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Age-related Differences in Spatially Resolved Transcriptomic Profiles of Patients With Hormone Receptor-positive
Jinah Chu1, Sung-Im DO2, Hyun-Soo Kim3
1Department of Pathology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Anticancer Research
|May 31, 2024
Summary
Younger patients with hormone receptor-positive breast carcinoma show distinct spatial transcriptomic profiles, including up-regulated ribosomal and estrogen-response genes. These findings suggest age-specific treatment strategies are crucial for breast cancer management.
Area of Science:
- Oncology
- Genomics
- Molecular Biology
Background:
- Patient age is a significant factor influencing breast carcinoma treatment response and clinical outcomes.
- Hormone receptor-positive breast carcinoma exhibits varying characteristics based on patient age.
Purpose of the Study:
- To compare spatial transcriptomic profiles between younger (≤50 years) and older (>50 years) patients with hormone receptor-positive breast carcinoma.
- To identify age-related differences in gene expression within the tumor microenvironment.
Main Methods:
- Digital spatial profiling was employed to analyze seven breast carcinoma cases.
- Bioinformatic analysis was conducted to investigate spatial transcriptomes in epithelial and stromal compartments.
Main Results:
- In younger patients, 21 genes were up-regulated and 7 down-regulated in the epithelial compartment.
- Up-regulated genes included serpin peptidase inhibitor clade A member 1 and serine protease.
- Gene ontology and set enrichment analyses revealed significant up-regulation of ribosomal structures, estrogen response, and inflammatory signaling pathways in younger patients.
Conclusions:
- This study presents the first description of age-related differences in spatially resolved transcriptomic profiles of hormone receptor-positive breast carcinoma.
- Significant age-related variations in transcriptional pathways were identified.
- The findings underscore the necessity for age-specific treatment strategies in breast carcinoma management.

