Abstract
Breast cancer epidemic in the early twenty-first century results in around two million new cases and half-a-million of the disease-related deaths registered annually worldwide. A particularly dramatic situation is attributed to some specific patient subgroups such as the triple-negative breast cancer (TNBC). TNBC is a particularly aggressive type of breast cancer lacking clear diagnostic approach and targeted therapies. Consequently, more than 50% of the TNBC patients die of the metastatic BC within the first 6 months of the diagnosis. In the current study we have hypothesised that multi-omic approach utilising blood samples may lead to discovery of a unique molecular signature of the TNBC subtype. The results achieved demonstrate, indeed, multi-omics as highly promising approach that could be of great clinical utility for development of predictive diagnosis, targeted prevention and treatments tailored to the person—overall advancing the management of the TNBC.
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References
Abdollahi A, Omranipour R (2015) Is increase of homocysteine, anti-cardiolipin, anti-phospholipid antibodies associated with breast tumors? Acta Med Iran 53:681–685
Agnoli C, Grioni S, Krogh V et al (2016) Plasma riboflavin and vitamin B-6, but not homocysteine, folate, or vitamin B-12, are inversely associated with breast cancer risk in the European prospective investigation into cancer and nutrition-varese cohort. J Nutr 146:1227–1234. https://doi.org/10.3945/jn.115.225433
Braun M, Fountoulakis M, Papadopoulou A, Vougas K, Seidel I, Höller T, Yeghiazaryan K, Schild HH, Kuhn W, Golubnitschaja O (2009) Down-regulation of microfilamental network-associated proteins in leukocytes of breast cancer patients: potential application to predictive diagnostics. Cancer Genomic Proteomic 6:31–40
Bubnov R, Polivka J, Zubor P et al (2017) “Pre-metastatic niches” in breast cancer: are they created by or prior to the tumour onset? “Flammer Syndrome” relevance to address the question. EPMA J 8:141–157. https://doi.org/10.1007/s13167-017-0092-8
Chang EL, Lo S (2003) Diagnosis and management of central nervous system metastases from breast cancer. Oncologist 8:398–410
Christensen BC, Kelsey KT, Zheng S et al (2010) Breast cancer DNA methylation profiles are associated with tumor size and alcohol and folate intake. PLoS Genet 6(7):e1001043. https://doi.org/10.1371/journal.pgen.1001043
de Bree A, Verschuren WM, Blom HJ et al (2001) The homocysteine distribution: (mis)judging the burden. J Clin Epidemiol 54:462–469
Golubnitschaja O (2017) Feeling cold and other underestimated symptoms in breast cancer: anecdotes or individual profiles for advanced patient stratification? EPMA J 8:17–22. https://doi.org/10.1007/s13167-017-0086-6
Golubnitschaja O, Sridhar KC (2016) Liver metastatic disease: new concepts and biomarker panels to improve individual outcomes. Clin Exp Metastasis 33:743–755. https://doi.org/10.1007/s10585-016-9816-8
Golubnitschaja O, Moenkemann H, Kim K, Mozaffari MS (2003) DNA damage and expression of checkpoint genes p21(WAF1/CIP1) and 14-3-3 sigma in taurine-deficient cardiomyocytes. Biochem Pharmacol 66:511–517
Golubnitschaja O, Debald M, Yeghiazaryan K et al (2016a) Breast cancer epidemic in the early twenty-first century: evaluation of risk factors, cumulative questionnaires and recommendations for preventive measures. Tumour Biol 37:12941–12957. https://doi.org/10.1007/s13277-016-5168-x
Golubnitschaja O, Yeghiazaryan K, Stricker H et al (2016b) Patients with hepatic breast cancer metastases demonstrate highly specific profiles of matrix metalloproteinases MMP-2 and MMP-9 after SIRT treatment as compared to other primary and secondary liver tumours. BMC Cancer 16:357. https://doi.org/10.1186/s12885-016-2382-2
Golubnitschaja O, Yeghiazaryan K, Abraham J-A et al (2017) Breast cancer risk assessment: a non-invasive multiparametric approach to stratify patients by MMP-9 serum activity and RhoA expression patterns in circulating leucocytes. Amino Acids 49:273–281. https://doi.org/10.1007/s00726-016-2357-2
Golubnitschaja-Labudova O, Liu R, Decker C et al (2000) Altered gene expression in lymphocytes of patients with normal-tension glaucoma. Curr Eye Res 21:867–876
Gómez-Contreras P, Ramiro-Díaz JM, Sierra A et al (2017) Extracellular matrix 1 (ECM1) regulates the actin cytoskeletal architecture of aggressive breast cancer cells in part via S100A4 and Rho-family GTPases. Clin Exp Metastasis 34:37–49. https://doi.org/10.1007/s10585-016-9827-5
