«Ульяновский медико-биологический журнал»

CLINICAL MEDICINE

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DOI 10.34014/2227-1848-2022-3-49-60

PHENOTYPIC CHARACTERISTICS OF ANDROGEN RECEPTOR-POSITIVE CANCER IN THE TRIPLE-NEGATIVE BREAST CANCER GROUP

I.S. Panchenko1, V.V. Rodionov2, S.V. Panchenko1, M.G. Sharafutdinov1

1 Ulyanovsk State University, Ulyanovsk, Russia;

2 National Medical Research Center for Obstetrics, Gynecology and Perinatology named after academician V.I. Kulakov, Ministry of Health of the Russian Federation, Moscow, Russia

 

The aim of the paper is to reveal the phenotypic characteristics of androgen-receptor-positive breast cancer in triple-negative breast cancer.

Materials and Methods. The authors analyzed clinical and morphological tumour data in 253 patients with morphologically verified invasive triple-negative breast cancer (TNBC). The patients were treated at the Regional Clinical Oncologic Dispensary (Ulyanovsk) and the Breast Pathology Department of the National Medical Research Center for Obstetrics, Gynecology and Perinatology named after V.I. Kulakov (Moscow) from 2014 to 2021.

Results. Statistical analysis of 45 patients (18 % of the total sample) showed that androgen receptor (AR) expression in TNBC was observed in patients older than 61 years (p=0.054). It was associated with a more common stage of the disease (starting with IIB) (p=0.004), multifocal growth pattern (p=0.025), invasive lobular cancer (p=0.04), higher tumor differentiation (p<0.0001), low Ki67 level (p=0.000001), and more frequent involvement of regional lymph nodes (p=0.005). At the same time, there were no statistically significant correlations between the AR expression and menstrual function, breast lesion quadrant, and pathomorphological response after neoadjuvant polychemotherapy.

Conclusion. AR expression in TNBC occurs in patients over 61 years of age, with a locally advanced disease stage, a multifocal tumor growth pattern, an invasive lobular cancer, and well-differentiated tumors with low proliferative activity.

Key words: breast cancer, triple-negative breast cancer (TNBC), androgen receptors (AR).

 

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Received 17 March 2022; accepted 25 June 2022.

 

Information about the authors

Panchenko Ivan Sergeevich, Post-graduate Student, Chair of Oncology and Radiation Diagnostics, Medical Department named after T.Z. Biktimirov, Ulyanovsk State University. 432017, Russia, Ulyanovsk, L. Tolstoy St., 42; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID ID: http://orcid.org/0000-0001-7923-4317

Rodionov Valery Vitalievich, Doctor of Sciences (Medicine), Head of the Department of Breast Pathology, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after academician
V.I. Kulakov, Ministry of Health of the Russian Federation. 117997, Russia, Moscow, Akademik Oparin St., 4; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID ID: http://orcid.org/0000-0003-0096-7126

Panchenko Sergey Viktorovich, Candidate of Sciences (Medicinel, Associate Professor, Chair of Oncology and Radiation Diagnostics, Medical department named after T.Z. Biktimirov, Ulyanovsk State University. 432017, Russia, Ulyanovsk, L. Tolstoy St., 42; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID: http://orcid.org/0000-0002-9006-2023

Sharafutdinov Marat Gakifovich, Candidate of Sciences (Medicine), Head of the Chair of Oncology and Radiation Diagnostics, Medical Department named after T.Z. Biktimirov, Ulyanovsk State University. 432017, Russia, Ulyanovsk, st. L. Tolstoy, 42; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.; ORCID: http://orcid.org/0000-0002-8782-4111

 

For citation

Panchenko I.S., Rodionov V.V., Panchenko S.V., Sharafutdinov M.G. Fenotipicheskie osobennosti androgen-retseptor-pozitivnogo raka v gruppe trizhdy negativnogo raka molochnoy zhelezy [Phenotypic characteristics of androgen receptor-positive cancer in the triple-negative breast cancer group]. Ul'yanovskiy mediko-biologicheskiy zhurnal. 2022; 3: 49–60. DOI: 10.34014/2227-1848-2022-3-49-60 (in Russian).

 

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УДК 616-006.699

DOI 10.34014/2227-1848-2022-3-49-60

ФЕНОТИПИЧЕСКИЕ ОСОБЕННОСТИ АНДРОГЕН-РЕЦЕПТОР-ПОЗИТИВНОГО РАКА В ГРУППЕ ТРИЖДЫ НЕГАТИВНОГО РАКА МОЛОЧНОЙ ЖЕЛЕЗЫ

И.С. Панченко1, В.В. Родионов2, С.В. Панченко1, М.Г. Шарафутдинов1

1 ФГБОУ ВО «Ульяновский государственный университет», г. Ульяновск, Россия;

2 ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. академика В.И. Кулакова» Министерства здравоохранения РФ, г. Москва, Россия

 

Цель. Выявить фенотипические особенности андроген-рецептор-позитивного рака молочной железы в структуре трижды негативного рака молочной железы.

