© 2001 by Oxford University Press
Journal of the National Cancer Institute, Vol. 93, No. 4, 309-314,
February 21, 2001
© 2001 Oxford University Press
REPORT |
Levels of Hypoxia-Inducible Factor-1
During Breast Carcinogenesis
Affiliations of authors: R. Bos, E. C. M. Mommers, P. J. van Diest (Department of Pathology), H. M. Pinedo, E. van der Wall (Department of Medical Oncology), Free University Hospital, Amsterdam, The Netherlands; H. Zhong, J. W. Simons, Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA; C. F. Hanrahan (Brady Urological Institute), G. L. Semenza (Departments of Pediatrics and Medicine, Institute of Genetic Medicine), M. D. Abeloff (Oncology Center), The Johns Hopkins University School of Medicine, Baltimore, MD.
Correspondence to: Elsken van der Wall, M.D., Ph.D., Department of Medical Oncology, Free University Hospital, P.O. Box 7057, NL-1007 MB Amsterdam, The Netherlands (e-mail: e.vanderwall{at}azvu.nl).
Background: Hypoxia-inducible factor-1 (HIF-1) is a transcription factor that regulates gene expression in critical pathways involved in tumor growth and metastases. In this report, we investigated whether the level of HIF-1
is increased during carcinogenesis in breast tissue and is associated with other tumor biomarkers. Methods: Paraffin-embedded clinical specimens from five pathologic stages of breast tumorigenesis and from normal breast tissue were used. HIF-1
protein and the biomarkers vascular endothelial growth factor (VEGF), HER-2/neu, p53, Ki-67, and estrogen receptor (ER) were identified immunohistochemically, and microvessel density (a measure of angiogenesis) was determined. Associations among levels of HIF-1
and these biomarkers were tested statistically. All statistical tests are two-sided. Results: The frequency of HIF-1
-positive cells in a specimen increased with the specimen's pathologic stage (P<.001,
2 test for trend) as follows: normal breast tissue (0 specimens with
1% HIF-1
-positive cells in 10 specimens tested), ductal hyperplastic lesions (0 in 10), well-differentiated ductal carcinomas in situ (DCIS) (11 in 20), well-differentiated invasive breast cancers (12 in 20), poorly differentiated DCIS (17 in 20), and poorly differentiated invasive carcinomas (20 in 20). Increased levels of HIF-1
were statistically significantly associated with high proliferation and increased expression of VEGF and ER proteins. In DCIS lesions, increased levels of HIF-1
were statistically significantly associated with increased microvessel density. HIF-1
showed a borderline association with HER-2/neu but no association with p53. Conclusions: The level of HIF-1
increases as the pathologic stage increases and is higher in poorly differentiated lesions than in the corresponding type of well-differentiated lesions. Increased levels of HIF-1
are associated with increased proliferation and increased expression of ER and VEGF. Thus, increased levels of HIF-1
are potentially associated with more aggressive tumors.
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K. Ozaki, J. K. Haseman, J. R. Hailey, R. R. Maronpot, and A. Nyska Association of Adrenal Pheochromocytoma and Lung Pathology in Inhalation Studies with Particulate Compounds in the Male F344 Rat--The National Toxicology Program Experience Toxicol Pathol, February 1, 2002; 30(2): 263 - 270. [Abstract] [PDF] |
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R. Bos, J. J.M. van der Hoeven, E. van der Wall, P. van der Groep, P. J. van Diest, E. F.I. Comans, U. Joshi, G. L. Semenza, O. S. Hoekstra, A. A. Lammertsma, et al. Biologic Correlates of 18Fluorodeoxyglucose Uptake in Human Breast Cancer Measured by Positron Emission Tomography J. Clin. Oncol., January 15, 2002; 20(2): 379 - 387. [Abstract] [Full Text] [PDF] |
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R. Bos, P. J. van Diest, and E. van der Wall RESPONSE: Re: Levels of Hypoxia-Inducible Factor-1{alpha} During Breast Carcinogenesis J Natl Cancer Inst, August 1, 2001; 93(15): 1177 - 1177. [Full Text] [PDF] |
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