DISTRIBUTION OF CXCR4 AND TUMOUR-INFILTRATING LYMPHOCYTES IN BREAST CANCER SUBTYPES; THEIR RELATIONSHIP WITH EACH OTHER, AXILLARY LYMPH NODE INVOLVEMENT, AND OTHER PROGNOSTIC INDICATORS


PEHLİVAN F. S., Sivrikoz O. N., Dag F., Kececi S. D., Sanal S. M.

POLISH JOURNAL OF PATHOLOGY, cilt.69, sa.4, ss.335-341, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 69 Sayı: 4
  • Basım Tarihi: 2018
  • Doi Numarası: 10.5114/pjp.2018.81692
  • Dergi Adı: POLISH JOURNAL OF PATHOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.335-341
  • Anahtar Kelimeler: breast cancer, breast cancer subtype, CXCR4, tumour-infiltrating lymphocytes
  • Manisa Celal Bayar Üniversitesi Adresli: Hayır

Özet

We have investigated the distribution of chemokine receptor 4 (CXCR4) and CD8-positive, tumour-infiltrating T lymphocytes (CD8+ TILs) in breast cancer subtypes and explored the relationship between them and the well-established conventional prognostic markers, including axillary lymph node involvement. A total of 250 breast cancer patients were included in the study. The patients were separated into luminal A + B, HER2 enriched/overexpressed (HER2+), and triple-negative, on the basis of their staining characteristics, via conventional staining methods. Immunohistochemical (IHC) staining for CXCR4 and CD8+ TILs were performed on the archival tissues from each patient. With increasing intensity of CXCR4 staining, there was a higher incidence of lymph node metastasis (p < 0.01). Similarly, there was a positive correlation between the primary tumour size, HER2 + subtype, lymphovascular invasion, and axillary lymph node involvement. Dense lymphocytic infiltration was observed in HER2 + and triple-negative patients. No correlation between CD8+ TILs in all sites and breast cancer subtypes was discovered. A reverse correlation was discovered with CD8+ TILs stained only intratumorally and CXCR4 expression. In conclusion, lymph node involvement correlates with higher CXCR4 expression in all breast cancer subtypes. Conversely, no such correlation is found with CD8+ TILs.