invasive breast cancer
dc.typeArtigo de periódico
local.citation.epage42197
local.citation.spage42189
local.citation.volume8
local.description.resumoFollistatin-like 3 (FSTL3) binds and inactivates activin, a growth factor involved with cell growth and differentiation. We have previously shown FSTL3 overexpression in invasive breast cancers, but its clinical relevance remained unexplored. Here we evaluate FSTL3 as a prognostic tool and its relation with clinical and pathological features of breast cancer. A cohort of 154 women diagnosed with invasive breast cancer between 2008 and 2012 was followed up for 5 years. Tumor samples were processed by immunohistochemistry to detect FSTL3 expression in tumor epithelium. FSTL3 expression was classified semiquantitatively and tested for possible correlation with age, menopause status, stage, tumor histological type and grade, estrogen receptor, progesterone receptor, and HER2 expression. Survival plots with Kaplan-Mayer statistics were used to assess whether FSTL3 expression predicted disease-free survival. Our findings show that FSTL3 staining was unrelated to menopausal status, histological type, disease stage, or receptor profile. However, the intensity of FSTL3 immunostaining correlated inversely with tumor size (r = -0.366, p<0.001) and with nuclear grade (p<0.01). The intensity of FSTL3 expression in the tumoral epithelium was not predictive of the disease-free survival (p = 0.991, log-rank test), even though the follow-up length and the study size were sufficient to detect a significant reduction in disease-free survival among women with stage III-IV compared to stage I-II disease (p<0.001). FSTL3 expression in invasive breast cancer is inversely associated with tumor size and nuclear grade but it does not predict disease relapse in the short term.
local.identifier.orcidhttps://orcid.org/0000-0002-0873-8160
local.identifier.orcidhttps://orcid.org/0000-0002-8442-8797
local.identifier.orcidhttps://orcid.org/0000-0001-7972-720X
local.identifier.orcidhttps://orcid.org/0000-0003-0275-8686
local.identifier.orcidhttps://orcid.org/0000-0002-8227-7972
local.publisher.countryBrasil
local.publisher.departmentICB - DEPARTAMENTO DE MORFOLOGIA
local.publisher.departmentMED - DEPARTAMENTO DE GINECOLOGIA OBSTETRÍCIA
local.publisher.initialsUFMG
local.url.externahttps://www.oncotarget.com/article/15026/text/

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