Nishida Haruto, Kato Ami, Kaimori Ryo, Kawamura Kazuhiro, Daa Tsutomu
Department of Diagnostic Pathology, Faculty of Medicine, Oita University, 1-1, Idaigaoka, Hasamamachi, Oita, 879-5593, Oita, Japan.
Sci Rep. 2025 Jan 23;15(1):2892. doi: 10.1038/s41598-025-87403-y.
Breast cancer (BC) is classified based on the expression of histopathological markers, namely, estrogen receptor (ER), progesterone receptor (PgR), and human epidermal growth factor receptor 2 (HER2). Carcinomas with apocrine differentiation (CAD) are classified based on morphology. Androgen receptor (AR) is highly expressed in CAD; however, no study has comprehensively examined AR-related proteins in CAD. Therefore, we examined the expression of AR-related proteins and AR, compared protein expression patterns between morphologically identified CAD and other BC subtypes, and investigated CAD characteristics. We performed immunohistochemistry for AR and various AR-related proteins in 66 invasive ductal carcinoma (32 ER+/PgR+/HER2-, 8 ER+/PgR+/HER2+, 12 ER-/PgR-/HER2+, and 14 ER-/PgR-/HER2- [triple-negative breast cancer)), 21 invasive lobular carcinoma, and 27 CAD cases. In the CAD group, all cases were AR-positive; some AR-related proteins were highly expressed. Nuclear phosphorylated-mammalian target of rapamycin was highly expressed in CAD cases compared with that in other BC groups, with a 33.3% sensitivity and 97.7% specificity. AR-expressing CAD cases exhibited high expression of other AR-related proteins. Specifically, the combination of AR+, GCDFP15+, and ER - or AR+, FOXA1+, and ER - may be useful for the diagnosis and treatment of AR-positive BC and CAD. These results may assist in androgen-related molecular targeted therapy research.
乳腺癌(BC)是根据组织病理学标志物的表达进行分类的,即雌激素受体(ER)、孕激素受体(PgR)和人表皮生长因子受体2(HER2)。具有大汗腺分化的癌(CAD)是根据形态学进行分类的。雄激素受体(AR)在CAD中高表达;然而,尚无研究全面检测CAD中与AR相关的蛋白。因此,我们检测了与AR相关的蛋白和AR的表达,比较了形态学鉴定的CAD与其他BC亚型之间的蛋白表达模式,并研究了CAD的特征。我们对66例浸润性导管癌(32例ER+/PgR+/HER2-、8例ER+/PgR+/HER2+、12例ER-/PgR-/HER2+和14例ER-/PgR-/HER2- [三阴性乳腺癌])、21例浸润性小叶癌和27例CAD病例进行了AR及各种与AR相关蛋白的免疫组织化学检测。在CAD组中,所有病例AR均为阳性;一些与AR相关的蛋白高表达。与其他BC组相比,核磷酸化雷帕霉素靶蛋白在CAD病例中高表达,敏感性为33.3%,特异性为97.7%。表达AR的CAD病例表现出其他与AR相关蛋白的高表达。具体而言,AR+、GCDFP15+和ER-或AR+、FOXA1+和ER-的组合可能有助于AR阳性BC和CAD的诊断和治疗。这些结果可能有助于雄激素相关分子靶向治疗的研究。