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Published on: February 6, 2020
Infiltration by myeloperoxidase-positive neutrophils is an independent prognostic factor in breast cancer
Jasmin Zeindler1, Fiorenzo Angehrn2, Raoul Droeser2
1Breast Cancer Center, University Hospital Basel and University of Basel, 4031, Basel, Switzerland.
Purpose:
Myeloperoxidase (MPO) is an enzyme secreted by neutrophil granulocytes as a result of phagocytosis during inflammation. In colorectal cancer, tumour infiltration by MPO expressing cells has been shown to be independently associated with a favourable prognosis. In this study, we explored the role of MPO-positive cell infiltration and its prognostic significance in invasive breast cancer.
Methods:
We performed immunohistochemical staining for MPO on multiple tissue microarrays comprising a total of 928 human breast cancer samples with detailed clinical-pathological annotation and outcome data.
Results:
MPO-positive cell infiltration (≥ 5 cells/tissue punch) was found in 150 (16%) of the 928 evaluable breast cancer cases. In univariate survival analyses, infiltration by MPO-positive cells was associated with a significantly better overall survival (p < 0.001). In subset univariate analyses, the infiltration by MPO-positive cells was associated with significantly better overall survival in the Luminal B/HER2-negative subtype (p = 0.005), the HER2 enriched subtype (p = 0.011), and the Triple Negative subtype (p < 0.001). In multivariate analysis, MPO expression proved to be an independent prognostic factor for improved overall survival (p < 0.001).
Conclusions:
This is the first study to show that infiltration of MPO-positive cells is an independent prognostic biomarker for improved overall survival in human breast cancer.
Insights
Myeloperoxidase (MPO)-positive cell infiltration in breast cancer indicates a better prognosis. This finding suggests MPO is a significant independent biomarker for improved overall survival in patients.
Area of Science:
- Oncology
- Immunology
- Pathology
Background:
- Myeloperoxidase (MPO) is an enzyme released by neutrophils during inflammation.
- MPO-expressing cell infiltration is linked to favorable prognosis in colorectal cancer.
Purpose of the Study:
- To investigate the prognostic significance of MPO-positive cell infiltration in invasive breast cancer.
- To determine if MPO-positive cell infiltration is an independent prognostic biomarker in breast cancer.
Main Methods:
- Immunohistochemical staining for MPO was performed on tissue microarrays from 928 human breast cancer samples.
- Clinical-pathological annotation and outcome data were analyzed.
Main Results:
- MPO-positive cell infiltration was observed in 16% of breast cancer cases.
- Univariate analysis revealed MPO-positive cell infiltration significantly improved overall survival (p < 0.001).
- Multivariate analysis confirmed MPO expression as an independent prognostic factor for improved overall survival (p < 0.001).
Conclusions:
- MPO-positive cell infiltration is a novel, independent prognostic biomarker for improved overall survival in breast cancer.
- This study provides the first evidence of MPO's prognostic value in human breast cancer.
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