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Validation of a Tissue Microarray to Study Differential Protein Expression in Inflammatory and Non-Inflammatory Breast Cancer

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Abstract

Aims. Inflammatory breast cancer (IBC) is an aggressive subtype of breast cancer with poor prognosis. The mechanisms responsible for the aggressive clinical evolution are incompletely understood. We constructed a tissue microarray (TMA) and validated its use in translational IBC research. Differential expression of proteins that might play a role in causing the IBC phenotype was studied.

Methods and results. A TMA containing 34 IBC and 41 non-stage matched non-IBC tumours was constructed. Five core biopsies were taken for each IBC and three cores for each non-IBC tumour. The TMA was validated using three approaches: (1) the excellent concordance between immunohistochemical results of the initial pathological examination and the results obtained with the TMA for ER, PR and HER2/neu (κ > 0.74); (2) the known differential expression between IBC and non-IBC for four bio-markers in IBC (ER, PR, p53 and HER2/neu) was confirmed (p < 0.01); (3) the HER2/neu status using three different antibodies (CB11, TAB250 and HercepTest) was highly concordant (κ > 0.75). Furthermore, the overexpression of E-Cadherin and RhoC GTPase in IBC (p < 0.05) was confirmed. We did not find a differential expression pattern for carbonic anhydrase IX (CA IX) and EGFR.

Conclusions. Using different approaches, we have validated the use of our TMA for studying differential protein expression in IBC and non-IBC. We confirm the overexpression of E-Cadherin and RhoC GTPase in IBC. The lack of differential expression for CA IX and EGFR might suggest the pathways are equally utilised in both types of breast cancer.

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References

  1. Kleer GC, van Golen KL, Merajver SD: Molecular biology of breast cancer metastasis. Inflammatory breast cancer: clinical syndrome and molecular determinants. Breast Cancer Res 2: 423–429, 2000

    Google Scholar 

  2. Cristofanilli M, Buzdar AU, Hortobagyi GN: Update on the management of inflammatory breast cancer. Oncologist 8: 141–148, 2003

    Google Scholar 

  3. Koh EH, Buzdar AU, Ames FC, Singletary SE, McNeese MD, Frye D, Holmes FA, Fraschini G, Hug V, Theriault RL et al.: Inflammatory carcinoma of the breast: results of a combined-modality approach-M.D. Anderson Cancer Center experience. Cancer Chemother Pharmacol 27: 94–100, 1990

    Google Scholar 

  4. Jaiyesimi IA, Buzdar AU, Hortobagyi G: Inflammatory breast cancer: a review. J Clin Oncol 10: 1014–1024, 1992

    Google Scholar 

  5. Paradiso A, Tommasi S, Brandi M, Marzullo F, Simone G, Lorusso V, Mangia A, De Lena M: Cell kinetics and hormonal receptor status in inflammatory breast carcinoma. Comparison with locally advanced disease. Cancer 64: 1922–1927, 1989

    Google Scholar 

  6. Robertson JF, Ellis IO, Pearson D, Elston CW, Nicholson RI, Blamey RW: Biological factors of prognostic significance in locally advanced breast cancer. Breast Cancer Res Treat 29: 259–264, 1994

    Google Scholar 

  7. Turpin E, Bieche I, Bertheau P, Plassa LF, Lerebours F, de Roquancourt A, Olivi M, Espie M, Marty M, Lidereau R, Vidaud M, de The H: Increased incidence of ERBB2 overexpression and TP53 mutation in inflammatory breast cancer. Oncogene 21: 7593–7597, 2002

    Google Scholar 

  8. Kaufmann M: Review of known prognostic variables. Recent Results Cancer Res 140: 77–87, 1996

    Google Scholar 

  9. Guerin M, Gabillot M, Mathieu MC, Travagli JP, Spielmann M, Andrieu N, Riou G: Structure and expression of cerbB-2 and EGF receptor genes in inflammatory and noninflammatory breast cancer: prognostic significance. Int J Cancer 43: 201–208, 1989

