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                  <mods:namePart>Ribelles, Nuria</mods:namePart>
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                  <mods:namePart>Alba-Conejo, Emilio</mods:namePart>
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               <mods:identifier type="citation">Perez-Rivas LG, Jerez JM, Fernandez-De Sousa CE, de Luque V, Quero C, Pajares B, Franco L, Sanchez-Muñoz A, Ribelles N, Alba E. Serum protein levels following surgery in breast cancer patients: a protein microarray approach. Int J Oncol. 2012 Dec;41(6):2200-6. doi: 10.3892/ijo.2012.1667. Epub 2012 Oct 16. PMID: 23076779.</mods:identifier>
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               <mods:identifier type="doi">10.3892/ijo.2012.1667</mods:identifier>
               <mods:abstract>Surgery is the primary treatment for non-metastatic&#xd;
breast cancer. However, the risk of early recurrence remains&#xd;
after surgical removal of the primary tumor. Recurrence is&#xd;
suggested to result from hidden micrometastatic foci, which&#xd;
are triggered to escape from dormancy by surgical resection of&#xd;
the primary tumor. In this study, we focused on the differential&#xd;
impact of breast surgery on the serum profiles of early breast&#xd;
cancer patients and healthy women. Serum samples from&#xd;
invasive breast cancer patients, in situ carcinoma breast cancer&#xd;
patients and healthy women were analyzed using reverse phase&#xd;
protein array technology. Samples were collected prior to breast&#xd;
surgery and 24 h following breast surgery. Both the expression&#xd;
level and the velocity of 42 serum proteins were quantified and&#xd;
compared among groups. We found that surgery increased&#xd;
the concentration of several proteins (CSF1, THSB2, IL6, IL7,&#xd;
IL16, FasL and VEGF-B) in the overall population. Compared&#xd;
with healthy women and patients with non-invasive tumors,&#xd;
invasive tumor patients exhibited higher preoperative levels of&#xd;
several serum proteins, such as αFP, IFNβ1, VEGF-A, IL18,&#xd;
E-cadherin or CD31, and lower postoperative levels of TNFα&#xd;
and IL5. Similarly, we detected significant surgery-induced&#xd;
changes in the velocity of VEGF-A and IL16 accumulation&#xd;
in samples derived from invasive breast cancer patients. In&#xd;
conclusion, breast surgery induced distinct changes in the&#xd;
concentrations and dynamics of serum proteins in invasive&#xd;
breast cancer patients compared with healthy women and noninvasive&#xd;
tumor patients.</mods:abstract>
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               <mods:subject>
                  <mods:topic>Mamas - Cáncer - Investigación</mods:topic>
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                  <mods:title>Serum protein levels following surgery in breast cancer patients: A protein microarray approach</mods:title>
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