Variable Expression of the Disialoganglioside GD2 in Breast Cancer Molecular Subtypes

The disialoganglioside GD2 is a tumor-associated antigen that may allow for the application of targeted immunotherapies (anti-GD2 antibodies, GD2 CAR T cells) in patients with neuroblastoma and other solid tumors. We retrospectively investigated GD2 expression in a breast cancer cohort, using immuno...

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Autores principales: Ramona Erber, Sareetha Kailayangiri, Hanna Huebner, Matthias Ruebner, Arndt Hartmann, Lothar Häberle, Julia Meyer, Simon Völkl, Andreas Mackensen, Laura Landgraf, Carol I. Geppert, Rüdiger Schulz-Wendtland, Matthias W. Beckmann, Peter A. Fasching, Nicole Farwick, Claudia Rossig, Paul Gass
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Publicado: MDPI AG 2021
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GD2
Acceso en línea:https://doaj.org/article/559414f8e53e4331963a4808b821cd01
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spelling oai:doaj.org-article:559414f8e53e4331963a4808b821cd012021-11-11T15:35:48ZVariable Expression of the Disialoganglioside GD2 in Breast Cancer Molecular Subtypes10.3390/cancers132155772072-6694https://doaj.org/article/559414f8e53e4331963a4808b821cd012021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5577https://doaj.org/toc/2072-6694The disialoganglioside GD2 is a tumor-associated antigen that may allow for the application of targeted immunotherapies (anti-GD2 antibodies, GD2 CAR T cells) in patients with neuroblastoma and other solid tumors. We retrospectively investigated GD2 expression in a breast cancer cohort, using immunohistochemistry (IHC) and immunofluorescence (IF) on tissue microarrays (TMAs), and its impact on survival. GD2 expression on IHC (<i>n</i> = 568) and IF (<i>n</i> = 503) was investigated in relation to subtypes and patient outcome. Overall, 50.2% of the 568 IHC-assessed samples and 69.8% of the 503 IF-assessed samples were GD2-positive. The highest proportion of GD2-positive tumors was observed in luminal tumors. Significantly fewer GD2-positive cases were detected in triple-negative breast cancer (TNBC) compared with other subtypes. The proportion of GD2-expressing tumors were significantly lower in HER2-positive breast cancer in comparison with luminal tumors on IF staining (but not IHC). GD2 expression of IHC or IF was not significantly associated with disease-free or overall survival, in either the overall cohort or in individual subtypes. However, GD2 expression can be seen in more than 50% of breast cancer cases, with the highest frequency in hormone receptor-positive tumors. With this high expression frequency, patients with GD2-positive advanced breast cancer of all subtypes may benefit from GD2-targeting immunotherapies, which are currently subject to clinical testing.Ramona ErberSareetha KailayangiriHanna HuebnerMatthias RuebnerArndt HartmannLothar HäberleJulia MeyerSimon VölklAndreas MackensenLaura LandgrafCarol I. GeppertRüdiger Schulz-WendtlandMatthias W. BeckmannPeter A. FaschingNicole FarwickClaudia RossigPaul GassMDPI AGarticleGD2breast cancerimmunofluorescenceimmunohistochemistryprognosisdisialogangliosideNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5577, p 5577 (2021)
institution DOAJ
collection DOAJ
language EN
topic GD2
breast cancer
immunofluorescence
immunohistochemistry
prognosis
disialoganglioside
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle GD2
breast cancer
immunofluorescence
immunohistochemistry
prognosis
disialoganglioside
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Ramona Erber
Sareetha Kailayangiri
Hanna Huebner
Matthias Ruebner
Arndt Hartmann
Lothar Häberle
Julia Meyer
Simon Völkl
Andreas Mackensen
Laura Landgraf
Carol I. Geppert
Rüdiger Schulz-Wendtland
Matthias W. Beckmann
Peter A. Fasching
Nicole Farwick
Claudia Rossig
Paul Gass
Variable Expression of the Disialoganglioside GD2 in Breast Cancer Molecular Subtypes
description The disialoganglioside GD2 is a tumor-associated antigen that may allow for the application of targeted immunotherapies (anti-GD2 antibodies, GD2 CAR T cells) in patients with neuroblastoma and other solid tumors. We retrospectively investigated GD2 expression in a breast cancer cohort, using immunohistochemistry (IHC) and immunofluorescence (IF) on tissue microarrays (TMAs), and its impact on survival. GD2 expression on IHC (<i>n</i> = 568) and IF (<i>n</i> = 503) was investigated in relation to subtypes and patient outcome. Overall, 50.2% of the 568 IHC-assessed samples and 69.8% of the 503 IF-assessed samples were GD2-positive. The highest proportion of GD2-positive tumors was observed in luminal tumors. Significantly fewer GD2-positive cases were detected in triple-negative breast cancer (TNBC) compared with other subtypes. The proportion of GD2-expressing tumors were significantly lower in HER2-positive breast cancer in comparison with luminal tumors on IF staining (but not IHC). GD2 expression of IHC or IF was not significantly associated with disease-free or overall survival, in either the overall cohort or in individual subtypes. However, GD2 expression can be seen in more than 50% of breast cancer cases, with the highest frequency in hormone receptor-positive tumors. With this high expression frequency, patients with GD2-positive advanced breast cancer of all subtypes may benefit from GD2-targeting immunotherapies, which are currently subject to clinical testing.
format article
author Ramona Erber
Sareetha Kailayangiri
Hanna Huebner
Matthias Ruebner
Arndt Hartmann
Lothar Häberle
Julia Meyer
Simon Völkl
Andreas Mackensen
Laura Landgraf
Carol I. Geppert
Rüdiger Schulz-Wendtland
Matthias W. Beckmann
Peter A. Fasching
Nicole Farwick
Claudia Rossig
Paul Gass
author_facet Ramona Erber
Sareetha Kailayangiri
Hanna Huebner
Matthias Ruebner
Arndt Hartmann
Lothar Häberle
Julia Meyer
Simon Völkl
Andreas Mackensen
Laura Landgraf
Carol I. Geppert
Rüdiger Schulz-Wendtland
Matthias W. Beckmann
Peter A. Fasching
Nicole Farwick
Claudia Rossig
Paul Gass
author_sort Ramona Erber
title Variable Expression of the Disialoganglioside GD2 in Breast Cancer Molecular Subtypes
title_short Variable Expression of the Disialoganglioside GD2 in Breast Cancer Molecular Subtypes
title_full Variable Expression of the Disialoganglioside GD2 in Breast Cancer Molecular Subtypes
title_fullStr Variable Expression of the Disialoganglioside GD2 in Breast Cancer Molecular Subtypes
title_full_unstemmed Variable Expression of the Disialoganglioside GD2 in Breast Cancer Molecular Subtypes
title_sort variable expression of the disialoganglioside gd2 in breast cancer molecular subtypes
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/559414f8e53e4331963a4808b821cd01
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