Reassessing Breast Cancer-Associated Fibroblasts (CAFs) Interactions with Other Stromal Components and Clinico-Pathologic Parameters by Using Immunohistochemistry and Digital Image Analysis (DIA)
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BARB, Alina Cristina, PASCA FENESAN, Mihaela, PIRTEA, Marilena, MARGAN, Madalin-Marius, TOMESCU, Larisa Cristina, CEBAN, Emil, CIMPEAN, Anca-Maria, MELNIC, Eugen. Reassessing Breast Cancer-Associated Fibroblasts (CAFs) Interactions with Other Stromal Components and Clinico-Pathologic Parameters by Using Immunohistochemistry and Digital Image Analysis (DIA). In: Cancers, 2023, vol. 15, p. 0. ISSN 2072-6694. DOI: https://doi.org/10.1090/noti2749
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Cancers
Volumul 15 / 2023 / ISSN 2072-6694

Reassessing Breast Cancer-Associated Fibroblasts (CAFs) Interactions with Other Stromal Components and Clinico-Pathologic Parameters by Using Immunohistochemistry and Digital Image Analysis (DIA)

DOI:https://doi.org/10.1090/noti2749

Pag. 0-0

Barb Alina Cristina12, Pasca Fenesan Mihaela12, Pirtea Marilena1, Margan Madalin-Marius1, Tomescu Larisa Cristina1, Ceban Emil3, Cimpean Anca-Maria14, Melnic Eugen3
 
1 Victor Babes University of Medicine and Pharmacy, Timişoara,
2 Oncohelp Medical Center, Timisoara,
3 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
4 Spitalul Clinic de Urgenta pentru Copii Louis Turcanu, Timisoara
 
 
Disponibil în IBN: 25 august 2023


Rezumat

Background: Breast cancer (BC) stroma has CD34- and αSMA-positive cancer-associated fibroblasts (CAFs) differently distributed. During malignant transformation, CD34-positive fibroblasts decrease while αSMA-positive CAFs increase. The prevalence of αSMA-positive CAFs in BC stroma makes microscopic examination difficult without digital image analysis processing (DIA). DIA was used to compare CD34- and αSMA-positive CAFs among breast cancer molecular subgroups. DIA-derived data were linked to age, survival, tumor stroma vessels, tertiary lymphoid structures (TLS), invasion, and recurrence. Methods: Double immunostaining for CD34 and αSMA showed different CAF distribution patterns in normal and BC tissues. Single CD34 immunohistochemistry on supplemental slides quantified tumor stroma CD34_CAFs. Digital image analysis (DIA) data on CAF density, intensity, stromal score, and H-score were correlated with clinico-pathologic factors. Results: CD34/αSMA CAF proportion was significantly related to age in Luminal A (LA), Luminal B (LB), and HER2 subtypes. CD34_CAF influence on survival, invasion, and recurrence of LA, LB-HER2, and TNBC subtypes was found to be significant. The CD34/αSMA-expressing CAFs exhibited a heterogeneous impact on stromal vasculature and TLS. Conclusion: BC stromal CD34_CAFs/αSMA_CAFs have an impact on survival, invasion, and recurrence differently between BC molecular subtypes. The tumor stroma DIA assessment may have predictive potential to prognosis and long-term follow-up of patients with breast cancer. 

Cuvinte-cheie
breast cancer (BC), cancer-associated fibroblasts (CAFs), CD34_CAFs, digital image analysis (DIA), immunohistochemistry (IHC), tumor stroma, αSMA_CAFs