Overexpression in metastatic breast cancer supports Syndecan-1 as a marker of invasiveness and poor prognosis.


Journal

Clinical and experimental medicine
ISSN: 1591-9528
Titre abrégé: Clin Exp Med
Pays: Italy
ID NLM: 100973405

Informations de publication

Date de publication:
Sep 2023
Historique:
received: 06 05 2022
accepted: 23 08 2022
medline: 29 8 2023
pubmed: 11 9 2022
entrez: 10 9 2022
Statut: ppublish

Résumé

Metastasis is the main cause of breast cancer (BC) mortality. Increasing evidence points to a role of syndecan-1 (CD138) expression as a prognostic marker involved in BC tissue and leptomeningeal metastasis. Aim of this study was to investigate and compare syndecan-1 tissue expression and localization in primary and secondary BC, focusing on brain metastases. Syndecan-1 expression was determined by immunohistochemistry. Focal vs diffuse (< or > 50% of cancer cells, respectively) pattern of expression, cellular localization (cytoplasm vs membrane) and intensity of immunostaining on neoplastic cells were evaluated. Moreover, the extent and pattern of expression of syndecan-1 were compared between primary tumors and paired metastases and correlated with the tumor intrinsic subtype. A total of 23 cases, 10 with paired primary and metastatic tumor and 13 brain metastases, were evaluated. Syndecan-1 was expressed in both primary and metastatic BC. A diffuse cytoplasmic expression was observed in most primary BCs; by contrast, all metastatic lesions showed a membrane pattern of expression, suggesting a shift in cellular localization of syndecan-1 during the metastatic process. Concerning the extent of expression, we observed in metastatic lesions, a trend of association between intrinsic subtypes and extent of positivity. In particular, both BC characterized by overexpression of HER2 and triple-negative tumors were correlated with a diffuse pattern of expression with a moderate to strong intensity. A diffuse cytoplasmic expression was observed in most primary BCs; by contrast, all metastatic lesions showed a membrane pattern of expression, suggesting a shift in cellular localization of syndecan-1 during the metastatic process.

Sections du résumé

BACKGROUND BACKGROUND
Metastasis is the main cause of breast cancer (BC) mortality. Increasing evidence points to a role of syndecan-1 (CD138) expression as a prognostic marker involved in BC tissue and leptomeningeal metastasis. Aim of this study was to investigate and compare syndecan-1 tissue expression and localization in primary and secondary BC, focusing on brain metastases.
METHODS METHODS
Syndecan-1 expression was determined by immunohistochemistry. Focal vs diffuse (< or > 50% of cancer cells, respectively) pattern of expression, cellular localization (cytoplasm vs membrane) and intensity of immunostaining on neoplastic cells were evaluated. Moreover, the extent and pattern of expression of syndecan-1 were compared between primary tumors and paired metastases and correlated with the tumor intrinsic subtype.
RESULTS RESULTS
A total of 23 cases, 10 with paired primary and metastatic tumor and 13 brain metastases, were evaluated. Syndecan-1 was expressed in both primary and metastatic BC. A diffuse cytoplasmic expression was observed in most primary BCs; by contrast, all metastatic lesions showed a membrane pattern of expression, suggesting a shift in cellular localization of syndecan-1 during the metastatic process. Concerning the extent of expression, we observed in metastatic lesions, a trend of association between intrinsic subtypes and extent of positivity. In particular, both BC characterized by overexpression of HER2 and triple-negative tumors were correlated with a diffuse pattern of expression with a moderate to strong intensity.
CONCLUSION CONCLUSIONS
A diffuse cytoplasmic expression was observed in most primary BCs; by contrast, all metastatic lesions showed a membrane pattern of expression, suggesting a shift in cellular localization of syndecan-1 during the metastatic process.

Identifiants

pubmed: 36088392
doi: 10.1007/s10238-022-00880-7
pii: 10.1007/s10238-022-00880-7
pmc: PMC10460700
doi:

Substances chimiques

Biomarkers, Tumor 0
Syndecan-1 0
SDC1 protein, human 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1641-1647

Informations de copyright

© 2022. The Author(s).

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Auteurs

Bruna Cerbelli (B)

Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University, Latina, Italy.

Annalinda Pisano (A)

Department of Radiological, Oncological and Pathological Sciences, Sapienza University, AOU Policlinico Umberto I, Viale Regina Elena 324, 00161, Rome, Italy.

Maria Gemma Pignataro (MG)

Department of Radiological, Oncological and Pathological Sciences, Sapienza University, AOU Policlinico Umberto I, Viale Regina Elena 324, 00161, Rome, Italy.

Angelina Pernazza (A)

Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University, Latina, Italy.

Andrea Botticelli (A)

Department of Clinical and Molecular Medicine, Sapienza University, Rome, Italy.

Mariantonia Carosi (M)

Department of Research, Advanced Diagnostics and Technological Innovation, IRCCS Regina Elena National Cancer Institute, Via E. Chianesi 53, 00144, Rome, Italy.

Leopoldo Costarelli (L)

Department of Pathology, San Giovanni-Addolorata Hospital, Rome, Italy.

Matteo Allegretti (M)

Department of Research, Advanced Diagnostics and Technological Innovation, IRCCS Regina Elena National Cancer Institute, Via E. Chianesi 53, 00144, Rome, Italy.

Giulia d'Amati (G)

Department of Radiological, Oncological and Pathological Sciences, Sapienza University, AOU Policlinico Umberto I, Viale Regina Elena 324, 00161, Rome, Italy. giulia.damati@uniroma1.it.

Iole Cordone (I)

Department of Research, Advanced Diagnostics and Technological Innovation, IRCCS Regina Elena National Cancer Institute, Via E. Chianesi 53, 00144, Rome, Italy. iole.cordone@ifo.it.

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Classifications MeSH