Metastasis Risk Assessment Using BAG2 Expression by Cancer-Associated Fibroblast and Tumor Cells in Patients with Breast Cancer

Few studies have examined the role of BAG2 in malignancies. We investigated the prognostic value of BAG2-expression in cancer-associated fibroblasts (CAFs) and tumor cells in predicting metastasis-free survival in patients with breast cancer. Tissue-microarray was constructed using human breast canc...

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Veröffentlicht in:Cancers 2021-09, Vol.13 (18), p.4654
Hauptverfasser: Yoon, Chang-Ik, Ahn, Sung-Gwe, Cha, Yoon-Jin, Kim, Dooreh, Bae, Soong-June, Lee, Ji-Hyung, Ooshima, Akira, Yang, Kyung-Min, Park, Seok-Hee, Kim, Seong-Jin, Jeong, Joon
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container_issue 18
container_start_page 4654
container_title Cancers
container_volume 13
creator Yoon, Chang-Ik
Ahn, Sung-Gwe
Cha, Yoon-Jin
Kim, Dooreh
Bae, Soong-June
Lee, Ji-Hyung
Ooshima, Akira
Yang, Kyung-Min
Park, Seok-Hee
Kim, Seong-Jin
Jeong, Joon
description Few studies have examined the role of BAG2 in malignancies. We investigated the prognostic value of BAG2-expression in cancer-associated fibroblasts (CAFs) and tumor cells in predicting metastasis-free survival in patients with breast cancer. Tissue-microarray was constructed using human breast cancer tissues obtained by surgical resection between 1992 and 2015. BAG2 expression was evaluated by immunohistochemistry in CAFs or the tumor cells. BAG2 expression in the CAFs and cytoplasm of tumor cells was classified as positive and negative, and low and high, respectively. BAG2-CAF was evaluated in 310 patients and was positive in 67 (21.6%) patients. Kaplan–Meier plots showed that distant metastasis-free survival (DMFS) was lesser in patients with BAG2(+) CAF than in patients with BAG2(−) CAF (p = 0.039). Additionally, we classified the 310 patients into two groups: 109 in either BAG2-high or BAG2(+) CAF and 201 in BAG2-low and BAG2(−) CAF. DMFS was significantly reduced in patients with either BAG2-high or BAG2(+) CAF than in the patients of the other group (p = 0.005). Multivariable analysis demonstrated that DMFS was prolonged in patients with BAG2(−) CAF or BAG2-low. Evaluation of BAG2 expression on both CAFs and tumor cells could help in determining the risk of metastasis in breast cancer.
doi_str_mv 10.3390/cancers13184654
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Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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source MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access
subjects Alzheimer's disease
Breast cancer
Cytoplasm
Fibroblasts
Gene amplification
Immunohistochemistry
Immunosurveillance
Lymphatic system
Medical prognosis
Metastases
Metastasis
Proteins
Risk assessment
Surgery
Survival analysis
Tumor cells
title Metastasis Risk Assessment Using BAG2 Expression by Cancer-Associated Fibroblast and Tumor Cells in Patients with Breast Cancer
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