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

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...

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Veröffentlicht in:Clinical and experimental medicine 2023-09, Vol.23 (5), p.1641-1647
Hauptverfasser: Cerbelli, Bruna, Pisano, Annalinda, Pignataro, Maria Gemma, Pernazza, Angelina, Botticelli, Andrea, Carosi, Mariantonia, Costarelli, Leopoldo, Allegretti, Matteo, d’Amati, Giulia, Cordone, Iole
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container_end_page 1647
container_issue 5
container_start_page 1641
container_title Clinical and experimental medicine
container_volume 23
creator Cerbelli, Bruna
Pisano, Annalinda
Pignataro, Maria Gemma
Pernazza, Angelina
Botticelli, Andrea
Carosi, Mariantonia
Costarelli, Leopoldo
Allegretti, Matteo
d’Amati, Giulia
Cordone, Iole
description 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 Syndecan-1 expression was determined by immunohistochemistry. Focal vs diffuse ( 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 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 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.
doi_str_mv 10.1007/s10238-022-00880-7
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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 Syndecan-1 expression was determined by immunohistochemistry. Focal vs diffuse (&lt; or &gt; 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 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 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.</description><identifier>ISSN: 1591-9528</identifier><identifier>ISSN: 1591-8890</identifier><identifier>EISSN: 1591-9528</identifier><identifier>DOI: 10.1007/s10238-022-00880-7</identifier><identifier>PMID: 36088392</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Brain cancer ; Brain tumors ; Breast cancer ; Cytoplasm ; ErbB-2 protein ; Hematology ; Immunohistochemistry ; Internal Medicine ; Invasiveness ; Lesions ; Localization ; Medicine ; Medicine &amp; Public Health ; Meninges ; Metastases ; Metastasis ; Oncology ; Original ; Original Article ; Syndecan ; Tumors</subject><ispartof>Clinical and experimental medicine, 2023-09, Vol.23 (5), p.1641-1647</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022. 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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 Syndecan-1 expression was determined by immunohistochemistry. Focal vs diffuse (&lt; or &gt; 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 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. 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Pisano, Annalinda ; Pignataro, Maria Gemma ; Pernazza, Angelina ; Botticelli, Andrea ; Carosi, Mariantonia ; Costarelli, Leopoldo ; Allegretti, Matteo ; d’Amati, Giulia ; Cordone, Iole</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-c5172e8e559329ab200a35cba2c995730f7ec583157a62575c32d50b4f65c7333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Brain cancer</topic><topic>Brain tumors</topic><topic>Breast cancer</topic><topic>Cytoplasm</topic><topic>ErbB-2 protein</topic><topic>Hematology</topic><topic>Immunohistochemistry</topic><topic>Internal Medicine</topic><topic>Invasiveness</topic><topic>Lesions</topic><topic>Localization</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Meninges</topic><topic>Metastases</topic><topic>Metastasis</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Syndecan</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cerbelli, Bruna</creatorcontrib><creatorcontrib>Pisano, Annalinda</creatorcontrib><creatorcontrib>Pignataro, Maria Gemma</creatorcontrib><creatorcontrib>Pernazza, Angelina</creatorcontrib><creatorcontrib>Botticelli, Andrea</creatorcontrib><creatorcontrib>Carosi, Mariantonia</creatorcontrib><creatorcontrib>Costarelli, Leopoldo</creatorcontrib><creatorcontrib>Allegretti, Matteo</creatorcontrib><creatorcontrib>d’Amati, Giulia</creatorcontrib><creatorcontrib>Cordone, Iole</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical and experimental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cerbelli, Bruna</au><au>Pisano, Annalinda</au><au>Pignataro, Maria Gemma</au><au>Pernazza, Angelina</au><au>Botticelli, Andrea</au><au>Carosi, Mariantonia</au><au>Costarelli, Leopoldo</au><au>Allegretti, Matteo</au><au>d’Amati, Giulia</au><au>Cordone, Iole</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Overexpression in metastatic breast cancer supports Syndecan-1 as a marker of invasiveness and poor prognosis</atitle><jtitle>Clinical and experimental medicine</jtitle><stitle>Clin Exp Med</stitle><date>2023-09-01</date><risdate>2023</risdate><volume>23</volume><issue>5</issue><spage>1641</spage><epage>1647</epage><pages>1641-1647</pages><issn>1591-9528</issn><issn>1591-8890</issn><eissn>1591-9528</eissn><abstract>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 Syndecan-1 expression was determined by immunohistochemistry. Focal vs diffuse (&lt; or &gt; 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 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 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.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>36088392</pmid><doi>10.1007/s10238-022-00880-7</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Brain cancer
Brain tumors
Breast cancer
Cytoplasm
ErbB-2 protein
Hematology
Immunohistochemistry
Internal Medicine
Invasiveness
Lesions
Localization
Medicine
Medicine & Public Health
Meninges
Metastases
Metastasis
Oncology
Original
Original Article
Syndecan
Tumors
title Overexpression in metastatic breast cancer supports Syndecan-1 as a marker of invasiveness and poor prognosis
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