A Preliminary Study of CA15-3, c-erbB-2, Epidermal Growth Factor Receptor, Cathepsin-D, and p53 in Saliva Among Women with Breast Carcinoma

Abstract A panel of markers used to aid in the diagnosis and treatment of breast cancer was examined in the saliva of a cohort of healthy women, women with benign lesions of the breast, and women with diagnosed breast cancer. We found recognized tumor markers c-erbB-2 (erb), cancer antigen 15-3 (CA15-3), and tumor suppressor oncogene protein 53 (p53) in the saliva of all three groups of women. The levels of erb and CA15-3 in the cancer patients evaluated, however, were significantly higher than the salivary levels of healthy control subjects and benign tumor patients. Conversely, pantropic p53 levels were higher in control subjects compared with those women with breast cancer and those with benign tumors. Although cathepsin-D and epidermal growth factor receptor were detected, they did not demonstrate any clear correlation with disease status. The results of the pilot suggest that these markers have potential use in initial detection and/or follow-up screening for the detection of breast cancer in women.

[1]  B. Sonies,et al.  Xerostomia: evaluation of a symptom with increasing significance. , 1985, Journal of the American Dental Association.

[2]  Healthy people 2000: national health promotion and disease prevention objectives and healthy schools. , 1991, The Journal of school health.

[3]  W. Grizzle Biomarkers--the new frontier in the pathology of invasive and preinvasive neoplasias. , 1997, Biotechnic & histochemistry : official publication of the Biological Stain Commission.

[4]  B. Baum,et al.  How Much Saliva is Enough , 1991 .

[5]  L. Demers,et al.  Serial serum c‐erbB‐2 levels in patients with breast carcinoma , 1996, Cancer.

[6]  M. Conte [Screening of cancer of the breast]. , 1992, Annales de chirurgie plastique et esthetique.

[7]  E. Kawasaki,et al.  Accumulation of p53 tumor suppressor gene protein: an independent marker of prognosis in breast cancers. , 1992, Journal of the National Cancer Institute.

[8]  U. Manne,et al.  The use of biomarker expression to characterize neoplastic processes. , 1997, Biotechnic & histochemistry : official publication of the Biological Stain Commission.

[9]  J L Kelsey,et al.  Breast cancer: magnitude of the problem and descriptive epidemiology. , 1993, Epidemiologic reviews.

[10]  C. Christensen,et al.  A Comparison of Whole Mouth Resting and Stimulated Salivary Measurement Procedures , 1982, Journal of dental research.

[11]  D. Sidransky,et al.  Gene mutations in saliva as molecular markers for head and neck squamous cell carcinomas. , 1994, American journal of surgery.

[12]  M. Taubman,et al.  Immunoglobulin Isotypes in Human Minor Gland Saliva , 1991, Journal of dental research.

[13]  J. Sterne,et al.  Detection of high-risk groups and individuals for periodontal diseases: laboratory markers from analysis of saliva. , 1989, Journal of clinical periodontology.

[14]  P. Fox,et al.  A Method for Measuring the Flow of Saliva from the Minor Salivary Glands , 1990, Journal of dental research.

[15]  B. J. Baum,et al.  Basic Biological Sciences Unstimulated and Stimulated Parotid Salivary Flow Rate in Individuals of Different Ages , 1984, Journal of dental research.

[16]  A. Stoddard,et al.  Breast cancer screening by mammography: utilization and associated factors. , 1989, American journal of public health.

[17]  I D Mandel,et al.  The diagnostic uses of saliva. , 1990, Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology.