Breast Lesions Study

  • Research type

    Research Study

  • Full title

    Identification of biomarkers of progression of early breast lesions in humans.

  • IRAS ID

    291595

  • Contact name

    Vijay Sharma

  • Contact email

    Vijay.Sharma1@nhs.net

  • Sponsor organisation

    Liverpool University Hospitals NHS Foundation Trust

  • Duration of Study in the UK

    3 years, 0 months, 1 days

  • Research summary

    Currently, 1:12 women contract breast cancer. If the primary tumour is completely excised and there are no metastases detected, the patient has an excellent prognosis. If metastatic disease can be prevented, then the life-threatening aspect of breast cancer is removed.

    Recent research has shown that metastasis-inducing proteins (MIPs) are proteins, which can be used to predict patients, who are most likely to develop metastatic disease. With this knowledge, treatment could be targeted to those patients with an increased risk of metastatic spread.

    The MIPs include S100A4, S100P, osteopontin and AGR2. MIPs are not expressed in epithelial cells, in normal breast, or in benign tumours; however, they are expressed by breast cancers. It is believed that the presence of MIPs in premalignant lesions may represent precursors of more aggressive types of breast cancer. This research will examine breast tissue, from women taken from the screening population, that contain ductal carcinoma in situ (DCIS) and/or atypical ductal hyperplasia (ADH). Through immunohistochemical techniques, the expression of the MIPs will be examined in DCIS, ADH and normal benign ducts. This will allow a comparison of precursor lesions and surrounding normal breast tissue through the use of conventional microscopy and digital pathology. We will also, as part of this research, test additional candidate biomarkers of progression of these early lesions. This research will establish whether these biomarkers can be used to stratify patients for treatment, and also identify new therapeutic targets for the treatment of DCIS.

  • REC name

    North West - Greater Manchester South Research Ethics Committee

  • REC reference

    21/NW/0076

  • Date of REC Opinion

    30 Mar 2021

  • REC opinion

    Further Information Favourable Opinion