Calcification-associated molecular traits and therapeutic strategies in hormone receptor-positive HER2-negative breast cancer

Copyright © 2024 Cancer Biology & Medicine..

OBJECTIVE: Mammographic calcifications are a common feature of breast cancer, but their molecular characteristics and treatment implications in hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (HER2-) breast cancer remain unclear.

METHODS: We retrospectively collected mammography records of an HR+/HER2- breast cancer cohort (n = 316) with matched clinicopathological, genomic, transcriptomic, and metabolomic data. On the basis of mammographic images, we grouped tumors by calcification status into calcification-negative tumors, tumors with probably benign calcifications, tumors with calcification of low-moderate suspicion for maligancy and tumors with calcification of high suspicion for maligancy. We then explored the molecular characteristics associated with each calcification status across multiple dimensions.

RESULTS: Among the different statuses, tumors with probably benign calcifications exhibited elevated hormone receptor immunohistochemical staining scores, estrogen receptor (ER) pathway activation, lipid metabolism, and sensitivity to endocrine therapy. Tumors with calcifications of high suspicion for malignancy had relatively larger tumor sizes, elevated lymph node metastasis incidence, Ki-67 staining scores, genomic instability, cell cycle pathway activation, and may benefit from cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors.

CONCLUSIONS: Our research established links between tumor calcifications and molecular features, thus proposing potential precision treatment strategies for HR+/HER2- breast cancer.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Cancer biology & medicine - (2024) vom: 09. Apr.

Sprache:

Englisch

Beteiligte Personen:

Li, Yuwei [VerfasserIn]
Xu, Yuzheng [VerfasserIn]
Lin, Caijin [VerfasserIn]
Jin, Xi [VerfasserIn]
Ma, Ding [VerfasserIn]
Shao, Zhiming [VerfasserIn]

Links:

Volltext

Themen:

HR+/HER2− breast cancer
Journal Article
Mammographic calcifications
Molecular features
Precision treatment

Anmerkungen:

Date Revised 12.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.20892/j.issn.2095-3941.2023.0492

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370947908