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  1. Article ; Online: Flap fixation in preventing seroma formation after mastectomy: an updated meta-analysis.

    Velotti, Nunzio / Limite, Gennaro / Vitiello, Antonio / Berardi, Giovanna / Musella, Mario

    Updates in surgery

    2021  Volume 73, Issue 4, Page(s) 1307–1314

    Abstract: Seroma formation following mastectomy is one of the most experienced complications, with a very variable incidence ranging from 3 to 90%. In recent years, many publications have been realized to define an effective technique to prevent its formation and ... ...

    Abstract Seroma formation following mastectomy is one of the most experienced complications, with a very variable incidence ranging from 3 to 90%. In recent years, many publications have been realized to define an effective technique to prevent its formation and several approaches have been proposed. Given the potential of flap fixation in reducing seroma formation, we performed a meta-analysis of the literature to investigate the role of this approach as definitive gold standard in mastectomy surgery. Inclusion criteria regarded all studies reporting on breast cancer patients undergoing mastectomy with or without axillary lymph node dissection; studies that compared mastectomy with flap fixation to mastectomy without flap fixation were selected. Papers were eligible for inclusion if outcome was described in terms of seroma formation. As secondary outcome, also surgical site infection (SSI) was evaluated. The included studies were 12, involving 1887 female patients: 221/986 (22.41%) patients experienced seroma formation after flap fixation and 393/901 (43.61%) patients had this complication not receiving flap fixation, with a significant statistical difference between the two groups (OR = 0.267, p = 0.001, 95% CI 0.153, 0.464). About, SSI 59/686 (8.6%) in flap fixation group and 67/686 (9.7%) in patients without flap fixation, with no statistical differences between groups (OR = 0.59, p = 0.056, 95% CI 0.344, 1.013).The heterogeneity between included studies does not allow us to reach definitive conclusions but only to suggest the strong evaluation of this approach after mastectomy in seroma preventing and SSI reduction.
    MeSH term(s) Breast Neoplasms/surgery ; Drainage ; Female ; Humans ; Lymph Node Excision ; Mastectomy ; Postoperative Complications/prevention & control ; Seroma/epidemiology ; Seroma/etiology ; Seroma/prevention & control ; Surgical Flaps
    Language English
    Publishing date 2021-04-22
    Publishing country Italy
    Document type Journal Article ; Meta-Analysis ; Review
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-021-01049-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The role of MRI in predicting Ki-67 in breast cancer: preliminary results from a prospective study.

    Caiazzo, Corrado / Di Micco, Rosa / Esposito, Emanuela / Sollazzo, Viviana / Cervotti, Maria / Varelli, Carlo / Forestieri, Pietro / Limite, Gennaro

    Tumori

    2018  Volume 104, Issue 6, Page(s) 438–443

    Abstract: Purpose: In the last decade contrast-enhanced magnetic resonance imaging (MRI) has gained a growing role as a complementary tool for breast cancer diagnosis. Currently the relationship between the kinetic features of a breast lesion and pathologic ... ...

    Abstract Purpose: In the last decade contrast-enhanced magnetic resonance imaging (MRI) has gained a growing role as a complementary tool for breast cancer diagnosis. Currently the relationship between the kinetic features of a breast lesion and pathologic prognostic factors has become a popular field of research. Our aim is to verify whether breast MRI could be considered a useful tool to predict Ki-67 score, thus resulting as a breast cancer prognosis indicator.
    Methods: From June to December 2014, we enrolled patients with breast cancer who underwent preoperative dynamic contrast-enhanced MRI at the local health agency. We analyzed the time-signal intensity curves calculating the mean values of the following parameters: the basal enhancement (E
    Results: A total of 27 patients underwent breast MRI during the study period. The mean ± SD Ki-67 percentage was 27.03 ± 16.8; the mean E
    Conclusions: Our preliminary data suggest that enhancement pattern is closely linked to breast cancer proliferation, thus proving the relationship between more proliferating tumors and more rapidly enhanced lesions. This is hypothesis-generating for further studies aimed at promoting breast MRI in the early estimation of cancer prognosis and tumor in vivo response to chemotherapy.
    MeSH term(s) Adult ; Aged ; Breast/metabolism ; Breast/pathology ; Breast Neoplasms/diagnosis ; Breast Neoplasms/metabolism ; Breast Neoplasms/pathology ; Contrast Media/metabolism ; Female ; Humans ; Ki-67 Antigen/metabolism ; Magnetic Resonance Imaging/methods ; Middle Aged ; Prognosis ; Prospective Studies
    Chemical Substances Contrast Media ; Ki-67 Antigen
    Language English
    Publishing date 2018-05-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 280962-x
    ISSN 2038-2529 ; 0300-8916
    ISSN (online) 2038-2529
    ISSN 0300-8916
    DOI 10.5301/tj.5000619
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Palbociclib added to ongoing endocrine therapy for hormone receptor-positive HER2-negative metastatic breast cancer: A case report series.

