Prognostic Significance of Cellular Iron Metabolism in Breast Cancer

Authors

  • Rizwan Ullah Khan Pathology Department, Prince Faisal Cancer Center, King Fahad Specialist Hospital, Buraidah, Saudi Arabia
  • Amber Hassan Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Imrana Tanvir Pathology Department, King Abdul Aziz University, Rabigh, Saudi Arabia
  • Kashifa Ehsan Federal Postgraduate Medical Institute, Sheikh Zayed Medical Complex, Lahore

DOI:

https://doi.org/10.52229/pbmj.v1i1.35

Abstract

Breast carcinoma is among the most common malignancy in women. Objective:Aim of the present study was to evaluate the prognostic significance of iron expression in the biopsies of patients with breast cancer. Methods: 24 breast biopsies were studied. 19 cases were poorly differentiated, 5 cases were moderately differentiated and there was no well differentiated case. Iron, Estrogen receptor (ER), Progesterone receptor (PR), HER2 and Ki-67 immunohistochemical staining was performed for all these cases. Results: Among the 5 moderately differentiated cases, 3 (60%) were positive for iron staining and among 19 poorly differentiated cases, 11 cases (57.89%) were positive. More iron positive cases (7 out of 14) were triple positive belonging to Luminal B class. Out of 14 iron positive cases, 11 were positive for HER2, 10 for ER, 9 for PR and all positive for Ki-67. Conclusions:Iron deficiency in premenopausal and overload in post-menopausal women can contribute to the development of breast carcinoma. So, iron can be considered as a cheap and effective marker for the prognosis of breast cancer.Association between a risein iron levels and HER2 expression may providenewstrategy for breast cancer treatment.

References

Asif HM, Sultana S, Ahmed S, Akhtar N, Tariq M. HER-2 Positive Breast Cancer - a Mini-Review. Asian Pacific journal of cancer prevention : APJCP 2016; 17(4): 1609-15.

Tang Y, Wang Y, Kiani MF, Wang B. Classification, Treatment Strategy, and Associated Drug Resistance in Breast Cancer. Clinical breast cancer 2016.

Badve S, Nakshatri H. Oestrogen-receptor-positive breast cancer: towards bridging histopathological and molecular classifications. Journal of clinical pathology 2009; 62(1): 6-12.

Vohra P, Buelow B, Chen YY, et al. Estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 expression in breast cancer FNA cell blocks and paired histologic specimens: A large retrospective study. Cancer cytopathology 2016.

Mitri Z, Constantine T, O'Regan R. The HER2 Receptor in Breast Cancer: Pathophysiology, Clinical Use, and New Advances in Therapy. Chemotherapy research and practice 2012; 2012: 743193.

Rostami P, Zendehdel K, Shirkoohi R, et al. Gene Panel Testing in Hereditary Breast Cancer. Archives of Iranian Medicine 2020; 23(3): 155-62.

Huang X. Does iron have a role in breast cancer? The Lancet Oncology 2008; 9(8): 803-7.

Pinnix ZK, Miller LD, Wang W, et al. Ferroportin and iron regulation in breast cancer progression and prognosis. Science translational medicine 2010; 2(43): 43ra56.

Torti SV, Torti FM. Iron: The cancer connection. Molecular Aspects of Medicine 2020: 100860.

Vela D. Iron in the Tumor Microenvironment. Tumor Microenvironment: Springer; 2020: 39-51.

eTorti SV, Torti FM. Cellular iron metabolism in prognosis and therapy of breast cancer. Critical reviews in oncogenesis 2013; 18(5):

-48.

Mehboob R, Tanvir I, Warraich RA, Perveen S, Yasmeen S, Ahmad FJ. Role of neurotransmitter Substance P in progression of oral squamous cell carcinoma. Pathology, research and practice 2015; 211(3): 203-7.

Qureshi A, Pervez S. Allred scoring for ER reporting and it's impact in clearly distinguishing ER negative from ER positive breast cancers. JPMA The Journal of the Pakistan Medical Association 2010; 60(5): 350-3.

Ozer U. The role of Iron on breast cancer stem-like cells. Cell Mol Biol (Noisy-le-grand) 2016; 62(4): 25-30.

Kotepui M. Diet and risk of breast cancer. Contemp Oncol (Pozn) 2016; 20(1): 13-9.

Jian J, Yang Q, Dai J, et al. Effects of iron deficiency and iron overload on angiogenesis and oxidative stress-a potential dual role for iron in breast cancer. Free radical biology & medicine 2011; 50(7): 841-7.

Torti SV, Torti FM. Ironing out cancer. Cancer Res 2011; 71(5): 1511-4.

Pier M. AMP-Activated Protein Kinase (AMPK) and Estrogen-Dependent Mechanisms Underlying Increased Susceptibility to Cardiovascular Disease During Menopause. 2020.

Inoue-Choi M, Sinha R, Gierach GL, Ward MH. Red and processed meat, nitrite, and heme iron intakes and postmenopausal breast cancer risk in the NIH-AARP Diet and Health Study. International journal of cancer 2016; 138(7): 1609-18.

Eder SK, Feldman A, Strebinger G, et al. Mesenchymal iron deposition is associated with adverse long‐term outcome in non‐alcoholic fatty liver disease. Liver International 2020.

Marques O, Porto G, Rema A, et al. Local iron homeostasis in the breast ductal carcinoma microenvironment. BMC cancer 2016; 16(1): 187

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Published

2018-06-30
CITATION
DOI: 10.52229/pbmj.v1i1.35
Published: 2018-06-30

How to Cite

Khan, R. U., Hassan, A. ., Tanvir, I. ., & Ehsan, K. . (2018). Prognostic Significance of Cellular Iron Metabolism in Breast Cancer . Pakistan BioMedical Journal, 1(1), 14–20. https://doi.org/10.52229/pbmj.v1i1.35

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