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Frequent alterations of SLIT2-ROBO1-CDC42 signalling pathway in breast cancer: clinicopathological correlation
Rittwika Bhattacharya1, Nupur Mukherjee, Hemantika Dasgupta
1Department of Oncogene Regulation, Chittaranjan National Cancer Institute, 37, S.P. Mukherjee Road, Kolkata 700 026, India.ckpanda.cnci@gmail.com.
Abstract:
The aim of the study was to understand the role of SLIT2-ROBO1/2-CDC42 signalling pathways in development of breast cancer (BC). Primary BC samples (n = 150), comprising of almost equal proportion of four subtypes were tested for molecular alterations of SLIT2, ROBO1, ROBO2 and CDC42, the key regulator genes of this pathway. Deletion and methylation frequencies of the candidate genes were seen in the following order: deletion, SLIT2 (38.6%) > ROBO1 (30%) > ROBO2 (7.3%); methylation, SLIT2 (63.3%) > ROBO1 (26.6%) >ROBO2 (9.3%). Majority (80%, 120/150) of the tumours showed alterations (deletion/methylation) in at least one of the candidate genes. Overall, alterations of the candidate genes were as follows: SLIT2, 75.3% (101/150); ROBO1, 45.3% (68/150); ROBO2, 15.3% (23/150). Significantly, higher alteration of SLIT2 locus was observed in triple negative breast cancer (TNBC) over HER2 subtype (P = 0.0014). Similar trend is also seen in overall alterations of SLIT2 and/or ROBO1, in TNBC than HER2 subtype (P = 0.0012); of SLIT2 and/or ROBO2 in TNBC than luminal A (P = 0.014) and HER2 subtype (P = 0.048). Immunohistochemical analysis of SLIT2, ROBO1/2 showed reduced expression, concordant with their molecular alterations. Also, high expression of total CDC42 (49/52; 94.2%) and reduced expression of phospho Serine-71 CDC42 (41/52; 78.8%) was observed. Coalterations of SLIT2 and/or ROBO1, SLIT2 and/or ROBO2 had significant association with reduced expression of phospho Serine-71 CDC42 (P = 0.0012-0.0038). Alterations of SLIT2 and/or ROBO1, reduced expression of phospho Serine-71 CDC42 predicted poor survival of BC patients. Results indicate the importance of SLIT2-ROBO1-CDC42 signalling pathway in predicting tumour progression.
Insights
The SLIT2-ROBO1-CDC42 pathway is frequently altered in breast cancer, particularly in triple-negative breast cancer. Alterations in this pathway, along with reduced phospho-CDC42, predict poor patient survival.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- The SLIT2-ROBO1/2-CDC42 signaling pathway plays a role in cell development.
- Understanding its role in breast cancer (BC) is crucial for identifying new therapeutic targets.
Purpose of the Study:
- To investigate the molecular alterations and clinical significance of the SLIT2-ROBO1/2-CDC42 pathway in primary breast cancer.
- To correlate these alterations with breast cancer subtypes and patient survival.
Main Methods:
- Analysis of deletion and methylation frequencies of SLIT2, ROBO1, ROBO2, and CDC42 genes in 150 primary breast cancer samples.
- Immunohistochemical analysis to assess protein expression levels.
- Correlation of molecular alterations with clinical data, including patient survival and breast cancer subtypes (e.g., triple-negative breast cancer [TNBC], HER2-enriched, luminal A).
Main Results:
- Majority of tumors (80%) exhibited alterations in at least one gene of the pathway.
- SLIT2 showed the highest frequency of alterations (75.3%), with significantly higher alterations observed in TNBC compared to HER2-enriched subtypes.
- Coalterations in SLIT2 and/or ROBO1 were associated with reduced expression of phospho-Serine-71 CDC42 and predicted poor patient survival.
Conclusions:
- The SLIT2-ROBO1-CDC42 signaling pathway is frequently dysregulated in breast cancer.
- Alterations in this pathway, especially in SLIT2, are more common in TNBC.
- The pathway's molecular alterations and reduced phospho-CDC42 expression serve as potential biomarkers for predicting breast cancer progression and patient outcomes.
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