Elevated Hu-Antigen Receptor (HuR) Expression is Associated with Tumor Aggressiveness and Poor Prognosis but not with COX-2 Expression in Invasive Breast Carcinoma Patients

Hu-antigen R (HuR), a RNA-binding protein, is considered to play a crucial role in tumor development and progression by stabilizing or regulating a group of cellular mRNAs of cancer-related genes, such as cyclooxygenase-2 (COX-2). The present study aimed to evaluate the clinical significance of HuR...

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Veröffentlicht in:Pathology oncology research 2018-07, Vol.24 (3), p.631-640
Hauptverfasser: Giaginis, Constantinos, Sampani, Anastasia, Kotta-Loizou, Iolly, Giannopoulou, Ioanna, Danas, Eugene, Politi, Ekaterini, Tsourouflis, Gerasimos, Kouraklis, Gregorios, Patsouris, Efstratios, Keramopoulos, Antonios, Nakopoulou, Lydia, Theocharis, Stamatios
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container_title Pathology oncology research
container_volume 24
creator Giaginis, Constantinos
Sampani, Anastasia
Kotta-Loizou, Iolly
Giannopoulou, Ioanna
Danas, Eugene
Politi, Ekaterini
Tsourouflis, Gerasimos
Kouraklis, Gregorios
Patsouris, Efstratios
Keramopoulos, Antonios
Nakopoulou, Lydia
Theocharis, Stamatios
description Hu-antigen R (HuR), a RNA-binding protein, is considered to play a crucial role in tumor development and progression by stabilizing or regulating a group of cellular mRNAs of cancer-related genes, such as cyclooxygenase-2 (COX-2). The present study aimed to evaluate the clinical significance of HuR and COX-2 expression in invasive breast carcinoma. HuR and COX-2 protein expression was assessed immunohistochemically on paraffin-embedded breast cancer tissue sections obtained from 121 patients and was statistically analyzed with clinicopathological parameters, estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2), as well as with tumor cells’ proliferative capacity and overall and disease-free patients’ survival. High HuR expression was positively associated with larger tumor size and advanced disease stage ( p  = 0.0234 and p  = 0.0361, respectively), being more frequently observed in ER negative cases ( p  = 0.0208). High COX-2 expression was negatively associated with histological ( p  
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The present study aimed to evaluate the clinical significance of HuR and COX-2 expression in invasive breast carcinoma. HuR and COX-2 protein expression was assessed immunohistochemically on paraffin-embedded breast cancer tissue sections obtained from 121 patients and was statistically analyzed with clinicopathological parameters, estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2), as well as with tumor cells’ proliferative capacity and overall and disease-free patients’ survival. High HuR expression was positively associated with larger tumor size and advanced disease stage ( p  = 0.0234 and p  = 0.0361, respectively), being more frequently observed in ER negative cases ( p  = 0.0208). High COX-2 expression was negatively associated with histological ( p  &lt; 0.0001) and nuclear ( p  = 0.0033) grade and tumor cells’ proliferative rate ( p  = 0.0015), being more frequently observed in luminal-A compared to other molecular subtypes ( p  = 0.0221). High HuR expression was associated with poor overall and disease-free patients’ survival at both univariate (log-rank test, p  = 0.0092 and p  = 0.0004, respectively) and multivariate (Cox-regression analysis, p  = 0.0223 and p  = 0.0004, respectively) level. On the other hand, high COX-2 expression was associated with favorable overall and disease-free patients’ survival merely at univariate level (log-rank test, p  = 0.0389 and p  = 0.0154, respectively). HuR expression was not associated with COX-2 expression (Spearman R  = 0.1489, p  = 0.1032). The present data support evidence that HuR is associated with tumor aggressiveness and poor prognosis in breast carcinoma, reinforcing its potential as promising therapeutic target in this type of neoplasia.