Prognostic and predictive impact of soluble epidermal growth factor receptor (sEGFR) protein in the serum of patients treated with chemotherapy for metastatic breast cancer.

作者: Isabell Witzel , Klaus Pantel , Rainer Neumann , Volkmar Müller , Fritz Jänicke

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摘要: Background: A soluble fragment of the epidermal growth factor receptor (EGFR) extracellular domain (sEGFR) can be detected in serum cancer patients, but role sEGFR is still unclear. Materials and Methods: Blood samples from patients receiving chemotherapy for metastatic breast were collected before (n=101) after 3 courses therapy (n=39). Levels HER-2/neu (ECD) determined by standardized ELISA. Results: higher percentage (15%) showed values below 45ng/mL compared with control subjects (3%, p 15 ng/mL) also a shorter overall survival than those normal both parameters (7.1 versus 15.4 months, p=0.03). Again, this difference was estrogen receptor-positive tumors (4.6 month, p<0.0001). During treatment, decrease levels occurred 74.4% (p=0.014). Conclusion: Low are associated survival, particularly tumors. Chemotherapy frequently

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