1. The expression of progesterone receptors coincides with an arrest of DNA synthesis in human breast cancer
- Author
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Ballare, C., Bravo, A.I., Sorin, I., Guman, N., Schiaffi, J.A., Yomha, R., Bagnati, A., Lema, B., and Mordoh, J.
- Subjects
Progesterone -- Receptors ,Breast cancer -- Physiological aspects ,Hormone receptors -- Physiological aspects ,Chemotherapy -- Evaluation ,Estrogen -- Receptors ,Hormone therapy -- Evaluation ,Health - Abstract
Hormonal therapy is effective in only one third of breast cancer patients. Research has demonstrated that the response to hormonal therapy is largely determined by the presence of hormone receptors on the breast cancer cells. In tumor tissue that lacks both estrogen and progesterone receptors, the response rate is about 10 percent. For tumors that are estrogen receptor-positive, but lack the progesterone receptor, the response rate is about 30 percent. When both estrogen and progesterone receptors are present, the response rate jumps to 80 percent. There are too few patients with cells positive for only the progesterone receptor to draw any conclusions about such cells. It is clear, however, that the progesterone receptor is an important determinant of response to hormonal treatment. Varying hypotheses have been put forward to explain the variations of receptor expression and the variations of response to antiestrogen treatment. However, it has been observed clinically that if a patient with estrogen receptor-positive cells relapses after treatment, the cells still express estrogen receptor. The authors suggest that this supports the notion that the original tumor cells lack both receptors, but in the course of tumor growth some cells differentiate to express the estrogen receptor first, and then both progesterone and estrogen receptors. To examine this idea, researchers attempted to correlate the proliferative capacity of breast cancer cells with the expression of hormone receptors. It was found that the cell populations that expressed neither receptor incorporated more radioactive thymidine, indicating a higher rate of DNA synthesis. Cells that possessed the progesterone receptor had a thymidine labelling index of 0.21, while the cells that lacked the progesterone receptor had a thymidine labelling index over four times greater, at 0.94. The indices of cells with and without the estrogen receptor were intermediate at 0.53 and 0.74, respectively. These results indicate that the expression of progesterone receptors is associated with a reduction in DNA synthesis and therefore a reduction in proliferation. The results also suggest that the population of cells expressing the estrogen receptor is different from, but overlaps with, the population of cells expressing the progesterone receptor. (Consumer Summary produced by Reliance Medical Information, Inc.)
- Published
- 1991