    Schettini, Francesco / Santo, Irene De / Rea, Carmen G / Viggiani, Martina / Buono, Giuseppe / Angelis, Carmine De / Cardalesi, Cinzia / Lauria, Rossella / Giuliano, Mario / Forestieri, Valeria / Thomas, Guglielmo / Maione, Pierfrancesco / Limite, Gennaro / Accurso, Antonello / Malorni, Luca / Placido, Sabino De / Arpino, Grazia

    Molecular and clinical oncology

    2020  Volume 12, Issue 5, Page(s) 456–460

    Abstract: Palbociclib is a potent cyclin-dependent kinase (CDK)4/6 inhibitor that disrupts cell cycle progression and has been recently approved in combination with an aromatase inhibitor or fulvestrant as first- and second-line treatment in hormone receptor (HR) ...

    Abstract Palbociclib is a potent cyclin-dependent kinase (CDK)4/6 inhibitor that disrupts cell cycle progression and has been recently approved in combination with an aromatase inhibitor or fulvestrant as first- and second-line treatment in hormone receptor (HR)
    Language English
    Publishing date 2020-03-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 2796865-0
    ISSN 2049-9469 ; 2049-9450
    ISSN (online) 2049-9469
    ISSN 2049-9450
    DOI 10.3892/mco.2020.2016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Long-term cultures of stem/progenitor cells from lobular and ductal breast carcinomas under non-adherent conditions

    Nardone, Agostina / Corvigno, Sara / Brescia, Annalisa / D'Andrea, Daniel / Limite, Gennaro / Veneziani, Bianca Maria

    Cytotechnology. 2011 Jan., v. 63, no. 1

    2011  

    Abstract: A small subpopulation of stem/progenitor cells can give rise to the diversity of differentiated cells that comprise the bulk of the tumor. Are proliferating cells, within the bulk of tumor, few cells with uncommon features? The cell biological approach ... ...

    Abstract A small subpopulation of stem/progenitor cells can give rise to the diversity of differentiated cells that comprise the bulk of the tumor. Are proliferating cells, within the bulk of tumor, few cells with uncommon features? The cell biological approach provides a limitless model for studying the hierarchical organization of progenitor subpopulation and identifying potential therapeutic targets. Aim of the study was to expand patients' breast cancer cells for evaluating functional cell properties, and to characterize the protein expression profile of selected cells to be compared with that of primary tumors. Breast cancer cells from estrogen receptor (ERα) positive, HER2 negative lobular (LoBS cells) and ductal (DuBS cells) histotype were cultured under non-adherent conditions to form mammospheres. Sorting of the cells by their surface expression of CD24 and CD44 gave rise to subpopulations which were propagated, enriched and characterized for the expression of epithelial and stromal markers. We found that non-adherent culture conditions generate mammospheres of slowly proliferating cells; single cells, dissociated from mammospheres, grow in soft agar; long-term cultured LoBS and DuBS cells, CD44+/CD24low, express cytokeratin 5 (CK5), α-smooth muscle actin (α-sma) and vimentin, known as markers of basal/myoepithelial cells; and ERα (only DuBS cells), HER1 (EGF-Receptor), activated HER2, and cyclinD1 as markers of luminal epithelial cell. Isolates of cells from breast cancer patients may be a tool for a marker-driven testing of targeted therapies.
    Language English
    Dates of publication 2011-01
    Size p. 67-80.
    Publisher Springer Netherlands
    Publishing place Dordrecht
    Document type Article
    ZDB-ID 1035772-5
    ISSN 0920-9069
    ISSN 0920-9069
    DOI 10.1007/s10616-010-9328-3
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: Adrenocortical carcinoma: what the surgeon needs to know. Case report and literature review.

