Alpha-methylacyl-CoA racemase (AMACR) protein is upregulated in early proliferative lesions of the breast irrespective of apocrine differentiation

<p>Alpha-methylacyl-CoA racemase (AMACR/P504S) is a mitochondrial and peroxisomal enzyme involved in the branched-chain fatty acid and bile acid metabolism. AMACR is a useful diagnostic biomarker for prostate carcinomas and several other malignancies. Its expression in apocrine breast lesions...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Zoran Gatalica (3353003) (author)
مؤلفون آخرون: Phillip Stafford (248805) (author), Semir Vranic (3353012) (author)
منشور في: 2022
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author Zoran Gatalica (3353003)
author2 Phillip Stafford (248805)
Semir Vranic (3353012)
author2_role author
author
author_facet Zoran Gatalica (3353003)
Phillip Stafford (248805)
Semir Vranic (3353012)
author_role author
dc.creator.none.fl_str_mv Zoran Gatalica (3353003)
Phillip Stafford (248805)
Semir Vranic (3353012)
dc.date.none.fl_str_mv 2022-11-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.humpath.2022.08.002
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Alpha-methylacyl-CoA_racemase_AMACR_protein_is_upregulated_in_early_proliferative_lesions_of_the_breast_irrespective_of_apocrine_differentiation/24717702
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Oncology and carcinogenesis
Breast
Breast carcinoma
Proliferative lesions
Apocrine lesions
AMACR
Immunohistochemistry-lipidomics
dc.title.none.fl_str_mv Alpha-methylacyl-CoA racemase (AMACR) protein is upregulated in early proliferative lesions of the breast irrespective of apocrine differentiation
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>Alpha-methylacyl-CoA racemase (AMACR/P504S) is a mitochondrial and peroxisomal enzyme involved in the branched-chain fatty acid and bile acid metabolism. AMACR is a useful diagnostic biomarker for prostate carcinomas and several other malignancies. Its expression in apocrine breast lesions had been previously reported, but its role in breast cancer progression has not been fully investigated. One hundred fifty breast samples (80 with invasive carcinomas) were studied. The expression of AMACR protein was analyzed using the immunohistochemical method (IHC). Lesions were considered positive if AMACR was detected in ≥10% of the cells at any intensity comprising a histologically defined normal epithelial structure or a pathologic lesion. In addition, AMACR mRNA relative expression was calculated from the whole-transcript RNA-Seq performed on >20,000 diverse tumor samples using a 20,000+ hybrid-capture NGS assay with the transcript capture panel based on the Agilent SureSelect Human All ExonV7. Expression of AMACR protein was restricted to epithelia. It was uncommon in the normal breast (7/81 samples, 9%). Increasing AMACR expression was observed with proliferative epithelial lesions (18% of usual ductal hyperplasias/adenosis, 70% of atypical lesions and 72% of DCIS/LCIS). Invasive ductal carcinomas NST and invasive lobular carcinomas expressed AMACR in 64% and 46%, respectively. The highest AMACR expression was observed in luminal B and HER2-positive breast carcinomas (86–100%). Triple-negative breast carcinomas exhibited AMACR in 50% of the cases. Apocrine lesions showed strong, nearly uniform overexpression of AMACR (100% of metaplasias, hyperplasias and in situ carcinomas and 88% of invasive apocrine carcinomas were positive). RNA-Seq analysis also confirmed AMACR expression in breast carcinomas, although its median value was substantially lower with a lower standard deviation than in prostate carcinomas. Over-expression of AMACR characterizes various proliferative, preinvasive and invasive breast lesions and is not specific to the apocrine morphology. It points to altered lipid metabolism (branched fatty acids) as one of the general characteristics of breast carcinogenesis, like several other malignancies. Its early detection may represent a potential target for cancer progression intervention.</p><h2>Other Information</h2> <p> Published in: Human Pathology<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.humpath.2022.08.002" target="_blank">https://dx.doi.org/10.1016/j.humpath.2022.08.002</a></p>
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oai_identifier_str oai:figshare.com:article/24717702
