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Updated: Sep 5, 2025

Optimization of a Multiplex RNA-based Expression Assay Using Breast Cancer Archival Material
Published on: August 1, 2018
Expression of Proteinase-activated Receptor 2 (PAR2) as a Correlate of Concern in Triple-negative Breast Cancer
Gargi Kapatia1, Subhpreet Kaur1, Sandeep Kumar2
1Departments of Immunopathology.
Purpose:
Triple-negative breast cancer (TNBC), a highly aggressive cancer with poor outcome and lacking specific diagnostic, prognostic, or targeted therapeutic strategies, constitutes roughly 20% of all breast cancer cases. TNBC cells lack receptors for estrogen, progesterone, and human epidermal growth factor. The effort continues to find a suitable correlate that could serve as a TNBC biomarker, or as therapeutic target, or both.
Materials And Methods:
A retrospective study was performed with 88 TNBC and 74 non-TNBC patients who had undergone mastectomy/lumpectomy with axillary clearance for carcinoma breast. Immunohistochemical staining was carried out for levels of proteinase-activated receptor 2 (PAR2), encoded by F2RL1 gene, and staining scores were calculated, based on intensity and percentage positivity.
Results:
PAR2 levels were markedly upregulated in TNBC patients, compared with patients with other breast cancer subtypes. Amongst different non-TNBC subtypes, higher expression was noted in luminal B (88.8%) and HER2+ (100%), compared with luminal A (52.5%). PAR2 levels were significantly high in TNBC patients with age more than 40 years than corresponding patients of non-TNBC group (P=0.0017). Furthermore, there was a statistically significant increase in levels of PAR2 expression in lymph node negative (P=0.0096) and early stage (P=0.005) of TNBC versus non-TNBC patients. PAR2 staining of ductal carcinoma in situ and invasive ductal carcinoma revealed lower expression in invasive component.
Conclusions:
Our data suggest that PAR2 levels constitute a correlate of concern for TNBC, tying in with a recent report that higher levels of F2RL1 gene expression correlate with poorer disease-free, as well as overall survival in TNBCs.
Insights
Proteinase-activated receptor 2 (PAR2) is upregulated in triple-negative breast cancer (TNBC). Higher PAR2 levels correlate with TNBC, indicating its potential as a biomarker or therapeutic target for this aggressive cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Triple-negative breast cancer (TNBC) is an aggressive subtype lacking targeted therapies.
- Identifying specific biomarkers for TNBC remains a critical unmet need.
- TNBC is characterized by the absence of estrogen, progesterone, and HER2 receptors.
Purpose of the Study:
- To investigate the expression levels of proteinase-activated receptor 2 (PAR2) in TNBC.
- To evaluate PAR2 as a potential biomarker or therapeutic target for TNBC.
- To compare PAR2 expression in TNBC versus non-TNBC subtypes.
Main Methods:
- Retrospective study of 88 TNBC and 74 non-TNBC patients.
- Immunohistochemical staining for PAR2 expression.
- Calculation of PAR2 staining scores based on intensity and percentage positivity.
Main Results:
- PAR2 levels were significantly upregulated in TNBC compared to non-TNBC.
- Higher PAR2 expression was observed in TNBC patients over 40 years old.
- Increased PAR2 expression was associated with lymph node-negative and early-stage TNBC.
- Lower PAR2 expression was noted in the invasive component of ductal carcinoma.
Conclusions:
- PAR2 levels are a significant correlate for TNBC.
- Upregulated PAR2 suggests its potential as a TNBC biomarker.
- Findings align with studies linking F2RL1 gene expression to poorer TNBC survival.
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