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자료유형
학술저널
저자정보
고은별 (한국원자력의학원) 성민기 (한국원자력의학원) 최향석 (한국원자력의학원) 박찬섭 (한국원자력의학원) 최지혜 (한국원자력의학원) 이진경 (한국원자력의학원) 설혜실 (한국원자력의학원) 김현아 (한국원자력의학원) 노우철 (한국원자력의학원)
저널정보
한국유방암학회 Journal of Breast Disease Journal of Breast Disease 제5권 제2호
발행연도
2017.12
수록면
57 - 63 (7page)

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Purpose: The 40S ribosomal protein S6 kinase-1 (S6K1) is a crucial downstream effector of the PI3K/AKT/mTOR pathway. S6K1 overexpression is found in 10% to 30% of breast cancers and is associated with aggressive disease and poor prognosis. Herein, we investigated the relationship between the expression of phosphorylated S6K1 (p-S6K1) and efficacy of lapatinib in patients with human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer. Methods: We retrospectively analyzed the data of 36 patients with HER2-positive metastatic breast cancer treated with lapatinib between January 2010 and September 2014. The p-S6K1 expression status of the primary tumor was assessed via immunohistochemistry using a mouse monoclonal antibody. Results: Fourteen of the 36 patients (38.9%) had p-S6K1-positive tumors. The median progression-free survival (PFS) of patients with p-S6K1-positive tumors was significantly longer than that of patients with p-S6K1-negative tumors (13.4 months vs. 7.1 months, p=0.025). In multivariate analysis, p-S6K1 positivity remained an independent, favorable predictive factor for PFS (hazard ratio, 0.32; 95% confidence interval, 0.11?0.97; p=0.044). Conclusion: The high expression of p-S6K1 was significantly associated with prolonged PFS, suggesting that p-S6K1 can be a potential biomarker for predicting the efficacy of lapatinib in patients with HER2-positive metastatic breast cancer.

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