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Overexpression of androgen receptor and forkhead-box A1 protein in apocrine breast carcinoma
Manami Sasahara1, Akira Matsui, Yoshiko Ichimura
1Department of Breast Surgery, National Hospital Organization, Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo 152-8902, Japan. matsuiakira@kankakuki.go.jp.
Aim:
Apocrine breast carcinoma often lacks estrogen receptor (ER), progesterone receptor (PgR), and human epidermal growth factor receptor type-2 (HER2) expression. Accordingly, development of a new treatment strategy is important for this type of cancer. The growth stimulus through the androgen receptor (AR) can be a candidate for targeted treatment. Therefore, we examined the factors related to AR transcription.
Materials And Methods:
We immunohistochemically evaluated 54 apocrine cancer lesions for ER, PgR, AR, HER2, Ki-67, forkhead-box protein A1 (FOXA1), and prostate-specific antigen (PSA) expression.
Results:
ER, PgR, and HER2 were expressed at a low level, thus 44 out of 54 (81.4%) cases were of triple-negative breast cancer. AR, PSA and FOXA1 were expressed in 100% (54/54), 48% (26/54) and 93% (50/54) of cases, respectively.
Conclusion:
Most of apocrine breast carcinomas were immunohistochemically-positive for AR and FOXA1. Anti-androgenic therapies can potentially serve as a cancer-targeting therapy for apocrine breast carcinoma.
Insights
Apocrine breast carcinoma, often triple-negative, frequently expresses androgen receptor (AR). This suggests anti-androgenic therapies may offer a new treatment strategy for this cancer.
Area of Science:
- Oncology
- Endocrinology
- Molecular Biology
Background:
- Apocrine breast carcinoma frequently lacks estrogen receptor (ER), progesterone receptor (PgR), and HER2 expression, classifying it as triple-negative in most cases.
- Androgen receptor (AR) signaling represents a potential therapeutic target for apocrine breast carcinoma due to its role in cancer growth.
Purpose of the Study:
- To investigate the expression of AR and related factors in apocrine breast carcinoma.
- To explore the potential of AR-targeted therapies for apocrine breast carcinoma.
Main Methods:
- Immunohistochemical analysis of 54 apocrine breast carcinoma lesions.
- Evaluation of ER, PgR, AR, HER2, Ki-67, FOXA1, and PSA expression.
Main Results:
- 81.4% of cases were triple-negative (lacking ER, PgR, HER2).
- 100% of cases expressed AR, 93% expressed FOXA1, and 48% expressed PSA.
- High AR and FOXA1 expression suggests AR pathway involvement.
Conclusions:
- Apocrine breast carcinomas predominantly express AR and FOXA1.
- Targeted anti-androgenic therapies show promise for treating apocrine breast carcinoma.
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