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  • Molecular apocrine breast c...
    Lehmann-Che, Jacqueline; Hamy, Anne-Sophie; Porcher, Raphaël; Barritault, Marc; Bouhidel, Fatiha; Habuellelah, Hanadi; Leman-Detours, Solenne; de Roquancourt, Anne; Cahen-Doidy, Laurence; Bourstyn, Edwige; de Cremoux, Patricia; de Bazelaire, Cedric; Albiter, Marcela; Giacchetti, Sylvie; Cuvier, Caroline; Janin, Anne; Espié, Marc; de Thé, Hugues; Bertheau, Philippe

    Breast cancer research : BCR, 05/2013, Letnik: 15, Številka: 3
    Journal Article

    Molecular apocrine (MA) tumors are estrogen receptor (ER) negative breast cancers characterized by androgen receptor (AR) expression. We analyzed a group of 58 transcriptionally defined MA tumors and proposed a new tool to identify these tumors. We performed quantitative reverse transcription PCR (qRT-PCR) for ESR1, AR, FOXA1 and AR-related genes, and immunohistochemistry (IHC) for ER, PR, Human Epidermal Growth Factor Receptor 2 (HER2), CK5/6, CK17, EGFR, Ki67, AR, FOXA1 and GCDFP15 and we analyzed clinical features. MA tumors were all characterized by ESR1(-) AR(+) FOXA1(+) and AR-related genes positive mRNA profile. IHC staining on these tumors showed 93% ER(-), only 58% AR(+) and 90% FOXA1(+). 67% and 57% MA tumors were HER2(3+) and GCDFP15(+), respectively. Almost all MA tumors (94%) had the IHC signature HER2(3+) or GCDFP15(+) but none of the 13 control basal-like (BL) tumors did. Clinically, MA tumors were rather aggressive, with poor prognostic factors. MA tumors could be better defined by their qRT-PCR-AR profile than by AR IHC. In addition, we found that HER2 or GCDFP15 protein overexpression is a sensitive and specific tool to differentiate MA from BL in the context of ER negative tumors. A composite molecular and IHC signature could, therefore, help to identify MA tumors in daily practice.