    Benassai, Giacomo / Desiato, Vincenzo / Benassai, Gianluca / Bianco, Tommaso / Sivero, Luigi / Compagna, Rita / Vigliotti, Gabriele / Limite, Gennaro / Amato, Bruno / Quarto, Gennaro

    International journal of surgery (London, England)

    2014  Volume 12 Suppl 1, Page(s) S22–8

    Abstract: Adrenocortical carcinoma is a rare and aggressive cancer and its prognosis is frequently unsatisfactory. Due to its rarity there's a lack of prospective randomized studies. Without experience in the approach of this kind of tumor, managing becomes ... ...

    Abstract Adrenocortical carcinoma is a rare and aggressive cancer and its prognosis is frequently unsatisfactory. Due to its rarity there's a lack of prospective randomized studies. Without experience in the approach of this kind of tumor, managing becomes challenging and, moreover, we have only few recommendations, based on weak evidence. We report a case that has some peculiarities and is an excellent food for thought. Then we deal with a literature review to highlight and summarize most significant aspects of epidemiology, clinic, diagnosis, therapy and prognosis in an exquisitely surgical point of view.
    MeSH term(s) Adrenal Cortex Neoplasms/diagnosis ; Adrenal Cortex Neoplasms/pathology ; Adrenal Cortex Neoplasms/surgery ; Adrenocortical Carcinoma/diagnosis ; Adrenocortical Carcinoma/pathology ; Adrenocortical Carcinoma/surgery ; Humans ; Male ; Middle Aged ; Neoplasm Staging ; Prognosis ; Prospective Studies
    Language English
    Publishing date 2014
    Publishing country England
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2014.05.030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Clinically cN0 breast cancer in elderly: what surgery?

    Limite, Gennaro / Di Micco, Rosa / Sollazzo, Viviana / Esposito, Emanuela / Cervotti, Maria / Compagna, Rita / De Werra, Carlo / Amato, Bruno / Forestieri, Pietro

    International journal of surgery (London, England)

    2014  Volume 12 Suppl 2, Page(s) S130–S134

    Abstract: Introduction: Breast carcinoma is the most common cancer in women worldwide. The incidence increases with age. Elderly patients have more advanced disease than younger ones, but they have a more favorable biologic tumor profile overall. The management ... ...

    Abstract Introduction: Breast carcinoma is the most common cancer in women worldwide. The incidence increases with age. Elderly patients have more advanced disease than younger ones, but they have a more favorable biologic tumor profile overall. The management of breast cancer in elderly is controversial. We report our experience with breast cancer in older than 65 years in the last 5 years, in order to assess how many axillary dissection may have been avoided, according to disease free survival (DFS) and overall survival (OS).
    Materials and methods: We enrolled in our retrospective study all over 65 year old patients referred to the Breast Unit of our Department of Clinical Medicine and Surgery at the University of Naples Federico II from January 2009 to December 2013. The end points were: evaluation of the rate of axillary treatment avoidable, DFS and OS.
    Results: We recruited 133 over 65 year old patients. Axillary lymph node was not palpable in 109 patients. The rate of involved axillae in patients without palpable nodes treated was 11.8%. The mean follow up was 35.7 months. At the time of data collection 3 patients had developed IBTR. No one had axillary recurrence, independently from the chosen treatment. 2 patients died for causes different from breast cancer.
    Conclusion: DFS and OS are the same both in patients with treated and no treated axilla. Even if evidences about the treatment of breast cancer in elderly are still controversial, each patient deserves a multidisciplinary approach to discuss the best treatment option.
    MeSH term(s) Aged ; Aged, 80 and over ; Axilla ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery ; Carcinoma, Ductal, Breast/pathology ; Carcinoma, Ductal, Breast/surgery ; Carcinoma, Lobular/pathology ; Carcinoma, Lobular/surgery ; Disease-Free Survival ; Female ; Humans ; Lymph Node Excision ; Lymph Nodes/pathology ; Neoplasm Recurrence, Local ; Neoplasm Staging ; Physical Examination ; Retrospective Studies
    Language English
    Publishing date 2014
    Publishing country England
    Document type Journal Article
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2014.08.364
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Neuroendocrine differentiation in breast carcinoma with osteoclast-like giant cells. Report of a case and review of the literature.