</description><identifier>ISSN: 1219-4956</identifier><identifier>EISSN: 1532-2807</identifier><identifier>DOI: 10.1007/s12253-017-0288-1</identifier><identifier>PMID: 28808873</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Antigens ; Biomedical and Life Sciences ; Biomedicine ; Breast cancer ; Breast carcinoma ; Cancer Research ; Cyclooxygenase-2 ; Epidermal growth factor ; ErbB-2 protein ; Estrogen receptors ; HuR protein ; Immunology ; Invasiveness ; Medical prognosis ; Molecular chains ; Oncology ; Original Article ; Paraffin ; Pathology ; Progesterone ; Prognosis ; Rank tests ; Regression analysis ; Ribonucleic acid ; RNA ; RNA-binding protein ; Therapeutic applications ; Tumor cells</subject><ispartof>Pathology oncology research, 2018-07, Vol.24 (3), p.631-640</ispartof><rights>Arányi Lajos Foundation 2017</rights><rights>Pathology &amp; Oncology Research is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-428157f4180eee55b5a409b122bf4975c8d0a723067cf4f71fe2d7d32bfa30ac3</citedby><cites>FETCH-LOGICAL-c415t-428157f4180eee55b5a409b122bf4975c8d0a723067cf4f71fe2d7d32bfa30ac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12253-017-0288-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12253-017-0288-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28808873$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Giaginis, Constantinos</creatorcontrib><creatorcontrib>Sampani, Anastasia</creatorcontrib><creatorcontrib>Kotta-Loizou, Iolly</creatorcontrib><creatorcontrib>Giannopoulou, Ioanna</creatorcontrib><creatorcontrib>Danas, Eugene</creatorcontrib><creatorcontrib>Politi, Ekaterini</creatorcontrib><creatorcontrib>Tsourouflis, Gerasimos</creatorcontrib><creatorcontrib>Kouraklis, Gregorios</creatorcontrib><creatorcontrib>Patsouris, Efstratios</creatorcontrib><creatorcontrib>Keramopoulos, Antonios</creatorcontrib><creatorcontrib>Nakopoulou, Lydia</creatorcontrib><creatorcontrib>Theocharis, Stamatios</creatorcontrib><title>Elevated Hu-Antigen Receptor (HuR) Expression is Associated with Tumor Aggressiveness and Poor Prognosis but not with COX-2 Expression in Invasive Breast Carcinoma Patients</title><title>Pathology oncology research</title><addtitle>Pathol. Oncol. Res</addtitle><addtitle>Pathol Oncol Res</addtitle><description>Hu-antigen R (HuR), a RNA-binding protein, is considered to play a crucial role in tumor development and progression by stabilizing or regulating a group of cellular mRNAs of cancer-related genes, such as cyclooxygenase-2 (COX-2). The present study aimed to evaluate the clinical significance of HuR and COX-2 expression in invasive breast carcinoma. HuR and COX-2 protein expression was assessed immunohistochemically on paraffin-embedded breast cancer tissue sections obtained from 121 patients and was statistically analyzed with clinicopathological parameters, estrogen receptor (ER), progesterone receptor (PR) and human epidermal growth factor receptor 2 (HER2), as well as with tumor cells’ proliferative capacity and overall and disease-free patients’ survival. High HuR expression was positively associated with larger tumor size and advanced disease stage ( p  = 0.0234 and p  = 0.0361, respectively), being more frequently observed in ER negative cases ( p  = 0.0208). High COX-2 expression was negatively associated with histological ( p  &lt; 0.0001) and nuclear ( p  = 0.0033) grade and tumor cells’ proliferative rate ( p  = 0.0015), being more frequently observed in luminal-A compared to other molecular subtypes ( p  = 0.0221). High HuR expression was associated with poor overall and disease-free patients’ survival at both univariate (log-rank test, p  = 0.0092 and p  = 0.0004, respectively) and multivariate (Cox-regression analysis, p  = 0.0223 and p  = 0.0004, respectively) level. On the other hand, high COX-2 expression was associated with favorable overall and disease-free patients’ survival merely at univariate level (log-rank test, p  = 0.0389 and p  = 0.0154, respectively). HuR expression was not associated with COX-2 expression (Spearman R  = 0.1489, p  = 0.1032). The present data support evidence that HuR is associated with tumor aggressiveness and poor prognosis in breast carcinoma, reinforcing its potential as promising therapeutic target in this type of neoplasia.