    Google Scholar 

  10. Charpin C, Bonnier P, Khouzami A, Vacheret H, Andrac L, Lavaut MN, Allasia C, Piana L: Inflammatory breast carcinoma: an immunohistochemical study using monoclonal anti-pHER-2/neu, pS2, cathepsin, ER and PR. Anticancer Res 12: 591–597, 1992

    Google Scholar 

  11. Hahnel R, Twaddle E: Estrogen receptors in human breast cancer. 1.Methodology and characterization of receptors. Steroids 18: 653–680, 1971

    Google Scholar 

  12. Kleer CG, Zhang Y, Pan Q, van Golen KL, Wu ZF, Livant D, Merajver SD: WISP3 is a novel tumor suppressor gene of inflammatory breast cancer. Oncogene 21: 3172–3180, 2002

    Google Scholar 

  13. van Golen KL, Davies S, Wu ZF, Wang Y, Bucana CD, Root H, Chandrasekharappa S, Strawderman M, Ethier SP, Merajver SD: A novel putative low-affinity insulin-like growth factorbinding protein, LIBC (lost in inflammatory breast cancer), and RhoC GTPase correlate with the inflammatory breast cancer phenotype. Clin Cancer Res 5: 2511–2519, 1999

    Google Scholar 

  14. Alpaugh ML, Tomlinson JS, Kasraeian S, Barsky SH: Cooperative role of E-cadherin and sialyl-Lewis X/A-deficient MUC1 in the passive dissemination of tumor emboli in inflammatory breast carcinoma. Oncogene 21: 3631–3643, 2002

    Google Scholar 

  15. Kleer CG, van Golen KL, Braun T, Merajver SD: Persistent E-cadherin expression in inflammatory breast cancer. Mod Pathol 14: 458–464, 2001

    Google Scholar 

  16. Kleer CG, van Golen KL, Zhang Y, Wu ZF, Rubin MA, Merajver SD: Characterization of RhoC expression in benign and malignant breast disease: a potential new marker for small breast carcinomas with metastatic ability. Am J Pathol 160: 579–584, 2002

    Google Scholar 

  17. Colpaert CG, Vermeulen PB, Benoy I, Soubry A, van Roy F, van Beest P, Goovaerts G, Dirix LY, van Dam P, Fox SB, Harris AL, van Marck EA: Inflammatory breast cancer shows angiogenesis with high endothelial proliferation rate and strong E-cadherin expression. Br J Cancer 88: 718–725, 2003

    Google Scholar 

  18. Kononen J, Bubendorf L, Kallioniemi A, Barlund M, Schraml P, Leighton S, Torhorst J, Mihatsch MJ, Sauter G, Kallioniemi OP: Tissue microarrays for high-throughput molecular profiling of tumor specimens. Nat Med 4: 844–847, 1998

    Google Scholar 

  19. Sauter G, Mirlacher M: Tissue microarrays for predictive molecular pathology. J Clin Pathol 55: 575–576, 2002

    Google Scholar 

  20. Torhorst J, Bucher C, Kononen J, Haas P, Zuber M, Kochli OR, Mross F, Dieterich H, Moch H, Mihatsch M, Kallioniemi OP, Sauter G: Tissue microarrays for rapid linking of molecular changes to clinical endpoints. Am J Pathol 159: 2249–2256, 2001

    Google Scholar 

  21. Sapinao A, Coccorullo Z, Cassoni P, Ghisolfi G, Gugliotta P, Bongiovanni M, Arisio R, Crafa P, Bussolati G: Which breast carcinomas need HER-2/neu gene study after immunohistochemical analysis? Results of combined use of antibodies against different c-erbB2 protein domains. Histopathology 43: 354–362, 2003

