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Performing Data Mining And Integrative Analysis Of Biomarker in Breast Cancer Using Multiple Publicly Accessible Databases
Published on: May 17, 2019
GSK3β and cyclin D1 expression predicts outcome in early breast cancer patients
Mary Anne Quintayo1, Alison F Munro, Jeremy Thomas
1Endocrine Cancer Group, Edinburgh University, Edinburgh, UK.
Abstract:
Glycogen synthase kinase 3β (GSK3β) is phosphorylated and inactivated by the phosphoinositide 3 kinase PI3K/Akt pathway. Activation of Akt phosphorylates GSK3β preventing phosphorylation of cyclin D1 which leads to accumulation and nuclear localisation of cyclin D1, activation of CDK4/6 and cell cycle progression. The CCND1 gene found at chromosome 11q13 has been shown to be amplified in approximately 15 % of breast cancers. Cyclin D1, the product of the CCND1 gene, is one of the most commonly overexpressed proteins in breast cancer. Protein expression for GSK3β, phosphorylated-GSK3β (p-GSK3β), cyclin D1 and gene expression of CCND1 were examined in tissue microarrays of 1,686 patients from the Edinburgh Breast Conservation Series. High GSK3β expression was associated with reduced distant relapse-free survival (DRFS), while no association between p-GSK3β and breast cancer-specific survival was seen. CCND1 amplification is also associated with poor DRFS. On the contrary, cyclin D1 overexpression is associated with an increase in DRFS. Multivariate analysis was performed. We suggest that analysis of both GSK3β and cyclin D1 expressions can be considered as a marker of good prognosis in early breast cancer.
Insights
High GSK3β expression indicates poor breast cancer survival, while cyclin D1 overexpression suggests a good prognosis. Analyzing both may predict outcomes in early breast cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Glycogen synthase kinase 3β (GSK3β) is inactivated by the PI3K/Akt pathway, affecting cell cycle regulators like cyclin D1.
- The CCND1 gene, encoding cyclin D1, is frequently amplified in breast cancer, where cyclin D1 is often overexpressed.
Purpose of the Study:
- To investigate the prognostic significance of GSK3β and cyclin D1 expression and CCND1 gene amplification in early breast cancer.
- To determine the association of these markers with distant relapse-free survival (DRFS) and breast cancer-specific survival.
Main Methods:
- Protein expression of GSK3β, phosphorylated-GSK3β (p-GSK3β), and cyclin D1 was analyzed.
- CCND1 gene expression was examined using tissue microarrays from 1,686 early breast cancer patients.
- Statistical analysis, including multivariate analysis, was performed to assess survival outcomes.
Main Results:
- High GSK3β expression correlated with reduced DRFS.
- No significant association was found between p-GSK3β and breast cancer-specific survival.
- CCND1 amplification was linked to poor DRFS, whereas cyclin D1 overexpression was associated with increased DRFS.
Conclusions:
- GSK3β and cyclin D1 expression levels may serve as valuable prognostic markers in early breast cancer.
- Combined analysis of GSK3β and cyclin D1 offers potential for improved prognostic assessment.
- Understanding the interplay between GSK3β, cyclin D1, and breast cancer progression is crucial for therapeutic strategies.
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