Tyrosine kinase discoidin domain receptors DDR1 and DDR2 are coordinately deregulated in triple-negative breast cancer

Receptor kinases Discoidin Domain Receptors (DDRs) 1 and 2 are emerging as new therapeutic targets in breast cancer (BC). However, the expression of DDR proteins during BC progression and their association with BC subtypes remain poorly defined. Herein we report the first comprehensive immunohistoch...

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Veröffentlicht in:Breast cancer research and treatment 2015-02, Vol.150 (1), p.9-18
Hauptverfasser: Toy, Kathy A., Valiathan, Rajeshwari R., Núñez, Fernando, Kidwell, Kelley M., Gonzalez, Maria E., Fridman, Rafael, Kleer, Celina G.
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container_issue 1
container_start_page 9
container_title Breast cancer research and treatment
container_volume 150
creator Toy, Kathy A.
Valiathan, Rajeshwari R.
Núñez, Fernando
Kidwell, Kelley M.
Gonzalez, Maria E.
Fridman, Rafael
Kleer, Celina G.
description Receptor kinases Discoidin Domain Receptors (DDRs) 1 and 2 are emerging as new therapeutic targets in breast cancer (BC). However, the expression of DDR proteins during BC progression and their association with BC subtypes remain poorly defined. Herein we report the first comprehensive immunohistochemical analyses of DDR protein expression in a wide range of breast tissues. DDR1 and DDR2 expression was investigated by immunohistochemistry in 218 samples of normal breast ( n  = 10), ductal carcinoma in situ (DCIS, n  = 10), and invasive carcinomas ( n  = 198), arrayed in tissue microarrays with comprehensive clinical and follow-up information. Staining was evaluated for cell type, subcellular localization, percentage and intensity (scores 1–4), and association with disease subtype and outcome. In normal epithelium and DCIS, DDR1 was highly expressed, while DDR2 was negative in normal epithelium, and in DCIS it localized to cells at the epithelial-stromal interface. Of the 198 invasive carcinomas, DDR1 was high in 87 (44 %) and low in 103 (52 %), and DDR2 was high in 110 (56 %) and low in 87 (44 %). High DDR2 was associated with high tumor grade ( P  = 0.002), triple-negative subtype (TNBC) ( P  
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However, the expression of DDR proteins during BC progression and their association with BC subtypes remain poorly defined. Herein we report the first comprehensive immunohistochemical analyses of DDR protein expression in a wide range of breast tissues. DDR1 and DDR2 expression was investigated by immunohistochemistry in 218 samples of normal breast ( n  = 10), ductal carcinoma in situ (DCIS, n  = 10), and invasive carcinomas ( n  = 198), arrayed in tissue microarrays with comprehensive clinical and follow-up information. Staining was evaluated for cell type, subcellular localization, percentage and intensity (scores 1–4), and association with disease subtype and outcome. In normal epithelium and DCIS, DDR1 was highly expressed, while DDR2 was negative in normal epithelium, and in DCIS it localized to cells at the epithelial-stromal interface. Of the 198 invasive carcinomas, DDR1 was high in 87 (44 %) and low in 103 (52 %), and DDR2 was high in 110 (56 %) and low in 87 (44 %). High DDR2 was associated with high tumor grade ( P  = 0.002), triple-negative subtype (TNBC) ( P  &lt; 0.0001), and worse survival ( P  = 0.037). We discovered a novel concordant deregulation of DDR expression, with a DDR1 Low /DDR2 High profile significantly associated with TNBC, compared to luminal tumors ( P  = 0.012), and with worse overall survival. In conclusion, DDR2 upregulation occurs in DCIS, before stromal invasion, and may reflect epithelial-stromal cross-talk. A DDR1 Low /DDR2 High protein profile is associated with TNBC and may identify invasive carcinomas with worse prognosis.</description><identifier>ISSN: 0167-6806</identifier><identifier>EISSN: 1573-7217</identifier><identifier>DOI: 10.1007/s10549-015-3285-7</identifier><identifier>PMID: 25667101</identifier><identifier>CODEN: BCTRD6</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Analysis ; Breast cancer ; Cancer research ; Cancer therapies ; Carcinoma, Ductal, Breast - genetics ; Carcinoma, Ductal, Breast - metabolism ; Carcinoma, Ductal, Breast - pathology ; Clinical outcomes ; Combined Modality Therapy ; Computer memory ; Discoidin Domain Receptors ; Female ; Gene Expression ; Health aspects ; Humans ; Immunohistochemistry ; Kaplan-Meier Estimate ; Kinases ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neoplasm Grading ; Neoplasm Invasiveness ; Oncology ; Preclinical Study ; Prognosis ; Protein Binding ; Proteins ; Receptor Protein-Tyrosine Kinases - genetics ; Receptor Protein-Tyrosine Kinases - metabolism ; Receptors, Mitogen - genetics ; Receptors, Mitogen - metabolism ; Risk Factors ; Triple Negative Breast Neoplasms - genetics ; Triple Negative Breast Neoplasms - metabolism ; Triple Negative Breast Neoplasms - mortality ; Triple Negative Breast Neoplasms - pathology ; Triple Negative Breast Neoplasms - therapy ; Tumor Burden ; Tyrosine</subject><ispartof>Breast cancer research and treatment, 2015-02, Vol.150 (1), p.9-18</ispartof><rights>Springer Science+Business Media New York 2015</rights><rights>COPYRIGHT 2015 Springer</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c638t-58322ca1f41e381a626c4610738356884f5f24852ee7e65139d7b17aaa4433223</citedby><cites>FETCH-LOGICAL-c638t-58322ca1f41e381a626c4610738356884f5f24852ee7e65139d7b17aaa4433223</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/s10549-015-3285-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10549-015-3285-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25667101$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Toy, Kathy A.