Abstract
Background: Stathmin is a highly conserved cytosolic phosphoprotein that destabilizes microtubules. Stathmin acts in vitro as a tubulin-sequestering protein, and its activity is dramatically reduced by phosphorylation. It has a profound influence on cell proliferation, differentiation, and cellular motility. Similarly, CD10, a cell surface zinc dependent endopeptidase expression in tumor stroma is associated with aggressiveness of many epithelial malignancies.
Aims: The aims of this study were to estimate the frequency of expression of epithelial Stathmin and stromal CD10 in invasive breast cancers, and to assess the significance of epithelial Stathmin and stromal CD10 expression and its correlation with known prognostic markers of breast cancer.
Materials and Methods: The study conducted over a period of 12 months included 32 cases of breast carcinoma. Stathmin expression was assessed by immunohistochemistry and scored under four categories. CD10 expression was scored as negative, weakly positive and strongly positive.
Result: Stathmin was found to be positive in 24/32 (75%) cases and CD10 was positive in stroma of 22/32 (68.75%) cases. Epithelial Stathmin expression showed positive correlation with tumor grade and stage, negative correlation with ER and PR. Stromal CD10 showed positive correlation with tumor grade, stage and Her2neu, and negative correlation with ER and PR.
Conclusion: Stathmin and CD10 correlated strongly with well-established negative prognostic markers thus indicating that they can be used independent markers of poor prognosis and can be used as potential targets for the development of therapies.
Keywords: Breast carcinoma, Stathmin, CD10, hormone receptors, stromal marker, poor prognosis
References
- Juan Rosai, et al. The Breast: Ackerman’s Surgical pathology,10th edition,2011, Elsevier publication, volume 2, page 1661.
- Sørlie T, Perou CM, Tibshirani R, et al. Gene expression patterns of breast carcinomas distinguish tumor subclasses with clinical implications, Proc Natl AcadSci U S A. 2001;98(19):10869–74.
- Saala L H, Johanssonc P, Holm K, S K, Saala G, Shed Q B, Maurera M, Koujaka S, Ferrandoa A, Malmstrom A, et al. Poor prognosis in carcinoma is associated with a gene expression signature of aberrant PTEN tumor suppressor pathway activity, PNAS May 1, 2007 vol. 104 no.18, page-7564
- Jourdain L, Curmi P, Sobel A, Pantaloni D, Carlier MF, Stathmin: a tubulin-sequestering protein which forms a ternary T2S complex with two tubulin molecules,1997 Sep 9;36(36):10817-21
- Manna T, Thrower DA, Honnappa S, Steinmetz MO, Wilson L, et al. Regulation of microtubule dynamic instability in vitro by differentially phosphorylated Stathmin, J Biol Chem.2009 Jun 5;284(23):15640-9. doi: 10.1074/jbc.M900343200. Epub 2009 Apr 8.
- Mott JD, Werb Z, et al. Regulation of matrix biology by matrix metallopro-teinases. CurrOpin Cell Biol 2004; 16:558-64.
- Fidler IJ, et al. The pathogenesis of cancer metastasis: The 'seed and soil' hypothesis revisited, Nat Rev Cancer 2003;3:453-8.
- Bremnes RM, Dønnem T, Al-Saad S, Al-Shibli K, Andersen S, Sirera R, et al. The role of tumor stroma in cancer progression and prognosis: Emphasis on carcinoma-associated fibroblasts and non-small cell lung cancer. J ThoracOncol 2011; 6:209-17.
- De Wever O, Mareel M, et al. Role of tissue stroma in cancer cell invasion. J Pathol 2003; 200:429-47.
- Pollard JW, et al. Tumour-educated macrophages promote tumour progression and metastasis. Nat Rev Cancer 2004; 4:71-8.
- Jinga DC, Blidaru A, Condrea I, Ardeleanu C, Dragomir C, Szegli G, et al. MMP-9 and MMP-2 gelatinases and TIMP-1 and TIMP-2 inhibitors in breast cancer: Correlations with prognostic factors. J Cell Mol Med 2006; 10:499-510.
- Curran CS, Keely PJ, et al. Breast tumor and stromal cell responses to TGF-β and hypoxia in matrixdeposition. Matrix Biol 2013; 32:95-105
- Kass L, Erler JT, Dembo M, Weaver VM, et al. Mammary epithelial cell: Influence of extracellular matrix composition and organization during development and tumorigenesis.Int J Biochem Cell Biol 2007; 39:1987-94.
- Ellis H, Colborn GL, Skandalakis JE, et al. Surgical embryology and anatomy of the breast and its related anatomic structures. SurgClin North Am 1993; 73:611-632.
- Sean Lawler, et al. Microtubule dynamics: If you need a shrink try Stathmin, Op18, Current Biology, Volume 8, Issue 6, 12 March 1998, Pages R212–R214.
- Sherbet GV and Cajone F, Stathmin in Cell Proliferation and Cancer Progression, Cancer Genomics and Proteonomics 2: 237-238 (2005).
- Pan C, Cardarelli PM, Nieder MH, Pickford LB, Gangwar S, King DJ, et al. CD10 is a key enzyme involved in the activation of tumor-activated peptide prodrug CPI-0004Na and novel analogues: Implications for the design of novel peptide prodrugs for the therapy of CD10+ tumors. Cancer Res 2003; 63:5526-31.
- Desmedt C, Majjaj S, Kheddoumi N, Singhal SK, Haibe-Kains B, El Ouriaghli F, et al. Characterization and clinical evaluation of CD10+ stroma cells in the breast cancer microenvironment. Clin Cancer Res 2012; 18:1004-14.
- Gaurav Agarwal, Pooja Ramakant, et al. Breast Cancer Care in India: The Current Scenario and the Challenges for the Future, Breast care(Basel). 2008 Mar; 3(1): 21–27
- W. Elston, I.O.Ellis, et al. Pathological prognostic factors in breast cancer. The value of histological grade in breast cancer: experience from a large study with long-term follow-up, Histopathology Journal (1991)19, 403-4.
- Makretsov NA, Hayes M, Carter BA, Dabiri S, Gilks CB, Huntsman DG, et al. CD10 expression in invasive breast carcinoma correlates with poor prognosis, estrogen receptor negativity, and high grade. NCBI Mod Pathol 2007; 20:84-9.
- Thomas S, Babu RJ, Agarwal K, Puri V, Jain M, Andley M, et al. Effect of neoadjuvant chemotherapy on stromal CD10 antigens in breast cancer - a preliminary study. Indian J Cancer 2013; 50:46-51.
- Isabelle Soerjomataram, Marieke W. J. Louwman, Jacques G. Ribot, Jan A. Roukema,Jan Willem W. Coebergh, et al. An overview of prognostic factors for long-term survivors of breast cancer, Breast Cancer Res Treat (2008) 107:309–330.
- Brattsand G, et al. Op 18 in breast cancer, British Journal of Cancer (2000) 83(3), 311–318.
- Mary Cianfrocca, Lori J Goldstein, et al. Prognostic and Predictive Factors in Early-Stage Breast Cancer, The Oncologist 2004;9:606-616.
Corresponding Author
Dr Niladri Sarkar
Department of Pathology, R.G. Kar Medical College and Hospital
1, Khudiram Bose Road, Kolkata- 700004, West Bengal, India
Phone Number- 8337036877, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.