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spelling Alpha-methylacyl-CoA racemase (AMACR) protein is upregulated in early proliferative lesions of the breast irrespective of apocrine differentiationZoran Gatalica (3353003)Phillip Stafford (248805)Semir Vranic (3353012)Biomedical and clinical sciencesClinical sciencesOncology and carcinogenesisBreastBreast carcinomaProliferative lesionsApocrine lesionsAMACRImmunohistochemistry-lipidomics<p>Alpha-methylacyl-CoA racemase (AMACR/P504S) is a mitochondrial and peroxisomal enzyme involved in the branched-chain fatty acid and bile acid metabolism. AMACR is a useful diagnostic biomarker for prostate carcinomas and several other malignancies. Its expression in apocrine breast lesions had been previously reported, but its role in breast cancer progression has not been fully investigated. One hundred fifty breast samples (80 with invasive carcinomas) were studied. The expression of AMACR protein was analyzed using the immunohistochemical method (IHC). Lesions were considered positive if AMACR was detected in ≥10% of the cells at any intensity comprising a histologically defined normal epithelial structure or a pathologic lesion. In addition, AMACR mRNA relative expression was calculated from the whole-transcript RNA-Seq performed on >20,000 diverse tumor samples using a 20,000+ hybrid-capture NGS assay with the transcript capture panel based on the Agilent SureSelect Human All ExonV7. Expression of AMACR protein was restricted to epithelia. It was uncommon in the normal breast (7/81 samples, 9%). Increasing AMACR expression was observed with proliferative epithelial lesions (18% of usual ductal hyperplasias/adenosis, 70% of atypical lesions and 72% of DCIS/LCIS). Invasive ductal carcinomas NST and invasive lobular carcinomas expressed AMACR in 64% and 46%, respectively. The highest AMACR expression was observed in luminal B and HER2-positive breast carcinomas (86–100%). Triple-negative breast carcinomas exhibited AMACR in 50% of the cases. Apocrine lesions showed strong, nearly uniform overexpression of AMACR (100% of metaplasias, hyperplasias and in situ carcinomas and 88% of invasive apocrine carcinomas were positive). RNA-Seq analysis also confirmed AMACR expression in breast carcinomas, although its median value was substantially lower with a lower standard deviation than in prostate carcinomas. Over-expression of AMACR characterizes various proliferative, preinvasive and invasive breast lesions and is not specific to the apocrine morphology. It points to altered lipid metabolism (branched fatty acids) as one of the general characteristics of breast carcinogenesis, like several other malignancies. Its early detection may represent a potential target for cancer progression intervention.</p><h2>Other Information</h2> <p> Published in: Human Pathology<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.humpath.2022.08.002" target="_blank">https://dx.doi.org/10.1016/j.humpath.2022.08.002</a></p>2022-11-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.humpath.2022.08.002https://figshare.com/articles/journal_contribution/Alpha-methylacyl-CoA_racemase_AMACR_protein_is_upregulated_in_early_proliferative_lesions_of_the_breast_irrespective_of_apocrine_differentiation/24717702CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/247177022022-11-01T00:00:00Z
spellingShingle Alpha-methylacyl-CoA racemase (AMACR) protein is upregulated in early proliferative lesions of the breast irrespective of apocrine differentiation
Zoran Gatalica (3353003)
Biomedical and clinical sciences
Clinical sciences
Oncology and carcinogenesis
Breast
Breast carcinoma
Proliferative lesions
Apocrine lesions
AMACR
Immunohistochemistry-lipidomics
status_str publishedVersion
title Alpha-methylacyl-CoA racemase (AMACR) protein is upregulated in early proliferative lesions of the breast irrespective of apocrine differentiation
title_full Alpha-methylacyl-CoA racemase (AMACR) protein is upregulated in early proliferative lesions of the breast irrespective of apocrine differentiation
title_fullStr Alpha-methylacyl-CoA racemase (AMACR) protein is upregulated in early proliferative lesions of the breast irrespective of apocrine differentiation
title_full_unstemmed Alpha-methylacyl-CoA racemase (AMACR) protein is upregulated in early proliferative lesions of the breast irrespective of apocrine differentiation
title_short Alpha-methylacyl-CoA racemase (AMACR) protein is upregulated in early proliferative lesions of the breast irrespective of apocrine differentiation
title_sort Alpha-methylacyl-CoA racemase (AMACR) protein is upregulated in early proliferative lesions of the breast irrespective of apocrine differentiation
topic Biomedical and clinical sciences
Clinical sciences
Oncology and carcinogenesis
Breast
Breast carcinoma
Proliferative lesions
Apocrine lesions
AMACR
Immunohistochemistry-lipidomics