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The Prognostic Significance of ALDH-1 and SOX9 Expression in Early Breast Cancer | ||
Middle East Journal of Cancer | ||
مقاله 3، دوره 13، شماره 4 - شماره پیاپی 52، دی 2022، صفحه 581-592 اصل مقاله (2.98 M) | ||
نوع مقاله: Original Article(s) | ||
شناسه دیجیتال (DOI): 10.30476/mejc.2022.90510.1578 | ||
نویسندگان | ||
Lobna A. Abdelaziz* 1؛ Ola A. Harb2؛ Abeer M. Abdelbary2؛ Amrallah A. Mohammed3؛ Hend M. Hamdey Rashed Elkalla4 | ||
1Department of Clinical Oncology, Faculty of Medicine, Zagazig University, Zagazig, Egypt | ||
2Department of Pathology, Faculty of Medicine, Zagazig University, Zagazig, Egypt | ||
3Department of Medical Oncology, Faculty of Medicine, Zagazig University, Zagazig, Egypt | ||
4Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt | ||
چکیده | ||
Background: Aldehyde dehydrogenase 1 (ALDH1) is an enzyme accountable for the detoxification of aldehydes. Sex-determining region Y-box 9 (SOX-9) plays a role in many biological and pathological processes. In this study, we aimed to evaluate the prognostic significance of ALDH1 and SOX9 expression in early breast cancer. Method: The expression of ALDH1 and SOX-9 was evaluated through immunohistochemistry derived from 50 eligible patients with early breast cancer included in the current prospective cohort study. Results: Positive expression of ALDH1 and SOX-9 were detected in 29 (58%) and 34 (68%) patients, respectively. The positive expressions of both markers were statistically significant associated with increasing the stage, lymph nodes metastasis, high Ki67 labeling index, and molecular subtypes (P < 0.001), along with with the biological markers; estrogen receptors, progesterone receptors, and human epidermal growth factor receptor 2 over-expressions, and large tumor size (P = 0.039, P = 0.022, P = 0.024 and P = 0.003 for ALDH1 expression and P = 0.012, P = 0.007, P = 0.004 , and P = 0.002 for SOX-9 expression, respectively). There is a significant positive association between the expression of ALDH1 and SOX-9, r (correlation coefficient) = +0.806 (P < 0.001). Local recurrence was associated with the positive expression of ALDH1 only (P = 0.045) and the disease progression was statistically significant and associated with the positive expression of both ALDH1 and SOX-9 (P = 0.038, P = 0.023, respectively). There was significant association of positive expression of SOX-9 with reduced 3-y disease-free survival (P = 0.039). Conclusion: Positive expression of ALDH-1 and SOX9 were associated with aggressive histopathological features and poor outcome in early breast cancer and can be considered potential prognostic markers in this group of patients. | ||
کلیدواژهها | ||
Early breast cancer؛ Neoplastic stem cells؛ Aldehyde dehydrogenase 1؛ SOX9؛ Prognosis | ||
اصل مقاله | ||
This article has been partially presented as an E-poster (184P) in ESMO virtual congress 2020 and published with a citation in Annals of Oncology (2020) 31 (suppl_4): S303-S339. doi:10.1016/annonc/annonc267. How to cite this article: Abdelaziz LA, Harb OA, Abdelbary AM, Mohammed AA, Hamdey Rashed Elkalla HM. The prognostic significance of ALDH-1 and SOX9 expression in early breast cancer. Middle East J Cancer. 2022;13(4):581-92. doi: 10.30476/mejc.2022.90510.1578. | ||
مراجع | ||
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