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Expression of EMP1, EMP2, and EMP3 in breast phyllodes tumors

Authors
 Yoon Jin Cha  ;  Ja Seung Koo 
Citation
 PLOS ONE, Vol.15(8) : e0238466, 2020-08 
Journal Title
 PLOS ONE 
Issue Date
2020-08
MeSH
Adult ; Biomarkers, Tumor / metabolism ; Breast Neoplasms / metabolism* ; Breast Neoplasms / pathology ; Humans ; Immunohistochemistry ; Membrane Glycoproteins / metabolism* ; Middle Aged ; Neoplasm Grading ; Neoplasm Proteins / metabolism* ; Phyllodes Tumor / metabolism* ; Phyllodes Tumor / pathology ; Prognosis ; Receptors, Cell Surface / metabolism* ; Stromal Cells / metabolism ; Stromal Cells / pathology ; Survival Analysis ; Tissue Array Analysis
Abstract
Purpose: Phyllodes tumors (PTs) are biphasic tumors accounting for 0.3-1.5% of all breast tumors. Epithelial membrane proteins (EMPs) have been reported in various malignant tumors but their expression in PTs is unclear. In this study, we aimed to evaluate the expression of EMP1, EMP2, and EMP3 in breast phyllodes tumors (PTs), and to investigate their clinical implications. Methods: In total, 185 PTs were used for constructing a tissue microarray. Immunohistochemical staining for EMP1, EMP2, and EMP3 was performed, and the results were analyzed along with the clinicopathologic parameters. Results: In total, 185 PTs were included in this study, and comprised 138 benign, 32 borderline, and 15 malignant PTs. In malignant PTs, the epithelial component showed decreased expression of EMP1 (P = 0.027), EMP2 (P = 0.004), and EMP3 (P = 0.032), compared to the benign and borderline PTs. Conversely, stromal component of borderline and malignant PTs showed higher expression of EMP1 (P = 0.027), EMP2 (P = 0.004), and EMP3 (P = 0.032) compared to benign PTs. Expression of EMP1 and EMP3 correlated positively with stromal cellularity and cellular atypia (P < 0.001). In the univariate analysis, stromal EMP3 was associated with shorter disease-free survival (P < 0.001), and shorter overall survival (P = 0.034). Conclusion: The expression of EMP1, EMP2, and EMP3 is decreased in the epithelial component and is increased in the stromal component of PT with higher histologic grade. Thus, stromal EMP3 expression may serve as an independent prognostic factor in PT.
Files in This Item:
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DOI
10.1371/journal.pone.0238466
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
Yonsei Authors
Koo, Ja Seung(구자승) ORCID logo https://orcid.org/0000-0003-4546-4709
Cha, Yoon Jin(차윤진) ORCID logo https://orcid.org/0000-0002-5967-4064
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180001
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