    Cozzolino, Immmacolata / Ciancia, Giuseppe / Limite, Gennaro / Di Micco, Rosa / Varone, Valeria / Cortese, Antonio / Vatrella, Alessandro / Di Crescenzo, Vincenzo / Zeppa, Pio

    International journal of surgery (London, England)

    2014  Volume 12 Suppl 2, Page(s) S8–S11

    Abstract: Osteoclast-like giant cells (OGCs) may occur in several types of breast carcinomas (BS). Neuroendocrine differentiation may be present in BS but, associated with OGCs, neuroendocrine differentiation has been rarely reported. A case of invasive ductal ... ...

    Abstract Osteoclast-like giant cells (OGCs) may occur in several types of breast carcinomas (BS). Neuroendocrine differentiation may be present in BS but, associated with OGCs, neuroendocrine differentiation has been rarely reported. A case of invasive ductal carcinoma with OGCs and neuroendocrine differentiation diagnosed by fine needle cytology (FNC) is described. A 72-year-old woman with a nodular lesion of the right breast underwent to fine-needle cytology (FNC) The smears showed a dissociated cell population of monomorphous, mononucleated atypical cells with interspersed multinucleated giant cells osteoclast-like. The mononuclear cell component showed plasmacytoid features and frequent vacuoles of secretion. Immunostaining (IHC) performed on cell block sections showed oestrogen receptor positivity in the mononucleated cells and OGCs positivity for LCA and CD68. Histologically the tumour showed cell nests or cords separated by thin fibrovascular septa. The neoplastic cells were monomorphic, with round-oval nuclei, granular chromatin and evident nucleoli. The cytoplasm was indistinct and eosinophilic, finely granular, often containing eosinophilic globules that were positive at the PAS and mucicarmine stainings. Numerous non-neoplastic OGCs were also detected in the interstitial septa. The ICH showed positivity of the tumoral cells for E-Cadherin, oestrogen and progesterone receptors and c-ErbB2 negativity. Mitotic index was inconspicuous with a low Ki67 positivity rate (<10%). OCGs were CD68 and LCA positive. IHC also showed strong positivity for the chromogranin and synaptophysin. A diagnosis of invasive ductal BC with OGCs and neuroendocrine differentiation was performed. The expression of chromogranin and synaptophysin was then retrospectively assessed on CB sections too. The identification of OGCs component on breast FNA samples is not difficult, depending on a good sampling only. On contrary, the neuroendocrine differentiation still represents still a challenge in breast FNC.
    MeSH term(s) Aged ; Antigens, CD/metabolism ; Antigens, Differentiation, Myelomonocytic/metabolism ; Biopsy, Fine-Needle ; Breast Neoplasms/metabolism ; Breast Neoplasms/pathology ; Carcinoma, Ductal, Breast/metabolism ; Carcinoma, Ductal, Breast/pathology ; Carcinoma, Neuroendocrine/metabolism ; Carcinoma, Neuroendocrine/pathology ; Cell Differentiation ; Female ; Giant Cells/metabolism ; Giant Cells/pathology ; Humans ; Osteoclasts/metabolism ; Osteoclasts/pathology ; Retrospective Studies
    Chemical Substances Antigens, CD ; Antigens, Differentiation, Myelomonocytic ; CD68 antigen, human
    Language English
    Publishing date 2014
    Publishing country England
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2014.08.392
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Venous anomalies of the axilla: a single-institution experience.

    Sollazzo, Viviana / Luglio, Gaetano / Esposito, Emanuela / Di Micco, Rosa / Giglio, Mariano Cesare / Peltrini, Roberto / Schettino, Pietro / Amato, Bruno / De Palma, Giovanni Domenico / Limite, Gennaro

    Aging clinical and experimental research

    2017  Volume 29, Issue Suppl 1, Page(s) 139–142

    Abstract: Aim: Surgical treatment is still the cornerstone in the treatment of breast cancer, a very common neoplasia, particularly affecting the female elderly population. Axillary dissection is crucial in the treatment of some tumours, but variations in ... ...

