Abstract:Triple-negative breast cancer (TNBC) is an aggressive breast cancer subtype with a high rate of proliferation and metastasis, as well as poor prognosis for advanced-stage disease. Although TNBC was previously classified together with basal-like and BRCA1/2-related breast cancers, genomic profiling now shows that there is incomplete overlap, with important distinctions associated with each subtype. The biology of TNBC is still poorly understood; therefore, to define the relative contributions of major cellular … Show more
“…Furthermore, gene analysis showed that TNBC has a defined molecular signature and is regulated by the angiotensinogen molecular network, NF-κB, platelet-derived growth factor receptor, and p53 pathways, which are important in angiogenesis, cell-cycle regulation, and inflammation 47 .…”
MicroAbstractThe mechanisms involved in initiation and progression of breast cancer (BC), the most common malignancy and second leading cause of cancer deaths in women, are largely unknown. Human cytomegalovirus (HCMV) has been detected in primary BC, sentinel lymph nodes and brain metastases of BC patients. We found HCMV DNA, RNA, and proteins in BC, and their prevalence was higher in advanced cancer. HCMV levels correlated inversely with estrogen (P = 0.02) and progesterone (p = 0.003) receptor expression. HER2 expression was also found to
“…Furthermore, gene analysis showed that TNBC has a defined molecular signature and is regulated by the angiotensinogen molecular network, NF-κB, platelet-derived growth factor receptor, and p53 pathways, which are important in angiogenesis, cell-cycle regulation, and inflammation 47 .…”
MicroAbstractThe mechanisms involved in initiation and progression of breast cancer (BC), the most common malignancy and second leading cause of cancer deaths in women, are largely unknown. Human cytomegalovirus (HCMV) has been detected in primary BC, sentinel lymph nodes and brain metastases of BC patients. We found HCMV DNA, RNA, and proteins in BC, and their prevalence was higher in advanced cancer. HCMV levels correlated inversely with estrogen (P = 0.02) and progesterone (p = 0.003) receptor expression. HER2 expression was also found to
“…Studies from gene expression profiling analysis revealed that the nuclear factor (NF)-jB pathway may represent a key regulator of TNBC (Ossovskaya et al, 2011). Activation of NF-jB signaling has been strongly implicated in the pathogenesis of certain TNBCs (Barbie et al, 2014).…”
Breast cancer continues to cause significant burden in global health morbidity and mortality. Triple-negative breast cancers (TNBCs) are highly aggressive with poor prognosis and are characterized by lack of expression of estrogen receptor, progesterone receptor, and human epidermal growth factor receptor (Her-2). TNBCs are often resistant to cytotoxic chemotherapy and pose major difficulty in achieving personalized medicine due to their molecular heterogeneity. There is increasing evidence that the aberrant activation of nuclear factor (NF)-jB signaling is a frequent characteristic of TNBCs. We evaluated the effects of different potential NF-jB inhibitors, such as bisindolylmaleimide I (BIS, a selective protein kinase C [PKC] inhibitor), MG132 (a proteasome inhibitor), curcumin (endowed with pleiotropic activities), and dehydroxymethylepoxyquinomicin (an inhibitor of NF-jB translocation into the nucleus) on the constitutive activation of NF-jB present in three TNBC cell lines (SUM 149, SUM 159, and MDA-MB-231). We also evaluated whether MDA-9/Syntenin plays a role in NF-jB activation, as observed in other cancer types. Indeed, silencing experiments with a siRNA anti-MDA-9/Syntenin produced a very strong reduction of NF-jB activation in all the three TNBC cell lines. We conclude that different approaches targeting NF-jB activation might potentially prove useful for innovation in anticancer drug development for TNBCs. Further research that bridge preclinical and clinical investigations with NF-jB inhibitors would be timely and warranted.
“…TNBC is typically an aggressive cancer type displaying high rates of proliferation and metastasis and having generally poorer prognosis, particularly among those with advanced disease, as evidenced by increased recurrence and mortality compared with other breast cancer types [2]. Due to the lack of known therapeutic targets, such as ER, PR, and HER2 receptors, there are no specific therapies for TNBC tumors [3].…”
Purpose
Triple-negative breast cancer (TNBC) is an aggressive cancer with limited treatment options. Dual specificity phosphatase 4 (DUSP4) has recently been suggested as a potential marker of chemotherapy resistance for TNBC.
Methods
DUSP4 gene expression levels were measured in breast cancer tissue from 469 TNBC patients aged 20 to 75 years who participated in the Shanghai Breast Cancer Survival Study and their association with recurrence/breast cancer mortality and total mortality was evaluated. Information on breast cancer diagnosis, treatment, and disease progression was collected via medical chart review and multiple in-person follow-up surveys. A Cox regression model was applied in the data analyses.
Results
Over a median follow-up of 5.3 years (range: 0.7-8.9 years), 100 deaths and 92 recurrences/breast cancer deaths were documented. Expression levels of transcript variant 1 (NM_001394) and transcript variant 2 (NM_057158) of the DUSP4 gene were studied and were highly correlated (r=0.76). Low DUSP4 expression levels, particularly of variant 1, were associated with both increased recurrence/breast cancer mortality and increased overall mortality. Hazard ratios with adjustment for age at diagnosis and TNM stage associated with below versus above the median expression level were 1.97 (95% confidence interval (CI): 1.27-3.05) for recurrence/breast cancer mortality and 2.09 (95% CI: 1.38-3.17) for overall mortality. Additional adjustment for expression levels of MKI67 and TP53, common treatment types, breast cancer subtype, and grade did not materially alter the observed associations.
Conclusions
Low DUSP4 expression levels predict recurrence and mortality in TNBC patients independently from known clinical and molecular predictors.
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