Differential biological significance of tissue-type and urokinase-type plasminogen activator in human breast cancer
1993

The Role of Plasminogen Activators in Breast Cancer

Sample size: 144 publication Evidence: moderate

Author Information

Author(s): J. Yamashita, M. Ogawa, S. Yamashita, Y. Nakashima, T. Saishoji, K. Nomura, K. Inada, I. Kawano

Primary Institution: Kumamoto University Medical School

Hypothesis

Is plasminogen activator related to the postoperative clinical course of human breast cancer?

Conclusion

The study suggests that low t-PA activity is associated with a poorer prognosis in breast cancer patients.

Supporting Evidence

  • Total PA activity was significantly lower in patients with metastases compared to those who were disease-free.
  • t-PA activity was found to be an independent prognostic factor for relapse-free survival.
  • Patients with only-bone metastases had significantly less t-PA antigen level in their primary breast tumors than those with metastases to other organs.
  • u-PA activity was significantly higher in node-positive patients than in node-negative patients.

Takeaway

This study looked at how certain proteins in breast cancer tissues can help predict if a patient will have a good or bad outcome after surgery.

Methodology

The study analyzed tissue extracts from 144 breast cancer specimens to measure total PA activity, t-PA activity, u-PA activity, and immunoreactive t-PA.

Limitations

The study is retrospective and may be limited by the small number of patients in some groups.

Participant Demographics

Patients who underwent curative mastectomy at Kumamoto University Hospital between 1981 and 1986.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.01

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