Mohiuddin T M, Sheng Wenjie, Zhang Chaoyu, Al-Rawe Marwah, Tchaikovski Svetlana, Zeppernick Felix, Meinhold-Heerlein Ivo, Hussain Ahmad Fawzi
Department of Gynecology and Obstetrics, Medical Faculty, Justus-Liebig-University Giessen, Klinikstr. 33, 35392 Giessen, Germany.
Department of Gynaecology and Obstetrics, Brandenburg Medical School Theodor Fontane, University Clinic Brandenburg, Hochstraße 29, 14770 Brandenburg an der Havel, Germany.
Int J Mol Sci. 2025 Aug 1;26(15):7430. doi: 10.3390/ijms26157430.
Triple-negative breast cancer (TNBC) is a clinically and molecularly heterogeneous subtype defined by the absence of estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2) expression. In this study, tumor specimens from 104 TNBC patients were analyzed to characterize molecular and clinicopathological features and to assess the expression and therapeutic potential of four key surface markers: epidermal growth factor receptor (EGFR), epithelial cell adhesion molecule (EpCAM), tissue factor (TF), and trophoblast cell surface antigen (TROP2). Multiplex immunofluorescence (mIF) demonstrated elevated EGFR and TROP2 expression in the majority of samples. Significant positive correlations were observed between EGFR and TF, as well as between TROP2 and both TF and EpCAM. Expression analyses revealed increased EGFR and TF levels with advancing tumor stage, whereas EpCAM expression declined in advanced-stage tumors. TROP2 and TF expression were significantly elevated in higher-grade tumors. Additionally, EGFR and EpCAM levels were significantly higher in patients with elevated Ki-67 indices. Binding specificity assays using single-chain variable fragment (scFv-SNAP) fusion proteins confirmed robust targeting efficacy, particularly for EGFR and TROP2. These findings underscore the therapeutic relevance of EGFR and TROP2 as potential biomarkers and targets in TNBC.
三阴性乳腺癌(TNBC)是一种临床和分子层面均具有异质性的亚型,其定义为雌激素受体(ER)、孕激素受体(PR)和人表皮生长因子受体2(HER2)均无表达。在本研究中,对104例TNBC患者的肿瘤标本进行了分析,以表征分子和临床病理特征,并评估四种关键表面标志物的表达及治疗潜力,这四种标志物分别为表皮生长因子受体(EGFR)、上皮细胞黏附分子(EpCAM)、组织因子(TF)和滋养层细胞表面抗原(TROP2)。多重免疫荧光(mIF)显示,大多数样本中EGFR和TROP2表达升高。EGFR与TF之间以及TROP2与TF和EpCAM之间均观察到显著的正相关。表达分析显示,随着肿瘤分期进展,EGFR和TF水平升高,而晚期肿瘤中EpCAM表达下降。TROP2和TF表达在高级别肿瘤中显著升高。此外,Ki-67指数升高的患者中EGFR和EpCAM水平显著更高。使用单链可变片段(scFv-SNAP)融合蛋白进行的结合特异性分析证实了强大的靶向功效,尤其是针对EGFR和TROP2。这些发现强调了EGFR和TROP2作为TNBC潜在生物标志物和靶点的治疗相关性。
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