</creatorcontrib><creatorcontrib>Valiathan, Rajeshwari R.</creatorcontrib><creatorcontrib>Núñez, Fernando</creatorcontrib><creatorcontrib>Kidwell, Kelley M.</creatorcontrib><creatorcontrib>Gonzalez, Maria E.</creatorcontrib><creatorcontrib>Fridman, Rafael</creatorcontrib><creatorcontrib>Kleer, Celina G.</creatorcontrib><title>Tyrosine kinase discoidin domain receptors DDR1 and DDR2 are coordinately deregulated in triple-negative breast cancer</title><title>Breast cancer research and treatment</title><addtitle>Breast Cancer Res Treat</addtitle><addtitle>Breast Cancer Res Treat</addtitle><description>Receptor kinases Discoidin Domain Receptors (DDRs) 1 and 2 are emerging as new therapeutic targets in breast cancer (BC). However, the expression of DDR proteins during BC progression and their association with BC subtypes remain poorly defined. Herein we report the first comprehensive immunohistochemical analyses of DDR protein expression in a wide range of breast tissues. DDR1 and DDR2 expression was investigated by immunohistochemistry in 218 samples of normal breast ( n  = 10), ductal carcinoma in situ (DCIS, n  = 10), and invasive carcinomas ( n  = 198), arrayed in tissue microarrays with comprehensive clinical and follow-up information. Staining was evaluated for cell type, subcellular localization, percentage and intensity (scores 1–4), and association with disease subtype and outcome. In normal epithelium and DCIS, DDR1 was highly expressed, while DDR2 was negative in normal epithelium, and in DCIS it localized to cells at the epithelial-stromal interface. Of the 198 invasive carcinomas, DDR1 was high in 87 (44 %) and low in 103 (52 %), and DDR2 was high in 110 (56 %) and low in 87 (44 %). High DDR2 was associated with high tumor grade ( P  = 0.002), triple-negative subtype (TNBC) ( P  &lt; 0.0001), and worse survival ( P  = 0.037). We discovered a novel concordant deregulation of DDR expression, with a DDR1 Low /DDR2 High profile significantly associated with TNBC, compared to luminal tumors ( P  = 0.012), and with worse overall survival. In conclusion, DDR2 upregulation occurs in DCIS, before stromal invasion, and may reflect epithelial-stromal cross-talk. 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However, the expression of DDR proteins during BC progression and their association with BC subtypes remain poorly defined. Herein we report the first comprehensive immunohistochemical analyses of DDR protein expression in a wide range of breast tissues. DDR1 and DDR2 expression was investigated by immunohistochemistry in 218 samples of normal breast ( n  = 10), ductal carcinoma in situ (DCIS, n  = 10), and invasive carcinomas ( n  = 198), arrayed in tissue microarrays with comprehensive clinical and follow-up information. Staining was evaluated for cell type, subcellular localization, percentage and intensity (scores 1–4), and association with disease subtype and outcome. In normal epithelium and DCIS, DDR1 was highly expressed, while DDR2 was negative in normal epithelium, and in DCIS it localized to cells at the epithelial-stromal interface. Of the 198 invasive carcinomas, DDR1 was high in 87 (44 %) and low in 103 (52 %), and DDR2 was high in 110 (56 %) and low in 87 (44 %). High DDR2 was associated with high tumor grade ( P  = 0.002), triple-negative subtype (TNBC) ( P  &lt; 0.0001), and worse survival ( P  = 0.037). We discovered a novel concordant deregulation of DDR expression, with a DDR1 Low /DDR2 High profile significantly associated with TNBC, compared to luminal tumors ( P  = 0.012), and with worse overall survival. In conclusion, DDR2 upregulation occurs in DCIS, before stromal invasion, and may reflect epithelial-stromal cross-talk. A DDR1 Low /DDR2 High protein profile is associated with TNBC and may identify invasive carcinomas with worse prognosis.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25667101</pmid><doi>10.1007/s10549-015-3285-7</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0167-6806
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Adult
Aged
Aged, 80 and over
Analysis
Breast cancer
Cancer research
Cancer therapies
Carcinoma, Ductal, Breast - genetics
Carcinoma, Ductal, Breast - metabolism
Carcinoma, Ductal, Breast - pathology
Clinical outcomes
Combined Modality Therapy
Computer memory
Discoidin Domain Receptors
Female
Gene Expression
Health aspects
Humans
Immunohistochemistry
Kaplan-Meier Estimate
Kinases
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Grading
Neoplasm Invasiveness
Oncology
Preclinical Study
Prognosis
Protein Binding
Proteins
Receptor Protein-Tyrosine Kinases - genetics
Receptor Protein-Tyrosine Kinases - metabolism
Receptors, Mitogen - genetics
Receptors, Mitogen - metabolism
Risk Factors
Triple Negative Breast Neoplasms - genetics
Triple Negative Breast Neoplasms - metabolism
Triple Negative Breast Neoplasms - mortality
Triple Negative Breast Neoplasms - pathology
Triple Negative Breast Neoplasms - therapy
Tumor Burden
Tyrosine
title Tyrosine kinase discoidin domain receptors DDR1 and DDR2 are coordinately deregulated in triple-negative breast cancer
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