Gromov P, Gromova I, Bunkenborg J et al (2010) Up-regulated proteins in the fluid bathing the tumour cell microenvironment as potential serological markers for early detection of cancer of the breast. Mol Oncol 4:65–89. https://doi.org/10.1016/j.molonc.2009.11.003
Grottke A, Ewald F, Lange T et al (2016) Downregulation of AKT3 increases migration and metastasis in triple negative breast cancer cells by upregulating S100A4. PLoS One 11:e0146370. https://doi.org/10.1371/journal.pone.0146370
He J, Whelan SA, Lu M et al (2011) Proteomic-based biosignatures in breast cancer classification and prediction of therapeutic response. Int J Proteom 2011:896476. https://doi.org/10.1155/2011/896476
Hecht F, Cazarin JM, Lima CE et al (2016) Redox homeostasis of breast cancer lineages contributes to differential cell death response to exogenous hydrogen peroxide. Life Sci 158:7–13. https://doi.org/10.1016/j.lfs.2016.06.016
Humphries KH, Jackevicius C, Gong Y et al (2004) Population rates of hospitalization for atrial fibrillation/flutter in Canada. Can J Cardiol 20:869–876
Humphries B, Wang Z, Li Y et al (2017) ARHGAP18 downregulation by miR-200b suppresses metastasis of triple-negative breast cancer by enhancing activation of RhoA. Cancer Res 77:4051–4064. https://doi.org/10.1158/0008-5472.CAN-16-3141
Jiang C, Veon W, Li H et al (2015) Epithelial morphological reversion drives Profilin-1-induced elevation of p27(kip1) in mesenchymal triple-negative human breast cancer cells through AMP-activated protein kinase activation. Cell Cycle 14:2914–2923. https://doi.org/10.1080/15384101.2015.1069929
Jiang C, Ding Z, Joy M et al (2017) A balanced level of profilin-1 promotes stemness and tumor-initiating potential of breast cancer cells. Cell Cycle. https://doi.org/10.1080/15384101.2017.1346759
Karihtala P, Kauppila S, Soini Y, Arja-Jukkola-Vuorinen null (2011) Oxidative stress and counteracting mechanisms in hormone receptor positive, triple-negative and basal-like breast carcinomas. BMC Cancer 11:262. https://doi.org/10.1186/1471-2407-11-262
Kim D, Koo JS, Lee S (2015) Overexpression of reactive oxygen species scavenger enzymes is associated with a good prognosis in triple-negative breast cancer. Oncology 88:9–17. https://doi.org/10.1159/000358365
Konieczka K, Ritch R, Traverso CE et al (2014) Flammer syndrome. EPMA J 5:11. https://doi.org/10.1186/1878-5085-5-11
Kurono S, Kaneko Y, Matsuura N et al (2016) Identification of potential breast cancer markers in nipple discharge by protein profile analysis using two-dimensional nano-liquid chromatography/nanoelectrospray ionization-mass spectrometry. Proteom Clin Appl 10:605–613. https://doi.org/10.1002/prca.201500016
Lee E, Levine EA, Franco VI et al (2014) Combined genetic and nutritional risk models of triple negative breast cancer. Nutr Cancer 66(6):955–963. https://doi.org/10.1080/01635581.2014.932397
Lin NU, Bellon JR, Winer EP (2004) CNS metastases in breast cancer. J Clin Oncol 22:3608–3617. https://doi.org/10.1200/JCO.2004.01.175
López-Cortés A, Echeverría C, Oña-Cisneros F et al (2015) Breast cancer risk associated with gene expression and genotype polymorphisms of the folate-metabolizing MTHFR gene: a case-control study in a high altitude Ecuadorian mestizo population. Tumour Biol 36:6451–6461. https://doi.org/10.1007/s13277-015-3335-0
Martinez L, Thames E, Kim J et al (2016) Increased sensitivity of African American triple negative breast cancer cells to nitric oxide-induced mitochondria-mediated apoptosis. BMC Cancer 16:559. https://doi.org/10.1186/s12885-016-2547-z
Naushad SM, Reddy CA, Kumaraswami K et al (2014) Impact of hyperhomocysteinemia on breast cancer initiation and progression: epigenetic perspective. Cell Biochem Biophys 68:397–406. https://doi.org/10.1007/s12013-013-9720-7
Polivka J, Kralickova M, Polivka J et al (2017) Mystery of the brain metastatic disease in breast cancer patients: improved patient stratification, disease prediction and targeted prevention on the horizon? EPMA J 8:119–127. https://doi.org/10.1007/s13167-017-0087-5
Sartorius CA, Hanna CT, Gril B et al (2016) Estrogen promotes the brain metastatic colonization of triple negative breast cancer cells via an astrocyte-mediated paracrine mechanism. Oncogene 35:2881–2892. https://doi.org/10.1038/onc.2015.353