    Abstract Aim: Surgical treatment is still the cornerstone in the treatment of breast cancer, a very common neoplasia, particularly affecting the female elderly population. Axillary dissection is crucial in the treatment of some tumours, but variations in axillary vessels anatomy are poorly described in standard anatomy and surgical textbook. We aimed to describe anatomical variations in axillary vessels found in our institutional experience.
    Patients and methods: A prospective 3-year study was conducted in our institution from January 2012 to December 2014. Sixty-one consecutive axillary lymph node dissections (ALNDs) were performed in 61 patients who underwent surgery for stage II and III invasive breast cancer. Anatomical details of axillary vascular anatomy and its variations have been evaluated, described and stored in a prospective database.
    Results: Sixty-one ALNDs have been performed in the study period. The anatomy of lateral thoracic vein, angular vein and axillary vein was studied and compared with standard anatomical description. Eighteen percentage of venous variations were found out of the 61 dissection performed.
    Conclusions: Vascular anatomy of axilla is complex and variable. A better knowledge of all possible variations might be helpful in preventing injuries during ALND.
    MeSH term(s) Aged ; Axilla/blood supply ; Axilla/pathology ; Axillary Vein/abnormalities ; Axillary Vein/pathology ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery ; Female ; Humans ; Intraoperative Complications/prevention & control ; Lymph Node Excision/adverse effects ; Lymph Node Excision/methods ; Lymphatic Metastasis ; Mastectomy/methods ; Middle Aged ; Neoplasm Staging ; Prospective Studies ; Vascular Malformations/diagnostic imaging ; Vascular Malformations/pathology ; Vascular System Injuries/etiology ; Vascular System Injuries/prevention & control
    Language English
    Publishing date 2017-02
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2104785-6
    ISSN 1720-8319 ; 1594-0667
    ISSN (online) 1720-8319
    ISSN 1594-0667
    DOI 10.1007/s40520-016-0673-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Combined inhibitory effect of formestane and herceptin on a subpopulation of CD44+/CD24low breast cancer cells.

    Cavaliere, Carla / Corvigno, Sara / Galgani, Mario / Limite, Gennaro / Nardone, Agostina / Veneziani, Bianca Maria

    Cancer science

    2010  Volume 101, Issue 7, Page(s) 1661–1669

    Abstract: In breast cancer, stromal cells surrounding cancer epithelial cells can influence phenotype by producing paracrine factors. Among many mediators of epithelial-stromal interactions, aromatase activity is perhaps one of the best studied. Clinical data ... ...

