title: The prognostic value of the topographic distribution of uPAR expression in invasive breast carcinomas.
abstract: uPA system plays an important role in cancer invasion and metastasis. The binding of uPA to its receptor, uPAR, is necessary for the activation of uPA system. We studied by immunohistochemistry the distribution pattern of uPAR on 173 paraffin-embedded samples of invasive breast carcinomas in relation to clinicopathologic data and patients' survival. uPAR was detected in both the malignant and stromal cells in the 68.8 and 74.6% of the cases, respectively. uPAR of cancerous cells was more often observed in lobular carcinomas (P=0.012). Stromal expression of uPAR was inversely associated with ER of the tumor (P=0.044) and was found to be an independent prognosticator of patients' shortened relapse-free survival (P=0.018). These results suggest that stromal uPAR influences more directly tumor behaviour, being related to an aggressive tumor phenotype and patients' poor relapse-free survival.
authors.affiliation: Department of Pathology, Medical School, National and Kapodistrian University of Athens, Mikras Asias 75, Goudi, 115 27 Athens, Greece.
authors.forename: I
authors.initials: I
authors.lastname: Giannopoulou
authors.forename: E
authors.initials: E
authors.lastname: Mylona
authors.forename: A
authors.initials: A
authors.lastname: Kapranou
authors.forename: J
authors.initials: J
authors.lastname: Mavrommatis
authors.forename: S
authors.initials: S
authors.lastname: Markaki
authors.forename: Ch
authors.initials: Ch
authors.lastname: Zoumbouli
authors.forename: A
authors.initials: A
authors.lastname: Keramopoulos
authors.forename: L
authors.initials: L
authors.lastname: Nakopoulou
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000378:metabolism / Q000473:pathology*; D018270:Carcinoma, Ductal, Breast / Q000378:metabolism / Q000473:pathology; D018275:Carcinoma, Lobular / Q000378:metabolism / Q000473:pathology; D003593:Cytoplasm / Q000378:metabolism; D005260:Female; D006801:Humans; D007150:Immunohistochemistry / Q000706:statistics & numerical data; D053208:Kaplan-Meier Estimate; D008875:Middle Aged; D015999:Multivariate Analysis; D009361:Neoplasm Invasiveness; D011379:Prognosis; D016016:Proportional Hazards Models; D011956:Receptors, Cell Surface / Q000096:biosynthesis*; D011960:Receptors, Estrogen / Q000032:analysis; D011980:Receptors, Progesterone / Q000032:analysis; D055293:Receptors, Urokinase Plasminogen Activator
chemical_list: C524898:PLAUR protein, human; D011956:Receptors, Cell Surface; D011960:Receptors, Estrogen; D011980:Receptors, Progesterone; D055293:Receptors, Urokinase Plasminogen Activator