Evidence map›Paper›PMID 39555365›Full record

ArticleIndian journal of surgical oncology2024

Expression of cancer stem cell markers (CD24, CD44 & ALDH1A3 isoform) in Breast Cancer in Indian population considering clinicopathological characteristics and response to neoadjuvant chemotherapy - a prospective analysis from a university hospital.

Nizamuddin Ansari, Kushagra Gaurav, Akshay Anand, Kul Ranjan Singh, Preeti Agarwal, Apoorva Agarwal, Surender Kumar, Abhinav Arun Sonkar

Abstract read
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Article in Indian journal of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

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8 authors.

Nizamuddin AnsariDepartment of Surgery (General), King George's Medical University, Lucknow, UP India.
Kushagra GauravDepartment of Surgery (General), King George's Medical University, Lucknow, UP India.
Akshay AnandDepartment of Surgery (General), King George's Medical University, Lucknow, UP India.
Kul Ranjan SinghDepartment of Endocrine Surgery, King George's Medical University, Lucknow, UP India.
Preeti AgarwalDepartment of Pathology, King George's Medical University, Lucknow, UP India.
Apoorva AgarwalDepartment of Pathology, King George's Medical University, Lucknow, UP India.
Surender KumarDepartment of Surgery (General), King George's Medical University, Lucknow, UP India.
Abhinav Arun SonkarDepartment of Surgery (General), King George's Medical University, Lucknow, UP India.ORCID 0000-0002-5093-1992

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer stem cells (CSC) are a small number of tumour propagating cells present in the bulk of tumour cells. Expression of biological markers for CSCs viz. cluster of differentiation 24 and 44 (CD24, CD44) and aldehyde dehyodeganse 1 (ALDH1) imply aggressive tumour cell behaviour and poorer outcome, particularly in breast cancer. N = 75 Tumor tissue samples from enrolled breast cancer patients were obtained and subjected to histopathological examination and immunohistochemistry (IHC) after informed consent from patients. In addition to the estrogen receptor, progesterone receptor, Her2 neu receptor, and Ki67 index; IHC was also performed for CD24, CD44 and ALDH1A3 expression. These markers' positivity was correlated with clinical parameters, therapy response and metastasis prognostication. Most patients had higher tumor stage and high nodal burden (81.3% with node positivity; N1-68%, N2 -6.6%, N3-6.6%). Study showed significant association of CD24-/CD44 + group (p = 0.021) with distant metastasis and significant association of CD24-/CD44 + /ALDH1A3 + (p = 0.008) with higher stage (T4 stage). Tumor tissues expressing CD24-/CD44 + /ALDH1A3 + group (p = 0.010) and CD24 + /CD44 + / ALDH1A3 + (p = 0.010) were significantly associated with poor response to treatment. The correlation of CD24-/CD44 + was also statistically significant (p = 0.009). Positive expression of either CD24 and/or CD44 presented with aggressive disease, larger tumours and heavy nodal burden at a younger age. Additionally, ALDH1A3 positivity signified higher metastasis rates. CD24-/CD44 + /ALDH1A3 + and CD24 + /CD44 + / ALDH1A3 + correlated with greater chances of distant metastasis, aggressive disease, limited response to chemotherapy and poorer prognosis. Thus, these observations establish the role of these CSC phenotypes as important factors for prognostic outcomes and predictors of adverse outcomes. CD24-/CD44 + /ALDH1A3 + expression could serve as an important prognostic marker and predictor of adverse outcomes in Indian breast cancer tumour biology.

Indexed as

ALDH1A3Cancer stem cells (CSC)CD24CD44Indian breast cancerMolecular subtypingTranslational and precision medicine

Identifiers

PMID39555365
PMCPMC11564460

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