The CD44þ/CD24-phenotype identifies cancer stem cell (CSC) properties in canine mammary carcinoma (MC); however, the histopathological features associated with this phenotype remain to be elucidated. Here, we determined whether the CD44þ/ CD24-phenotype was associated with hormonal receptor (HR; estrogen receptor [ER] and/or progesterone receptor [PR]) status and/or triple (ER, PR, and human epithelial growth factor receptor 2)-negative (TN) subtype; conventional histological evaluation was also performed. We found that, as single markers, both CD44þ and CD24þ were associated with less aggressive histological types, low grade, and a non-TN subtype; both markers were associated with HR positivity. On the other hand, a CD44þ/CD24-phenotype was associated with higher grade of carcinoma. Therefore, our results suggest that immunohistochemical phenotyping for CD44/CD24 is useful for the evaluation of tumor behavior as well as CSC-like properties in canine MCs.
Keywords cancer stem cell, canine mammary carcinoma, CD44, CD24, immunohistochemistryCancer stem cells (CSCs) are capable of self-renewal and asymmetric differentiation, a type of plasticity that directly contributes to tumorigenesis, tumor maintenance, and resistance to therapeutics.13 CSCs in human breast cancer with a CD44þ/CD24-phenotype are associated with poor prognosis.8 Efforts to identify canine CSCs have also revealed a CD44þ/CD24-phenotype in mammary carcinomas (MCs). Specifically, spheroids derived from canine MC cell lines in an in vitro CSC model have high CD44 expression but are negative or low for CD24 expression.
3A previous study reported that the CD44þ/CD24-phenotype was detectable in archival tissues; 10 however, the molecular and histopathological features associated with those markers remain to be elucidated. It is suggested that hormone receptor (HR) status (specifically, the estrogen receptor [ER] and/or progesterone receptor [PR]) and the triple-negative (TN) subtype (ER, PR, and human epidermal growth factor receptor 2 [HER2] negative) are associated with aggressive tumor types in canine MCs. 6,7 We hypothesized that immunohistochemical analysis of the 2 markers, CD44 and CD24, would be a useful tool for predicting tumor behavior. The aims of this study were to examine CD44 and CD24 expression, either alone or in combination, with regard to canine MCs. Specifically, we determined the relationship of these markers with histological findings, HR status, and the TN subtype.
Materials and MethodsWe investigated 88 cases of canine MCs from the histopathology database of the Department of Veterinary Pathology, Konkuk University Animal Teaching Hospital, Seoul, Korea. Routine hematoxylin and eosin staining and immunohistochemistry (IHC) were performed as previously described. 6 Classification of histological type and grade was achieved as previously described.4 Double immunostaining for CD44 and CD24 was performed consecutively using immunoperoxidase with DAB for CD44 and immunoalkaline phosphatase with Vector Red substrate for CD24...