Schito L, Rey S, Tafani M et al (2012) Hypoxia-inducible factor 1-dependent expression of platelet-derived growth factor B promotes lymphatic metastasis of hypoxic breast cancer cells. Proc Natl Acad Sci USA 109:E2707–E2716. https://doi.org/10.1073/pnas.1214019109
Semenza GL (2016) The hypoxic tumor microenvironment: A driving force for breast cancer progression. Biochim Biophys Acta 1863:382–391. https://doi.org/10.1016/j.bbamcr.2015.05.036
Shen L, O’Shea JM, Kaadige MR et al (2015) Metabolic reprogramming in triple-negative breast cancer through Myc suppression of TXNIP. Proc Natl Acad Sci USA 112:5425–5430. https://doi.org/10.1073/pnas.1501555112
Smokovski I, Risteski M, Polivka J et al (2017) Postmenopausal breast cancer: European challenge and innovative concepts. EPMA J 8:159–169. https://doi.org/10.1007/s13167-017-0094-6
Sun Y, Rowehl LM, Huang L et al (2012) Phospho-ibuprofen (MDC-917) suppresses breast cancer growth: an effect controlled by the thioredoxin system. Breast Cancer Res 14:R20. https://doi.org/10.1186/bcr3105
te Poele-Pothoff MT, van den Berg M, Franken DG et al (1995) Three different methods for the determination of total homocysteine in plasma. Ann Clin Biochem 32(Pt 2):218–220. https://doi.org/10.1177/000456329503200218
Vaz-Luis I, Lin NU, Keating NL et al (2017) Factors associated with early mortality among patients with de novo metastatic breast cancer: a population-based study. Oncologist. https://doi.org/10.1634/theoncologist.2016-0369
Wang J, Wang J, Li Q et al (2017) Young breast cancer patients who develop distant metastasis after surgery have better survival outcomes compared with elderly counterparts. Oncotarget. https://doi.org/10.18632/oncotarget.15268
Willems HP, Bos GM, Gerrits WB et al (1998) Acidic citrate stabilizes blood samples for assay of total homocysteine. Clin Chem 44:342–345
Wu X, Xu W, Zhou T et al (2016) The role of genetic polymorphisms as related to one-carbon metabolism, vitamin B6, and gene-nutrient interactions in maintaining genomic stability and cell viability in chinese breast cancer patients. Int J Mol Sci 17:E1003. https://doi.org/10.3390/ijms17071003
Yeghiazaryan K, Flammer J, Golubnitschaja O (2010) Predictive molecular profiling in blood of healthy vasospastic individuals: clue to targeted prevention as personalised medicine to effective costs. EPMA J 1:263–272. https://doi.org/10.1007/s13167-010-0032-3
Zubor P, Gondova A, Polivka J Jr et al (2017) Breast cancer and Flammer syndrome: any symptoms in common for prediction, prevention and personalised medical approach? EPMA J 8:129–140. https://doi.org/10.1007/s13167-017-0089-3
Acknowledgements
The authors thank Dr. M. Fountoulakis for his great contribution to the proteomic part of the project. Further, authors thank Ms. G. Windisch-Schuster for performing the “Western-blot” analysis.
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The study funding has been performed by the Breast Cancer Research Centre, University of Bonn, Bonn, Germany. KY has been awarded with corresponding fellowship by the European Association for Predictive, Preventive and Personalised Medicine (EPMA, Belgium).
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The authors declare that they have no conflict of interest.
Research involving human participants and/or animals
All the patient investigations conformed to the principles outlined in the Declaration of Helsinki and have been performed with the permission (Nr. 148/05) released by the responsible Ethic’s Committee of the Medical Faculty, Rheinische Friedrich-Wilhelms- University of Bonn. Human rights’ have been obligatory protected during the entire duration of the project according to the European standards. This article does not contain any studies with animals performed by any of the authors.
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Informed consent was obtained from all individual participants included in the study.
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Golubnitschaja, O., Filep, N., Yeghiazaryan, K. et al. Multi-omic approach decodes paradoxes of the triple-negative breast cancer: lessons for predictive, preventive and personalised medicine. Amino Acids 50, 383–395 (2018). https://doi.org/10.1007/s00726-017-2524-0
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DOI: https://doi.org/10.1007/s00726-017-2524-0