Immunoexpression and Activation of STAT1 and STAT3 in Invasive Breast Carcinoma No Special Type: Implications for Triple-Negative Breast Cancer and BRCA1 Status
摘要
The prevalence of novel therapeutic markers identified in breast carcinoma in different patient populations is important to acknowledge their molecular diversity. The present study was therefore carried out with the aim of identifying signal transducers and their activators (STAT) 1 and 3, along with their activated products, in invasive breast carcinoma (IBC) of no special type (IBC-NST).
MethodsThis was a prospective observational study in which STAT 1 and 3, as well as their activation, were examined by immunohistochemistry (IHC) in relation to clinico-pathological variables, molecular classification, and BRCA1 status in 222 IBC-NST.
ResultsMean age was 47.85, SD 10.95 years, with triple-negative breast cancer (TNBC) being the most common. 84.79% cases were positive for STAT 3 (n = 184/217) and only 38.12% (n = 32/83) displayed STAT 1 expression. Activation of STAT 1 and 3 was seen in 11.6% (n = 5/43) for STAT 1 and 38.55% (n = 32/83) cases for STAT 3. Molecular subtypes displayed significant correlation with respect to STAT 3 expression (p = 0.019). Cases with STAT3 activation showed a higher tumour grade (χ² = 4.916, p = 0.027). A significant number of cases with STAT 1 activation belonged to the TNBC group (4/5; 80%). Though not significant, 50% (16/32) of pSTAT3-expressing cases were TNBCs. All STAT 1 activated (χ²=4.047, p = 0.044) and 56.25% of STAT 3 activated (χ²=0.532, p = 0.466) tumours displayed BRCA1 loss by IHC.
ConclusionOur data suggest that a substantial percentage of women with breast cancer in our region display STAT 1 and 3 immunoexpression and activation, with many belonging to TNBC. Hence, treatment with STAT inhibitors could play a role in the management of these patients.