</description><subject>Antigens</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Breast cancer</subject><subject>Breast carcinoma</subject><subject>Cancer Research</subject><subject>Cyclooxygenase-2</subject><subject>Epidermal growth factor</subject><subject>ErbB-2 protein</subject><subject>Estrogen receptors</subject><subject>HuR protein</subject><subject>Immunology</subject><subject>Invasiveness</subject><subject>Medical prognosis</subject><subject>Molecular chains</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Paraffin</subject><subject>Pathology</subject><subject>Progesterone</subject><subject>Prognosis</subject><subject>Rank tests</subject><subject>Regression analysis</subject><subject>Ribonucleic acid</subject><subject>RNA</subject><subject>RNA-binding protein</subject><subject>Therapeutic applications</subject><subject>Tumor cells</subject><issn>1219-4956</issn><issn>1532-2807</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kcFu1DAQhi0EoqXwAFyQJS7lYLCdeJ0ct6uFrVSpq6pI3CzHmYRUG3vxOAu8Ew-JtykgkDiN5fn-f0bzE_JS8LeCc_0OhZSqYFxoxmVVMfGInApVSCYrrh_ntxQ1K2u1OCHPEO941izqxVNykmFeVbo4JT_WOzjYBC3dTGzp09CDpzfgYJ9CpOeb6eYNXX_bR0AcgqcD0iVicMO95OuQPtPbaczksu_vmQP4XKj1Ld2G_L-NofcBs66ZEvUhzaLV9Scm_zL29NIf7NGAXkSwmOjKRjf4MFq6tWkAn_A5edLZHcKLh3pGPr5f36427Or6w-VqecVcKVRipayE0l0pKg4ASjXKlrxu8rGarqy1clXLrZYFX2jXlZ0WHchWt0Vu24JbV5yR89l3H8OXCTCZcUAHu531ECY0opa14DqfMKOv_0HvwhR93s5IXqq60HlKpsRMuRgQI3RmH4fRxu9GcHOM0sxRmhylOUZpRNa8enCemhHa34pf2WVAzgDmlu8h_hn9f9eftUCqng</recordid><startdate>20180701</startdate><enddate>20180701</enddate><creator>Giaginis, Constantinos</creator><creator>Sampani, Anastasia</creator><creator>Kotta-Loizou, Iolly</creator><creator>Giannopoulou, Ioanna</creator><creator>Danas, Eugene</creator><creator>Politi, Ekaterini</creator><creator>Tsourouflis, Gerasimos</creator><creator>Kouraklis, Gregorios</creator><creator>Patsouris, Efstratios</creator><creator>Keramopoulos, Antonios</creator><creator>Nakopoulou, Lydia</creator><creator>Theocharis, Stamatios</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20180701</creationdate><title>Elevated Hu-Antigen Receptor (HuR) Expression is Associated with Tumor Aggressiveness and Poor Prognosis but not with COX-2 Expression in Invasive Breast Carcinoma Patients</title><author>Giaginis, Constantinos ; 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Oncol. Res</stitle><addtitle>Pathol Oncol Res</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>24</volume><issue>3</issue><spage>631</spage><epage>640</epage><pages>631-640</pages><issn>1219-4956</issn><eissn>1532-2807</eissn><abstract>Hu-antigen R (HuR), a RNA-binding protein, is considered to play a crucial role in tumor development and progression by stabilizing or regulating a group of cellular mRNAs of cancer-related genes, such as cyclooxygenase-2 (COX-2). The present study aimed to evaluate the clinical significance of HuR and COX-2 expression in invasive breast carcinoma. 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High HuR expression was associated with poor overall and disease-free patients’ survival at both univariate (log-rank test, p  = 0.0092 and p  = 0.0004, respectively) and multivariate (Cox-regression analysis, p  = 0.0223 and p  = 0.0004, respectively) level. On the other hand, high COX-2 expression was associated with favorable overall and disease-free patients’ survival merely at univariate level (log-rank test, p  = 0.0389 and p  = 0.0154, respectively). HuR expression was not associated with COX-2 expression (Spearman R  = 0.1489, p  = 0.1032). The present data support evidence that HuR is associated with tumor aggressiveness and poor prognosis in breast carcinoma, reinforcing its potential as promising therapeutic target in this type of neoplasia.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>28808873</pmid><doi>10.1007/s12253-017-0288-1</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Antigens
Biomedical and Life Sciences
Biomedicine
Breast cancer
Breast carcinoma
Cancer Research
Cyclooxygenase-2
Epidermal growth factor
ErbB-2 protein
Estrogen receptors
HuR protein
Immunology
Invasiveness
Medical prognosis
Molecular chains
Oncology
Original Article
Paraffin
Pathology
Progesterone
Prognosis
Rank tests
Regression analysis
Ribonucleic acid
RNA
RNA-binding protein
Therapeutic applications
Tumor cells
title Elevated Hu-Antigen Receptor (HuR) Expression is Associated with Tumor Aggressiveness and Poor Prognosis but not with COX-2 Expression in Invasive Breast Carcinoma Patients
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