Материалы и методы. Проведен анализ клинических и морфологических данных опухоли у 253 пациенток с морфологически верифицированным инвазивным трижды негативным раком молочной железы (ТНРМЖ), получавших лечение в ГУЗ Областной клинический онкологический диспансер г. Ульяновска и отделении патологии молочной железы ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. В.И. Кулакова» в период с 2014 по 2021 г.

Результаты. Посредством статистического анализа на примере 45 чел. (18 % от общего количества выборки) было выявлено, что экспрессия андрогенных рецепторов (АР) при ТНРМЖ встречается у пациенток старше 61 года (р=0,054), ассоциируется с более распространенной стадией заболевания (начиная с IIB) (р=0,004), мультифокальным характером роста (р=0,025), инвазивным дольковым вариантом рака (р=0,04), более высокой дифференцировкой опухоли (р<0,0001), низким уровнем Ki67 (р=0,000001), более частым поражением регионарных лимфоузлов (р=0,005). Вместе с тем не было отмечено статистически значимых корреляций между экспрессией АР и менструальной функцией, квадрантом поражения молочной железы, достижением патоморфологического ответа после проведения неоадъювантной полихимиотерапии.

Выводы. Экспрессия АР при ТНРМЖ встречается у пациенток старше 61 года при местно-распространенной стадии заболевания, мультифокальном характере роста опухоли, инвазивном дольковом варианте рака, опухолях с высокой дифференцировкой и низкой пролиферативной активностью.

Ключевые слова: рак молочной железы, трижды негативный рак молочной железы (ТНРМЖ), андрогенные рецепторы (АР).

 

Литература

  1. Katrina R. Bauer, Monica Brown, Rosemary D. Cress, Carol A. Parise, Vincent Caggiano. Descriptive analysis of estrogen receptor (ER)-negative, progesterone receptor (PR)-negative, and HER2-negative invasive breast cancer, the so-called triple-negative phenotype: a population-based study from the California Cancer Registry. Cancer. 2007; 109 (9): 1721–1728. URL: https://pubmed.ncbi.nlm.nih.gov/ 17387718 (дата обращения: 07.04.2021). DOI: 10.1002/cncr.22618.

  2. Rebecca Dent, Maureen Trudeau, Kathleen I. Pritchard, Wedad M. Hanna, Harriet K. Kahn, Carol A. Sawka, Lavina A. Lickley, Ellen Rawlinson, Ping Sun, Steven A. Narod. Triple-negative breast cancer: clinical features and patterns of recurrence. Clin. Cancer Res. 2007; 13 (15, Pt. 1): 4429–4434. URL: https://pubmed.ncbi.nlm.hih.gov/17671126 (дата обращения: 07.04.2021). DOI: 10.1158/1078-0432.CCR-06-3045.

  3. Maryam Nakhjavani, Jennifer E Hardingham, Helen M. Palethorpe, Tim J. Price, Amanda R. Townsend. Druggable Molecular Targets for the Treatment of Triple Negative Breast Cancer. J. Breast Cancer. 2019; 22 (3): 341–361. URL: https://pubmed.ncbi.nlm.nih.gov/31598336 (дата обращения: 07.04.2021). DOI: 10.4048/jbc.2019.22.e39.

  4. Alis R.T. Bergin, Sherene Loi. Triple-negative breast cancer: recent treatment advances. F1000Res. 2019; 8: F1000 Faculty Rev-1342. URL: https:// pubmed.ncbi.nlm.nih.gov/31448088 (дата обращения: 16.04.2021). DOI: 10.12688/f1000research.18888.1.

  5. Brain D. Lehmann, Bojana Jovanovic, Xi Chen, Monica V. Estrada, Kimberly N. Johnson, Yu Shyr, Harold L. Moses, Melinda E. Sanders, Jennifer A. Pietenpol. Refinement of Triple-Negative Breast Cancer Molecular Subtypes: Implications for Neoadjuvant Chemotherapy Selection. PLoS One. 2016; 11 (6): e0157368. URL: https://pubmed.ncbi.nlm.nih.gov/27310713 (дата обращения: 07.04.2021). DOI: 10.1371/journal.pone.0157368.

  6. Jesse Lopes da Silva, Natalia Cristina Cardoso Nunes, Patricia Izetti, Guilherme Gomes de Mesquita, Andrea Cristina de Melo. Triple negative breast cancer: A thorough review of biomarkers. Crit Rev Oncol Hematol. 2020; 145: 102855. URL: https:// pubmed.ncbi.nlm.nih.gov/31927455 (дата обращения: 07.04.2021). DOI: 10.1016/j.critrevonc.2019.102855.

