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Assessment of Resistance to Tyrosine Kinase Inhibitors by an Interrogation of Signal Transduction Pathways by Antibody Arrays
Published on: September 19, 2018
Protein Tyrosine Kinase 7 (PTK7) in Breast Cancer: A Retrospective Analysis of Tumour Expression and Association with
Kate Lacey1, Megan R Greener1, Tangkam R Marak1
1Nottingham Breast Cancer Research Centre, School of Medicine, University of Nottingham Biodiscovery Institute, University Park, Nottingham NG7 2RD, UK.
Abstract:
Protein tyrosine kinase 7 (PTK7), originally known as colon carcinoma kinase (CCK4), is an evolutionary conserved, catalytically defective transmembrane receptor involved in Wnt signalling. PTK7 has been identified as a potential therapeutic target, and a PTK7 antibody drug conjugate (PF-06647020; cofetuzumab pelidotin) has been investigated in phase I clinical trials for triple-negative breast cancer, ovarian cancer, and non-small cell lung cancer. PTK7 protein expression was evaluated in 1136 early-stage invasive breast tumours by immunohistochemistry. In addition, PTK7 mRNA expression in the METABRIC (n = 1980) and the TCGA breast cancer cohorts (n = 1082) was evaluated. Associations between PTK7 expression and clinicopathological criteria and patient outcome were determined. No association between PTK7 protein expression and breast cancer-specific survival was observed; however, PTK7 mRNA expression in the METABRIC cohort was associated with breast cancer-specific survival (p < 0.001). PTK7 protein and mRNA expression were associated with breast cancer-specific survival of patients with a poor prognostic Nottingham Prognostic Index (NPI) and a moderate prognostic NPI, respectively. Taken together, these data indicate that PTK7 expression is associated with patient outcome in subgroups of breast cancer patients.
Insights
Protein tyrosine kinase 7 (PTK7) expression impacts breast cancer survival. While protein levels showed no association, PTK7 mRNA levels correlated with improved survival in specific patient subgroups, highlighting its prognostic potential.
Area of Science:
- Molecular Biology
- Oncology
- Biochemistry
Background:
- Protein tyrosine kinase 7 (PTK7), also known as colon carcinoma kinase 4 (CCK4), is a catalytically inactive transmembrane receptor implicated in Wnt signaling pathways.
- PTK7 is recognized as a potential therapeutic target, with an antibody-drug conjugate (cofetuzumab pelidotin) undergoing Phase I clinical trials for various cancers, including triple-negative breast cancer.
Purpose of the Study:
- To investigate the association between PTK7 expression (both protein and mRNA) and clinicopathological features in early-stage invasive breast tumors.
- To determine the prognostic significance of PTK7 expression in relation to breast cancer-specific survival.
Main Methods:
- PTK7 protein expression was quantified in 1136 early-stage invasive breast tumors using immunohistochemistry.
- PTK7 mRNA expression was analyzed in the METABRIC (n=1980) and TCGA (n=1082) breast cancer cohorts.
- Statistical analyses were performed to correlate PTK7 expression levels with clinicopathological variables and patient survival outcomes, including stratification by Nottingham Prognostic Index (NPI).
Main Results:
- No significant association was found between PTK7 protein expression levels and breast cancer-specific survival.
- PTK7 mRNA expression in the METABRIC cohort demonstrated a significant association with improved breast cancer-specific survival (p < 0.001).
- Both PTK7 protein and mRNA expression were linked to breast cancer-specific survival in patients with poor and moderate NPI scores, respectively.
Conclusions:
- PTK7 expression, particularly at the mRNA level, serves as a potential prognostic biomarker in specific subgroups of breast cancer patients.
- The differential association of PTK7 protein versus mRNA with survival suggests distinct roles or regulatory mechanisms influencing patient outcomes.
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