Pooled analysis of prognostic impact of uPA and PAI-1 in breast cancer patients

Maxime P. Look, Wim Van Putten, Michael Duffy, Nadia Harbeck, Ib Jarle Christensen, Christoph Thomssen, Ronald Kates, Frédérique Spyratos, Mårten Fernö, Serenella Eppenberger-Castori, C. G.J.Fred Sweep, Kurt Ulm, Jean Philippe Peyrat, Pierre Marie Martin, Henri Magdelenat, Nils Brünner, Catherine Duggan, Björn W. Lisboa, Pär Ola Bendah, Véronique QuillienAlain Daver, Gabriel Ricolleau, Marion Meijer-Van Gelder, Peggy Manders, W. Edward Fiets, Marinus Blankenstein, Philippe Broët, Sylvie Romain, Günther Daxenbichler, Gudrun Windbichler, Tanja Cufer, Simona Borstnar, Willy Kueng, Louk Beex, Jan Klijn, Nial O'Higgins, Urs Eppenberger, Fritz Jänicke, Manfred Schmitt, John Foekens

Research output: Contribution to journalArticlepeer-review

51 Scopus citations

Abstract

In this report we present an extension of the pooled analysis of the prognostic impact of urokinase-type plasminogen activator (uPA) and its inhibitor PAI-1 in breast cancer patients. We analyzed a different endpoint, metastasis-free survival (MFS). We checked the consistency of the estimates for uPA and PAI-1 for relapse-free survival (RFS) and NFS exploring possible sources of heterogeneity. Nodal status, the most important prognostic factor for breast cancer, introduced heterogeneity in the uPA/PAI-1 survival analyses, reflecting the interaction between nodal status and uPA/PAl-1. The estimates for uPA and PAI-1 were found to be consistent, even when a different transformation of their values was used. The heterogeneity of the separate data sets decreased if the levels of uPA and PAI-1 were ranked, data sets were pooled, and the analyses corrected for the base model that included all traditional prognostic factors, and stratified by data set. We conclude that uPA and PAI-1 are ready to be used in the clinic to help classify breast cancer patients into high and low risk groups.

Original languageEnglish
Pages (from-to)538-548
Number of pages11
JournalThrombosis and Haemostasis
Volume90
Issue number3
DOIs
StatePublished - 1 Sep 2003

Keywords

  • Breast cancer
  • PAI-1
  • Pooled-analysis
  • Prognosis
  • uPA

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