    Google Scholar 

  22. Landis JR, Koch GG: The measurement of observer agreement for categorical data. Biometrics 33: 159–174, 1977

    Google Scholar 

  23. Allred DC, Harvey JM, Berardo M, Clark GM: Prognostic and predictive factors in breast cancer by immunohistochemical analysis. Mod Pathol 11: 155–168, 1998

    Google Scholar 

  24. Bergers E, van Diest PJ, Baak JP: Tumour heterogeneity of DNA cell cycle variables in breast cancer measured by flow cytometry. J Clin Pathol 49: 931–937, 1996

    Google Scholar 

  25. Braun S, Hepp F, Sommer HL, Pantel K: Tumor-antigen heterogeneity of disseminated breast cancer cells: implications for immunotherapy of minimal residual disease. Int J Cancer 84: 1–5, 1999

    Google Scholar 

  26. Geyer H, Eberl M, Hornberger B: Influence of tissue heterogeneity on the determination of steroid receptors in breast cancer. J Cancer Res Clin Oncol 110: 141–144, 1985

    Google Scholar 

  27. Osborne CK: Heterogeneity in hormone receptor status in primary and metastatic breast cancer. Semin Oncol 12: 317–326, 1985

    Google Scholar 

  28. Paradiso A, Mangia A, Barletta A, Fusilli S, Marzullo F, Schittulli F, De Lena M: Heterogeneity of intratumour proliferative activity in primary breast cancer: biological and clinical aspects. Eur J Cancer 31A: 911–916, 1995

    Google Scholar 

  29. Poulsen HS, Jensen J, Hermansen C: Human breast cancer: heterogeneity of estrogen binding sites. Cancer 48: 1791–1793, 1981

    Google Scholar 

  30. Symmans WF, Liu J, Knowles DM, Inghirami G: Breast cancer heterogeneity: evaluation of clonality in primary and metastatic lesions. Hum Pathol 26: 210–216, 1995

    Google Scholar 

  31. Hoos A, Urist MJ, Stojadinovic A, Mastorides S, Dudas ME, Leung DH, Kuo D, Brennan MF, Lewis JJ, Cordon-Cardo C: Validation of tissue microarrays for immunohistochemical profiling of cancer specimens using the example of human fibroblastic tumors. Am J Pathol 158: 1245–1251, 2001

    Google Scholar 

  32. Zhang D, Salto-Tellez M, Putti TC, Do E, Koay ES: Reliability of tissue microarrays in detecting protein expression and gene amplification in breast cancer. Mod Pathol 16: 79–85, 2003

    Google Scholar 

  33. Camp RL, Charette LA, Rimm DL: Validation of tissue microarray technology in breast carcinoma. Lab Invest 80: 1943–1949, 2000

    Google Scholar 

  34. van Golen KL, Wu ZF, Qiao XT, Bao LW, Merajver SD: RhoC GTPase, a novel transforming oncogene for human mammary epithelial cells that partially recapitulates the inflammatory breast cancer phenotype. Cancer Res 60: 5832–5838, 2000

    Google Scholar 

  35. van Golen KL, Wu ZF, Qiao XT, Bao L, Merajver SD: RhoC GTPase overexpression modulates induction of angiogenic factors in breast cells. Neoplasia 2: 418–425, 2000

    Google Scholar 

  36. Beavon IR: Regulation of E-cadherin: does hypoxia initiate the metastatic cascade? Mol Pathol 52: 179–188, 1999

    Google Scholar 

  37. Beavon IR: The E-cadherin-catenin complex in tumour metastasis: structure, function and regulation. Eur J Cancer 36: 1607–1620, 2000

    Google Scholar 

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Van den Eynden, G., Van der Auwera, I., Van Laere, S. et al. Validation of a Tissue Microarray to Study Differential Protein Expression in Inflammatory and Non-Inflammatory Breast Cancer. Breast Cancer Res Treat 85, 13–22 (2004). https://doi.org/10.1023/B:BREA.0000021028.33926.a8

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