Abstract

In contemporary oncology practice, an urgent need remains to refine the prognostic assessment of breast cancer. It is still difficult to identify patients with early breast cancer who are likely to benefit from adjuvant chemotherapy. Although invasion of cancer cells is the main prognostic denominator in tumor malignancy, our molecular understanding and diagnosis are often inadequate to cope with this activity. Therefore, deciphering molecular pathways of how tumors invade and metastasize may help in the identification of a useful prognostic marker. We recently discovered that the secretory small GTPase Rab27B, a regulator of vesicle exocytosis, delivers proinvasive signals for increased invasiveness, tumor size, and metastasis of various estrogen receptor (ER)-positive breast cancer cell lines, both in vitro and in vivo. In human breast cancer specimens, the presence of Rab27B protein proved to be associated with a low degree of differentiation and the presence of lymph node metastasis in ER-positive breast cancer.

Highlights

  • Breast cancer remains a top-priority in health care

  • Estrogen receptor (ER)-positive breast cancers, which comprise the majority of breast malignancies, carry a better prognosis for disease-free survival and overall survival than ER-negative breast cancers

  • Time-dependent tumor characteristics currently used in the clinic such as tumor size and lymph node status are generally less developed in early breast cancer and may be less declarative of risk

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Summary

Introduction

Breast cancer remains a top-priority in health care. The world-wide number of new cases was estimated 1,15 million for 2002, only surpassed by lung cancer when taking both sexes together. Rab27B-mediated vesicle transport regulates breast cancer cell growth and invasion We demonstrated that Rab27B regulates invasive tumor growth and metastasis of ER-positive MCF-7, T47D and ZR75.1 breast cancer cells using complementary cell culture and xenograft mouse models [3].

Results
Conclusion
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