CHANGES OF mRNA CASPASE-3 AFTER FIRST CYCLE OF CHEMOTHERAPY AS BIOMARKER ASSOCIATE TO CHEMOTHERAPY NEGATIVE RESPONSE IN LOCALLY ADVANCED BREAST CANCER

  • I. K. Widiana Division of Surgical Oncology, Department of General Surgery, Faculty of Medicine Udayana University/Sanglah General Hospital, Bali-Indonesia
  • I. B. T. Wibawa Manuaba Division of Surgical Oncology, Department of General Surgery, Faculty of Medicine Udayana University/Sanglah General Hospital, Bali-Indonesia
  • K. Siki Kawiyana Division of Orthopaedic and Traumatology, Faculty of Medicine, Udayana University/Sanglah General Hospital, Bali-Indonesia
  • I W. P. Sutirta Yasa Department of Clinical Pathology, Faculty of Medicine Udayana University/Sanglah General Hospital, Bali-Indonesia

Abstract

Background: Problems caused by behaviour of biology molecular in locally advanced breast cancer still unpredictable. This study aims to identify the mRNA caspase-3 as a predictive biomarker associated to chemotherapy sensitivity following neoadjuvant chemotherapy (NAC) in patients with locally advanced breast cancer. Methods: Open biopsy before and core biopsy after first cycle neoadjuvant chemotherapy of 62 locally advanced breast cancer patients was analysed for mRNA caspase-3 by Reverse Transcription - Polymerase Chain Reaction (RT-PCR) and this was correlate with response to NAC using American Joint Committee on Cancer (AJCC) creteria. Results: The total mean of mRNA caspase-3 expression before chemotherapy was 12.51±3.03 and after chemotherapy was 11.64±3.13. Negative response to chemotherapy was 44 (70.96%) and positive response was 18 (29.03%). The result of data with Phi and Cramer’s V analysed showed that decrease of mRNA caspase-3 after chemotherapy first cycle as a risk factor to chemotherapy negative response in patients with locally advanced breast cancer was significantly (p = 0.007). Conclusion: Decrease of mRNA caspase-3 after chemotherapy first cycle correlated with chemotherapy negative response in patients with lacally advanced breast cancer.

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Author Biographies

I. K. Widiana, Division of Surgical Oncology, Department of General Surgery, Faculty of Medicine Udayana University/Sanglah General Hospital, Bali-Indonesia
Division of Surgical Oncology, Department of General Surgery, Faculty of Medicine Udayana University/Sanglah General Hospital, Bali-Indonesia
I. B. T. Wibawa Manuaba, Division of Surgical Oncology, Department of General Surgery, Faculty of Medicine Udayana University/Sanglah General Hospital, Bali-Indonesia
Division of Surgical Oncology, Department of General Surgery, Faculty of Medicine Udayana University/Sanglah General Hospital, Bali-Indonesia
K. Siki Kawiyana, Division of Orthopaedic and Traumatology, Faculty of Medicine, Udayana University/Sanglah General Hospital, Bali-Indonesia
Division of Orthopaedic and Traumatology, Faculty of Medicine, Udayana University/Sanglah General Hospital, Bali-Indonesia
I W. P. Sutirta Yasa, Department of Clinical Pathology, Faculty of Medicine Udayana University/Sanglah General Hospital, Bali-Indonesia
Department of Clinical Pathology, Faculty of Medicine Udayana University/Sanglah General Hospital, Bali-Indonesia
Published
2015-08-17
How to Cite
WIDIANA, I. K. et al. CHANGES OF mRNA CASPASE-3 AFTER FIRST CYCLE OF CHEMOTHERAPY AS BIOMARKER ASSOCIATE TO CHEMOTHERAPY NEGATIVE RESPONSE IN LOCALLY ADVANCED BREAST CANCER. BALI MEDICAL JOURNAL, [S.l.], v. 4, n. 2, aug. 2015. ISSN 2302-2914. Available at: <https://ojs.unud.ac.id/index.php/bmj/article/view/21700>. Date accessed: 13 nov. 2024.
Section
Articles

Keywords

mRNA; caspase-3; neoadjuvant; chemotherapy; locally advanced breast cancer.