  7. Sewha Kim, Byung-In Moon, Woosung Lim, Sanghui Park, Min Sun Cho, Sun Hee Sung. Feasibility of classification of triple negative breast cancer by immunohistochemical surrogate markers. Clin Breast Cancer. 2018; 18 (5): e1123–e1132. URL: https:// pubmed.ncbi.nlm.nih.gov/29754847 (дата обращения: 07.04.2021). DOI: 10.1016/j.clbc.2018.03.012.

  8. Ugo Testa, Germana Castelli, Elvira Pelosi. Breast Cancer: A molecularly heterogenous disease needing subtype-specific treatments. Med Sci (Basel). 2020; 8 (1): 18. URL: https://pubmed.ncbi.nlm.nih.gov/ 32210163 (дата обращения: 07.04.2021). DOI: 10.3390/medsci8010018.

  9. Matthew D. Burstein, Anna Tsimelzon, Graham M. Poage, Kyle R. Covington, Alejandro Contreras, Suzanne A.W. Fuqua, Michelle I. Savage, C. Kent Osborne, Susan G. Hilsenbeck, Jenry C. Chang, Gordon B. Mills, Ching C. Lau, Powel H. Brown. Comprehensive genomic analysis identifies novel subtypes and targets of triple-negative breast cancer. Clin Cancer Res. 2015; 21 (7): 1688–1698. URL: https://pubmed.ncbi.nlm.nih.gov/25208879 (дата обращения: 01.07.2020). DOI: 10.1158/1078-0432.CCR-14-0432.

  10. Yа‑Xuan Lui, Ke-Jing Zhang, Li‑Li Tang. Clinical significance of androgen receptor expression in triple negative breast cancer‑an immunohistochemistry study. Oncol Lett. 2018; 15 (6): 10008–10016. URL: https://pubmed.ncbi.nlm.nih.gov/29844843 (дата обращения: 07.04.2021). DOI: 10.3892/ol.2018.8548.

  11. Murtuza Rampurwala, Kari B. Wisinski, Ruth O'Regan R. Role of the androgen receptor in triple-negative breast cancer. Clin Adv Hematol Oncol. 2016; 14 (3): 186–193. URL: https://pubmed.ncbi.nlm.nih.gov/27058032 (дата обращения: 16.03.2021). PMCID: PMC5221599.

  12. Francisco E. Vera-Badillo, Amoud J. Templeton, Paulo de Gouveia, Ivan Diaz-Padilla, Philippe L. Bedard, Mustafa Al-Mubarak, Bostjan Seruga, Ian F. Tannock, Alberto Ocana, Eitan Amir. Androgen receptor expression and outcomes in early breast cancer: a systematic review and meta-analysis. J. Natl Cancer Inst. 2014; 106 (1): 319. URL: https://pubmed.ncbi.nlm.nih.gov/24273215 (дата обращения: 20.04.2022). DOI: 10.1093/jnci/djt319.

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 Поступила в редакцию 17.03.2022; принята 25.06.2022.

 

Авторский коллектив

Панченко Иван Сергеевич – аспирант кафедры онкологии и лучевой диагностики медицинского факультета им. Т.З. Биктимирова, ФГБОУ ВО «Ульяновский государственный университет». 432017, Россия, г. Ульяновск, ул. Л. Толстого, 42; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID ID: http://orcid.org/0000-0001-7923-4317

Родионов Валерий Витальевич – доктор медицинских наук, заведующий отделением патологии молочной железы, ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии им. академика В.И. Кулакова» Министерства здравоохранения РФ. 117997, Россия, г. Москва, ул. Академика Опарина, 4; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID ID: http://orcid.org/0000-0003-0096-7126

Панченко Сергей Викторович – кандидат медицинских наук, доцент кафедры онкологии и лучевой диагностики медицинского факультета им. Т.З. Биктимирова, ФГБОУ ВО «Ульяновский государственный университет». 432017, Россия, г. Ульяновск, ул. Л. Толстого, 42; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра., ORCID: http://orcid.org/0000-0002-9006-2023

Шарафутдинов Марат Гакифович – кандидат медицинских наук, заведующий кафедрой онкологии и лучевой диагностики медицинского факультета им. Т.З. Биктимирова, ФГБОУ ВО «Ульяновский государственный университет». 432017, Россия, г. Ульяновск, ул. Л. Толстого, 42; e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.; ORCID: http://orcid.org/0000-0002-8782-4111

 

Образец цитирования

Панченко И.С., Родионов В.В., Панченко С.В., Шарафутдинов М.Г. Фенотипические особенности андроген-рецептор-позитивного рака в группе трижды негативного рака молочной железы. Ульяновский медико-биологический журнал. 2022; 3: 49–60. DOI: 10.34014/2227-1848-2022-3-49-60.