Abstract
Purpose
The aberrant mRNA expression of a UPR component Cation transport regulator homolog 1 (CHAC1) has been reported to be associated with poor survival in breast and ovarian cancer patients, however, the expression of CHAC1 at protein levels in malignant breast tissues is underreported. The following study aimed at analyzing CHAC1 protein expression in malignant breast cancer tissues.
Methods
Evaluation of CHAC1 expression in invasive ductal carcinomas (IDCs) with known ER, PR, and HER2 status was carried out using immunohistochemistry (IHC) with CHAC1 specific antibody. The Human breast cancer tissue microarray (TMA, cat# BR1503f, US Biomax, Inc., Rockville, MD) was used to determine CHAC1 expression. The analysis of CHAC1 IHC was done to determine its expression in terms of molecular subtypes of breast cancer, lymph node status, and proliferation index using Qu-Path software. Survival analysis was studied with a Kaplan–Meier plotter.
Results
Immunohistochemical analysis of CHAC1 in breast cancer tissues showed significant up-regulation of CHAC1 as compared to the adjacent normal and benign tissues. Interestingly, CHAC1 immunostaining revealed high expression in tumor tissues with high proliferation and positive lymph node metastasis suggesting that CHAC1 might have an important role to play in breast cancer progression. Furthermore, high CHAC1 expression is associated with poor overall survival (OS) in large breast cancer patient cohorts.
Conclusion
As a higher expression of CHAC1 was observed in tissue cores with high Ki67 index and positive lymph node metastasis it may be concluded that enhanced CHAC1 expression correlates with proliferation and metastasis. The further analysis of breast cancer patients’ survival data through KM plot indicated that high CHAC1 expression is associated with a bad prognosis hinting that CHAC1 may have a possible prognostic significance in breast cancer.
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Acknowledgements
The authors are thankful for the help from the faculty and technical staff of the Department of Histopathology, PGIMER Chandigarh, India. We would like to acknowledge ICMR, New Delhi for providing a Senior research fellowship (SRF) to V.M. We thank Prof. Anjana Munshi for her administrative help to V.M.
Funding
The study received funding from the Department of Science and Technology-Science and Engineering Research Board (DST-SERB), India (Grant No. EMR/2015/000761 & EEQ/2017/000794).
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V.M and H.C designed the study. V.M and H.C. performed the experimental work. P.S contributed to experimental work in part. V.M and H.C drafted the figures and prepared the manuscript. All the authors analyzed the data and reviewed the manuscript.
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The public database used in this study includes Kaplan–Meier Plotter for CHAC1 transcripts (https://kmplot.com/analysis/index.php?p=service), cBioportal for correlation analysis between Ki67 and CHAC1 (https://www.cbioportal.org/).
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Fig. S1
Specificity and validation of CHAC1 antibody. (a) Breast Cancer tissue stained with CHAC1 antibody, where CHAC1 antibody showed immunoreactivity. (b) Breast Cancer tissue showed no immunoreactivity towards CHAC1 by the antibody that was incubated with immunoprecipitated CHAC1 from the cell lysate. (c) CHAC1 Immunoblot after siRNA transfection at indicated doses in MCF7 cells. (d) Densitometric analysis of CHAC1 expression in MCF7 cells. (e) CHAC1 Immunoblot after siRNA transfection at indicated doses in SKBR3 cells. (f) Densitometric analysis of CHAC1 expression in SKBR3 cells. Fig. S2a Representative photomicrographs of the malignant cores of low (Ki67<25%) and high (Ki67>25%) index. Fig. S2b Representative photomicrographs of the malignant cores of negative and positive lymph node metastasis. Fig. S3 Correlation analysis of CHAC1 expression shows a positive correlation with Ki67 from cBioportal using (a) microarray and (b) RSEM data (TCGA, Firehose legacy dataset; n=1108). Fig. S4. Analysis of CHAC1 expression with tumor stage. Fig. S5. Distant metastasis-free survival plot as per CHAC1 expression in (a) metastatic (n=889, HR=1.62, logrank p=0.00016) vs (b) non-metastatic patients (n=1309, HR=1.5, logrank p=0.0013). (PDF 205 KB).
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Mehta, V., Suman, P. & Chander, H. High levels of unfolded protein response component CHAC1 associates with cancer progression signatures in malignant breast cancer tissues. Clin Transl Oncol 24, 2351–2365 (2022). https://doi.org/10.1007/s12094-022-02889-6
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DOI: https://doi.org/10.1007/s12094-022-02889-6