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dc.creatorVici, P
dc.creatorSperati, F
dc.creatorMaugeri-Saccà, M
dc.creatorMelucci, E
dc.creatorBenedetto, AD
dc.creatorLauro, LD
dc.creatorPizzuti, L
dc.creatorSergi, D
dc.creatorTerrenato, I
dc.creatorEsposito, L
dc.creatorIannuzzi, CA
dc.creatorPasquale, R
dc.creatorBotti, C
dc.creatorFuhrman, B
dc.creatorGiordano, A
dc.creatorMottolese, M
dc.creatorBarba, M
dc.date.accessioned2021-01-31T17:45:15Z
dc.date.available2021-01-31T17:45:15Z
dc.date.issued2014-01-01
dc.identifier.issn1949-2553
dc.identifier.issn1949-2553
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/5311
dc.identifier.other25071015 (pubmed)
dc.identifier.urihttp://hdl.handle.net/20.500.12613/5329
dc.description.abstractMounting evidence supports the role of p53 in metabolic processes involved in breast carcinogenesis. We investigated whether p53 status affects the association of pre-treatment fasting glucose with treatment outcomes in 106 non diabetic, HER2 positive breast cancer patients treated with trastuzumab. p53 status was validated against gene sequencing of selected codons in 49 patients. The Kaplan-Meier method and log rank test were used to compare survival by categories of fasting glucose in the overall population and separate settings. Cox models included age and body mass index. Direct sequencing confirmed the lack of mutations in 73.7% of p53 negative patients and their presence in 53.3% of p53 positive cases. At 66 months, 88.3% of patients with glucose ≤ 89.0 mg/dl (median value) did not experiment disease progression compared with 70.0% in the highest category (p=0.034), with glucose being an independent predictor (p=0.046). Stratified analysis confirmed this association in p53 negative patients only (p=0.01). In the early setting, data suggested longer disease free survival in p53 negative patients in the lowest glucose category (p=0.053). In our study, p53 status acted as effect modifier of the investigated association. This may help differentiate target sub-groups and affect outcomes interpretation in similarly characterized patients.
dc.format.extent10382-10392
dc.language.isoen
dc.relation.haspartOncotarget
dc.relation.isreferencedbyImpact Journals, LLC
dc.rightsCC BY
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/
dc.subjectp53 status
dc.subjectfasting glucose
dc.subjectHER2 positive breast cancer
dc.subjecttrastuzumab
dc.titlep53 status as effect modifier of the association between pre-treatment fasting glucose and breast cancer outcomes in non diabetic, HER2 positive patients treated with trastuzumab
dc.typeArticle
dc.type.genreJournal Article
dc.relation.doi10.18632/oncotarget.2060
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.creator.orcidGiordano, Antonio|0000-0002-5959-016X
dc.date.updated2021-01-31T17:45:11Z
refterms.dateFOA2021-01-31T17:45:15Z


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