Aquaporin 5 (AQP5) expression in breast cancer and its clinicopathological characteristics
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Se Jin Jang, Chulso Moon
A water channel in cells is associated with breast cancer that behaves more aggressively. The striking part is not just where this channel appears, but what its presence predicts about the disease.
The role of aquaporin water channels (AQPs) has become an area of great interest in human carcinogenesis. In this report, we have demonstrated the expression of AQP5 in breast cancer by analyzing 591 tissue samples with 7-year follow-ups. By immunochemistry analysis, AQP5 overexpression was observed in 36% (212/591 cases). Then, we have focused on the clinicopathologic variables among cancer tissue samples with strong AQP5 expression (3+ expression, 60/591 cases). The strong AQP5 expression was positively correlated with tumor grade in BCs (p<0.001) and was more frequent in ER/PR-negative BCs than positive ones (14.9% vs. 3.3% and 13.1% vs. 4.8%, respectively, both p<0.001), while Her2/neu-positive status was positively correlated with strong expression of AQP5 (p = 0.005). Of note, breast cancer patients with positive AQP expression (212/591 cases) showed a less favorable breast cancer specific survival rate over 7 years of follow and we further conclude that AQP5 expression is an independent molecular marker associated with worse clinical outcomes. By fluorescence in situ hybridization (FISH), we have identified evidence of gene amplification in 3 of 30 readable breast cancer and further conclude that, in breast cancer, at least some part of AQP5 overexpression is associated with an aberration in the genome level. Aquaporins (AQPs) represent a family of transmembrane water channel proteins widely distributed in various tissues throughout the body. Since the discovery the protein and genomic structure in early 1990s [1, 2]. AQPs have been shown to be as a key player for both transcellular and transepithelial water movement [1–3]. Two regions of the channel are critical for AQP function. These regions are Asn-Pro-Ala or NPA and the aromatic-arginine region and that these NPA regions are connected each other making an hourglass model initially proposed by Agre et al. [1]. While a majority of AQPs are localized in the plasma membrane, some isoforms are present in the cytoplasmic compartments, particularly in the endoplasmic reticulum, where and their translocation to the plasma membrane is crucial in the regulation of water
Transcript
A water channel in cells is associated with breast cancer that behaves more aggressively. The striking part is not just where this channel appears, but what its presence predicts about the disease. Aquaporin five, or AQP five, is an aquaporin water channel whose expression was studied in breast cancer tissue, with overexpression observed in thirty-six percent of five hundred ninety-one cases.
In breast cancer, AQP five positivity was associated with less favorable cancer-specific survival over seven years, suggesting that its presence may carry information about how the disease behaves. The study examined five hundred ninety-one breast cancer tissue samples and found AQP five overexpression in thirty-six percent, then assessed clinicopathologic features in tumors with especially strong expression, defined as three-plus, comprising sixty cases.
The central pattern was clear: strong AQP5 expression was linked with higher tumor grade, appeared more often in certain hormone-negative cancers, and was associated with less favorable breast cancer-specific survival over seven years. The investigation examined AQP5 expression in resected breast cancer samples and focused on tumors with high AQP5 levels and their clinical characteristics.
The study also used seven years of follow-up data to examine what overall AQP5 expression might mean for prognosis, and examined gene amplification as one possible cause of strong expression. The conclusion was that some breast cancers with strong AQP5 expression are likely driven by extra copies of the AQP5 gene.
The breast tissue came from patients whose participation had been approved and documented with written consent, and the data were fully anonymized before use. The samples were collected between January nineteen ninety-three and December nineteen ninety-eight, and representative tumor areas were arranged to reduce tissue loss and account for differences within tumors.
This tissue staining makes the central question visible: breast cancers contain widely varying amounts of AQP5, from barely detectable to strong, while the comparison tissue provides a familiar reference for interpreting that range. Strong AQP5 expression was more common in hormone-receptor-negative breast cancers than in hormone-receptor-positive cancers, while a HER2-positive status was positively correlated with strong AQP5 expression.
The study included seven men with breast cancer, but the number was too small to interpret gender differences in clinicopathological characteristics reliably. A marker found in some breast cancers identified people whose chance of surviving the cancer was worse over time.
This difference was unlikely to be due to chance, with a probability of zero point zero zero eight. The patients were followed for overall survival for up to seven years after diagnosis, and the group with positive AQP5 expression had less favorable breast cancer-specific survival.
The study also found evidence that the AQP5 gene had been copied more than usual in some breast cancer cases. This suggests that extra gene copies may help explain strong AQP5 expression in at least some tumors. AQP5 expression was linked with higher-grade breast cancer and less favorable cancer-specific survival, while some strong expression was tied to extra copies of its gene.
That may help identify patients whose tumors need closer attention.
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