Outcomes of triple negative breast cancer in African-Americans vs. Caucasians: a community-based study.

Author(s):  
MM Shah ◽  
JK Patel ◽  
NA Fischbach
2019 ◽  
Author(s):  
Patricia Mendonca ◽  
Ainsley Horton ◽  
David Bauer ◽  
Samia Messeha ◽  
Karam F.A. Soliman

AbstractBreast cancer drug resistance is the leading cause of cancer-related mortality in women, and triple negative breast cancer (TNBC) is the most aggressive subtype, affecting African American women more aggressively compared to Caucasians. Of all cancer-related deaths, 15 to 20% are associated with inflammation, where proinflammatory cytokines have been implicated in the tumorigenesis process. The current study investigated the effects of the polyphenolic compound butein (2′,3,4,4′-tetrahydroxychalcone) in cell proliferation and survival, as well as its modulatory effect on the release of proinflammatory cytokines in MDA-MB-231 (Caucasian) and MDA-MB-468 (African American) TNBC cell. Results showed that butein decreased cell viability in a time and dose-dependent manner and after 72-h of treatment, cell proliferation rate was reduced in both cell lines. In addition, butein presented higher potency in MDA-MB-468, exhibiting anti-proliferative effects in lower concentrations. Apoptosis assays demonstrated that butein increased apoptotic cells in MDA MB-468, showing 90% of the analyzed cells in the apoptotic phase, compared to 54% in MDA-MB-231 cells. Additionally, butein downregulated both, protein and mRNA expression of CCL2 proinflammatory cytokine and IKBKE in Caucasian cells, but not in African Americans. This study demonstrates butein potential in cancer suppression showing a higher cytotoxic, anti-proliferative, and apoptotic effects in African Americans, compared to Caucasians TNBC cells. It also reveals the butein inhibitory effect on CCL2 expression with a possible association with IKBKE downregulation in MDA-MB-231 cells only, indicating that Caucasians and African Americans TNBC cells respond differently to butein treatment. The obtained findings may provide an explanation regarding the poor response to therapy in African American patients with advance TNBC.


2016 ◽  
Vol 161 (3) ◽  
pp. 491-499 ◽  
Author(s):  
Foluso O. Ademuyiwa ◽  
Yu Tao ◽  
Jingqin Luo ◽  
Katherine Weilbaecher ◽  
Cynthia X. Ma

Planta Medica ◽  
2015 ◽  
Vol 81 (11) ◽  
Author(s):  
AJ Robles ◽  
L Du ◽  
S Cai ◽  
RH Cichewicz ◽  
SL Mooberry

2020 ◽  
pp. 75-80
Author(s):  
S.A. Lyalkin ◽  
◽  
L.A. Syvak ◽  
N.O. Verevkina ◽  
◽  
...  

The objective: was to evaluate the efficacy of the first line chemotherapy in patients with metastatic triple negative breast cancer (TNBC). Materials and methods. Open randomized study was performed including 122 patients with metastatic TNBC. The efficacy and safety of the first line chemotherapy of regimens АТ (n=59) – group 1, patients received doxorubicine 60 мг/м2 and paclitaxel 175 мг/м2 and ТР (n=63) – group 2, patients received paclitaxel 175 мг/м2 and carboplatin AUC 5 were evaluated. Results. The median duration of response was 9.5 months (4.5–13.25 months) in patients received AT regimen and 8.5 months (4.7–12.25 months), in TP regimen; no statistically significant differences were observed, р=0.836. The median progression free survival was 7 months (95% CI 5–26 months) in group 1 and 7.5 months (95% CI 6–35 months) in group 2, p=0.85. Both chemotherapy regimens (AT and TP) had mild or moderate toxicity profiles (grade 1 or 2 in most patients). No significant difference in gastrointestinal toxicity was observed. The incidence of grade 3–4 neutropenia was higher in patients of group 2 (TP regimen): 42.8% versus 27% (р<0.05). Conclusions. Both regimens of chemotherapy (AT and TP) are appropriate to use in the first line setting in patients with metastatic TNBC. Key words: metastatic triple negative breast cancer, chemotherapy, progression free survival, chemotherapy toxicity.


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