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Optimization of a Multiplex RNA-based Expression Assay Using Breast Cancer Archival Material
Published on: August 1, 2018
Nuclear expression of snail is an independent negative prognostic factor in human breast cancer
S Muenst1, S Däster, E C Obermann
1Institute of Pathology, University Hospital Basel, Schoenbeinstraße 40, 4031 Basel, Switzerland.
Background:
Snail is a key regulator of epithelial-mesenchymal transition of tumor cells. Several studies have shown nuclear Snail expression to be a negative prognostic factor in human cancer, where it is generally associated with more aggressive tumor behavior and worse survival.
Objectives And Methods:
To further explore the role of Snail expression in breast cancer, we conducted a study on a tissue microarray, encompassing 1043 breast cancer cases.
Results:
A total of 265 (25.4%) breast cancers were positive for Snail. Snail expression was significantly associated with greater tumor size, higher tumor stage and grade, positive lymph node status, and hormone receptor negative status and was differently expressed in the intrinsic subtypes of breast cancer, being the highest in the basal-like subtype and the lowest in the luminal A subtype. In multivariate analysis, Snail proved to be an independent negative prognostic factor for OS. In the intrinsic subtypes, Snail expression was a negative prognostic factor for OS in the luminal B HER2(-), the luminal B HER2(+), and the basal-like subtype.
Conclusions:
This is the first study demonstrating that nuclear Snail expression is an independent negative predictor of prognosis in breast cancer, thus suggesting that it may represent a potential therapeutic target.
Insights
Nuclear Snail expression is an independent negative predictor of prognosis in breast cancer. This finding suggests Snail may be a potential therapeutic target for improving patient survival.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Snail protein regulates epithelial-mesenchymal transition in tumor cells.
- Nuclear Snail expression is linked to aggressive cancer behavior and poor survival.
Purpose of the Study:
- Investigate the role of Snail expression in breast cancer.
- Determine Snail's prognostic value in a large cohort.
Main Methods:
- Tissue microarray analysis of 1043 breast cancer cases.
- Correlation of Snail expression with clinicopathological features.
- Multivariate analysis for overall survival (OS).
Main Results:
- Snail expression detected in 25.4% of breast cancers.
- Associated with larger tumor size, higher stage/grade, lymph node positivity, and hormone receptor negativity.
- Differentially expressed across intrinsic subtypes (highest in basal-like, lowest in luminal A).
- Independent negative prognostic factor for OS, particularly in luminal B and basal-like subtypes.
Conclusions:
- Nuclear Snail expression is an independent negative predictor of prognosis in breast cancer.
- Suggests Snail as a potential therapeutic target for breast cancer treatment.
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