Medicina - CLINICAL RELEVANCE OF PDCD4, A NUCLEAR ERBB-2 TARGET GENE, IN DIFFERENT BREAST CANCER SUBTYPES
Congreso
Autoría:
Matias Amasino ; Maria Florencia Chervo ; Matias Pereyra ; Leandro Venturutti ; Santiago Madera ; Violeta Chiauzzi ; Cecilia Proietti ; Sabrina Barchuk ; Silvina Figurelli ; Pablo Guzman ; Juan Carlos Roa ; Roxana Schillaci ; Eduardo Charreau ; Rosalia Cordo Russo ; Patricia V ElizaldeFecha:
2017Editorial y Lugar de Edición:
MedicinaResumen *
PDCD4 (programmed cell death 4) is a tumor suppressor gene involvedin metastasis in breast cancer (BC). We previously reportedthat ErbB-2 nuclear function as a transcription factor (TF) and alsoas a coactivator of TF Stat3, leads to increased microRNA-21 levels,therefore decreasing PDCD4 expression favouring metastasis.To explore PDCD4 clinical relevance in BC, we analyzed PDCD4expression by immunohistochemistry in 541 patients with primaryinvasive BC. We found that 34% of patients showed PDCD4 expressionand was associated with good prognosis (p=0.009). SurrogateBC subtypes include Luminal A (Lum A, estrogen and progesteronereceptor positive, ER+/PR+), Luminal B (Lum B, ER+/PR-), LumB-ErbB-2 positive (+), ErbB-2+-non luminal, and triple negative BC(TNBC, ER-/PR-/ErbB2-). PDCD4 expression was associated witha higher overall survival probability in patients with Lum A, Lum B,and ErbB-2+ subtypes, but not in TNBC (p=0.044, p=0.016, p=0.05,and p=0.40, respectively). Correlation of PDCD4 mRNA expressionand patient outcome using publicly available KM plotter database,showed similar results. Interestingly, we found that 80% (84/104)of TNBC patients lacked PDCD4 expression. Western blot showedthat PDCD4 levels were decreased in TNBC (MDA-MB-453, -231and -468) compared to Lum A cells. As our previous reports indicatedthat TNBC cells express NErbB-2 which modulates PDCD4levels, we explored the effects of NErbB-2 blockade in PDCD4 expressionby using ErbB-2ΔNLS mutant which acts as a dominantnegative inhibitor of endogenous NErbB-2. ErbB-2ΔNLS increasedPDCD4 levels in TNBC cells. We also found that in PDCD4 negativeTNBC patients NErbB-2 presence was associated with poorprognosis (p=0.031). Our findings stress the association in TNBCbetween high levels of NErbB-2, lack of PDCD4 expression, tumormetastasis and poor prognosis. We also reveal PDCD4 expression as a marker of better clinical outcome in Lum A, Lum B and ErbB-2+BC subtypes. Información suministrada por el agente en SIGEVAPalabras Clave
nuclear erbB2TNBCPDCD4