Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
0-107 |
DRI_Background |
denotes |
Effects of a pure antiestrogen on apoptosis and proliferation within human breast ductal carcinoma in situ. |
T2 |
108-212 |
DRI_Background |
denotes |
Adjuvant antiestrogen (AE) therapy has been proposed for all women with ductal carcinoma in situ (DCIS). |
T3 |
213-349 |
DRI_Background |
denotes |
However, many cases of DCIS are of the high-grade, estrogen receptor (ER)-negative subtype that are unlikely to respond to AE treatment. |
T4 |
350-568 |
DRI_Background |
denotes |
Hormonal agents work by increasing apoptosis and/or decreasing cell proliferation; therefore, we studied the effect of a pure AE on levels of apoptosis and proliferation in human DCIS xenografts using an in vivo model. |
T5 |
569-809 |
DRI_Approach |
denotes |
Women (n = 23) with mammographic microcalcification suggestive of DCIS were identified at the time of surgery (day 0), a sample of representative tissue was obtained, divided into multiple 2x2x1-mm xenografts, and implanted s.c. into female |
T6 |
810-822 |
Token_Label.OUTSIDE |
denotes |
BALB/c nu/nu |
T7 |
823-853 |
DRI_Approach |
denotes |
mice (eight xenografts/mouse). |
T8 |
854-921 |
DRI_Background |
denotes |
Day 0 grafts underwent immunohistochemical assessment of ER status. |
T9 |
922-1085 |
DRI_Unspecified |
denotes |
Fourteen days after implantation, four xenografts were retrieved and mice were randomly divided into one of three treatment groups: (a) insertion of a slow release |
T10 |
1086-1107 |
Token_Label.OUTSIDE |
denotes |
2-mg 17beta-estradiol |
T11 |
1108-1243 |
DRI_Unspecified |
denotes |
pellet; (b) weekly 5-mg injections of the pure AE Faslodex (Zeneca Pharmaceuticals); and (c) injections of a control vehicle oil alone. |
T12 |
1244-1333 |
DRI_Background |
denotes |
After 2 weeks of treatment, the remaining four xenografts were retrieved from each mouse. |
T13 |
1334-1554 |
DRI_Background |
denotes |
Retrieved xenografts containing DCIS were assessed for morphological evidence of apoptotic cell death [apoptotic index (AI)] and cell proliferation (by immunohistochemical detection of the Ki67 proliferation antigen LI). |
T14 |
1555-1732 |
DRI_Outcome |
denotes |
Both AI and LI were higher in the day 0 specimens of 16 ER- DCIS lesions compared with 7 ER+ DCIS lesions (mean values, 1.47% versus 0.32% and 20.6% versus 3.1%; both P<0.0001). |
T15 |
1733-2055 |
DRI_Unspecified |
denotes |
AI and LI values within ER- DCIS did not differ between xenografts exposed to 17beta-estradiol or AE treatment compared with the controls or pretreatment values (mean AI and LI in estradiol-treated, antiestrogen-treated, and control groups 1.04% versus 0.98% versus 1.29% and 17.2% versus 20.5% versus 17.7% respectively). |
T16 |
2056-2248 |
DRI_Background |
denotes |
In contrast, treatment of mice bearing ER+ DCIS xenografts with 17beta-estradiol raised both the AI (1.03% versus 0.40%, P = 0.03) and LI (11.0% versus 5.1%, P = 0.007) compared with controls. |
T17 |
2249-2404 |
DRI_Background |
denotes |
AE therapy of ER+ DCIS xenografts did not affect proliferation but resulted in higher apoptosis than in controls (0.9% versus 0.4% respectively, P = 0.04). |
T18 |
2405-2485 |
DRI_Outcome |
denotes |
AE therapy should be reserved for patients with estrogen receptor positive DCIS. |