    Abstract In breast cancer, stromal cells surrounding cancer epithelial cells can influence phenotype by producing paracrine factors. Among many mediators of epithelial-stromal interactions, aromatase activity is perhaps one of the best studied. Clinical data suggest that estrogen-independent signaling leads to increased proliferation even during therapy with aromatase inhibitors (AIs). Molecular mechanism of crosstalk between the estrogen receptor (ER) and the epidermal growth factor receptor (HER) family have been implicated in resistance to endocrine therapy, but this interaction is unclear. The ability of aromatase to induce estradiol biosynthesis provides a molecular rationale to combine agents that target aromatase activity and the HER pathway. We targeted stromal-epithelial interactions using formestane, which exerts antiaromatase activity, combined with the monoclonal anti-HER2 antibody herceptin, in a subpopulation of CD44+/CD24low cells sorted from epithelial-mesenchymal co-cultures of breast cancer tissues. The growth inhibition was respectively 16% (P < 0.01) in the response to herceptin, 25% to formestane (P < 0.01), and 50% (P < 0.001) with the combination of the two drugs, suggesting that herceptin cooperates with formestane-induced inhibition of aromatase and this effect could be mediated through HER family receptors. In cells which expressed ERalpha, formestane/herceptin combination suppressed the mRNA expression of aromatase and HER2 and decreased cyclin D1 expression. These results show that combination therapies involving AIs and anti-HER2 can be efficacious for the treatment of cancer in experimental models and suggest that subtyping breast tumors gives useful information about response to treatment.
    MeSH term(s) Androstenedione/analogs & derivatives ; Androstenedione/therapeutic use ; Antibodies, Monoclonal/therapeutic use ; Antibodies, Monoclonal, Humanized ; Antineoplastic Agents/therapeutic use ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Aromatase/metabolism ; Aromatase Inhibitors/therapeutic use ; Breast Neoplasms/drug therapy ; Breast Neoplasms/genetics ; Breast Neoplasms/immunology ; Breast Neoplasms/pathology ; CD24 Antigen/genetics ; CD24 Antigen/immunology ; Cell Line, Tumor ; DNA Primers ; Female ; Humans ; Hyaluronan Receptors/genetics ; Hyaluronan Receptors/immunology ; RNA, Neoplasm/genetics ; Receptor Cross-Talk ; Receptor, Epidermal Growth Factor/drug effects ; Receptor, Epidermal Growth Factor/physiology ; Receptors, Estrogen/drug effects ; Receptors, Estrogen/physiology ; Reverse Transcriptase Polymerase Chain Reaction ; Trastuzumab ; Tumor Cells, Cultured
    Chemical Substances Antibodies, Monoclonal ; Antibodies, Monoclonal, Humanized ; Antineoplastic Agents ; Aromatase Inhibitors ; CD24 Antigen ; DNA Primers ; Hyaluronan Receptors ; RNA, Neoplasm ; Receptors, Estrogen ; Androstenedione (409J2J96VR) ; Aromatase (EC 1.14.14.1) ; Receptor, Epidermal Growth Factor (EC 2.7.10.1) ; Trastuzumab (P188ANX8CK) ; formestane (PUB9T8T355)
    Language English
    Publishing date 2010-07
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1349-7006
    ISSN (online) 1349-7006
    DOI 10.1111/j.1349-7006.2010.01593.x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Long-term cultures of stem/progenitor cells from lobular and ductal breast carcinomas under non-adherent conditions.

    Nardone, Agostina / Corvigno, Sara / Brescia, Annalisa / D'Andrea, Daniel / Limite, Gennaro / Veneziani, Bianca Maria

    Cytotechnology

    2010  Volume 63, Issue 1, Page(s) 67–80

    Abstract: A small subpopulation of stem/progenitor cells can give rise to the diversity of differentiated cells that comprise the bulk of the tumor. Are proliferating cells, within the bulk of tumor, few cells with uncommon features? The cell biological approach ... ...

    Abstract A small subpopulation of stem/progenitor cells can give rise to the diversity of differentiated cells that comprise the bulk of the tumor. Are proliferating cells, within the bulk of tumor, few cells with uncommon features? The cell biological approach provides a limitless model for studying the hierarchical organization of progenitor subpopulation and identifying potential therapeutic targets. Aim of the study was to expand patients' breast cancer cells for evaluating functional cell properties, and to characterize the protein expression profile of selected cells to be compared with that of primary tumors. Breast cancer cells from estrogen receptor (ERα) positive, HER2 negative lobular (LoBS cells) and ductal (DuBS cells) histotype were cultured under non-adherent conditions to form mammospheres. Sorting of the cells by their surface expression of CD24 and CD44 gave rise to subpopulations which were propagated, enriched and characterized for the expression of epithelial and stromal markers. We found that non-adherent culture conditions generate mammospheres of slowly proliferating cells; single cells, dissociated from mammospheres, grow in soft agar; long-term cultured LoBS and DuBS cells, CD44+/CD24low, express cytokeratin 5 (CK5), α-smooth muscle actin (α-sma) and vimentin, known as markers of basal/myoepithelial cells; and ERα (only DuBS cells), HER1 (EGF-Receptor), activated HER2, and cyclinD1 as markers of luminal epithelial cell. Isolates of cells from breast cancer patients may be a tool for a marker-driven testing of targeted therapies.
    Language English
    Publishing date 2010-12-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1035772-5
    ISSN 0920-9069
    ISSN 0920-9069
    DOI 10.1007/s10616-010-9328-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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