PTK7 as a potential prognostic and predictive marker of response to adjuvant chemotherapy in breast cancer patients, and resistance to anthracycline drugs

Biomarkers predicting resistance to particular chemotherapy regimens could play a key role in optimally individualized treatment concepts. PTK7 (protein tyrosine kinase 7) belongs to the receptor tyrosine kinase family involved in several physiological, but also malignant, cell behaviors. Recent studies in acute myeloid leukemia have associated PTK7 expression with resistance to anthracycline therapy. PTK7 mRNA expression in primary tumor tissue (PTT) and corresponding lymph node tissue (LNT) were retrospectively measured in 117 patients with early breast cancer;PTK7 expression was available in 103 PTT and 108 LNT samples. Median age was 60 years (range, 27-87 years). At a median follow-up of 28.5 months, 6 deaths and 16 recurrences had occurred. PTK7 expression correlations with clinicopathological features were computed and PTK7 expression effects on patient outcome were analyzed in three cohorts defined by adjuvant treatment: anthracycline-based treatment, other chemotherapy regimens (including taxane or other substances),or no chemotherapy. Association of PTK7 expression with clinicopathological features was seen only for age in PTT and nodal stage in LNT. High LN PTK7 was associated with poorer disease-free survival (DFS) in the total population (3-year DFS: low [81.7%] versus high [70.4%];P=0.016) and in patients without adjuvant chemotherapy (3-year DFS: low [91.7%] versus high [22.3%];P<0.001),but not in patients receiving adjuvant chemotherapy (P=0.552). DFS stratified by PTK7 expression was compared in treatment cohorts: In patients with low LN PTK7 expression, neither chemotherapy cohort showed significantly better survival than the no-chemotherapy cohort. In patients with high LN PTK7 expression, those receiving chemotherapy, including substances other than anthracyclines, but not those receiving only anthracycline-based chemotherapy, showed significantly better DFS than those receiving no chemotherapy (P=0.001). Our results support earlier findings that PTK7 may be a prognostic and predictive marker associated with resistance to anthracycline-based chemotherapy. Further investigations are needed to validate these findings in breast cancer

PTK 7 Is a Transforming Gene and Prognostic Marker for Breast Cancer and Nodal Metastasis Involvement

<div><p>Protein Tyrosin Kinase 7 (PTK7) is upregulated in several human cancers; however, its clinical implication in breast cancer (BC) and lymph node (LN) is still unclear. In order to investigate the function of PTK7 in mediating BC cell motility and invasivity, PTK7 expression in BC cell lines was determined. PTK7 signaling in highly invasive breast cancer cells was inhibited by a dominant-negative PTK7 mutant, an antibody against the extracellular domain of PTK7, and siRNA knockdown of PTK7. This resulted in decreased motility and invasivity of BC cells. We further examined PTK7 expression in BC and LN tissue of 128 BC patients by RT-PCR and its correlation with BC related genes like HER2, HER3, PAI1, MMP1, K19, and CD44. Expression profiling in BC cell lines and primary tumors showed association of PTK7 with ER/PR/HER2-negative (TNBC-triple negative BC) cancer. Oncomine data analysis confirmed this observation and classified PTK7 in a cluster with genes associated with agressive behavior of primary BC. Furthermore PTK7 expression was significantly different with respect to tumor size (ANOVA, p = 0.033) in BC and nodal involvement (ANOVA, p = 0.007) in LN. PTK7 expression in metastatic LN was related to shorter DFS (Cox Regression, p = 0.041). Our observations confirmed the transforming potential of PTK7, as well as its involvement in motility and invasivity of BC cells. PTK7 is highly expressed in TNBC cell lines. It represents a novel prognostic marker for BC patients and has potential therapeutic significance.</p></div

PTK7 is able to confer oncogenic potential to NIH3T3 cells.

<p>NIH3T3 cells were infected with PTK7wt, PTK7DN, empty vector or v-src as a positive control and then seeded for Focus Formation Assay (A) or Colony Formation Assay in Soft Agar (B).</p

Analysis of PTK7 Expression in BC cell lines and primary tumors.

<p>(A) Classification of BC cell lines by PTK7 expression: Cell lines Hs 578T, MDA-MB-157, BT-20, MDA-MB-468, MDA-MB-231, MDA-MB-435S, MDA-MB-436, BT-549, MCF10A1, SUM-149PT classified as basal like, MDA-MB-453, Sk-BR-3, BT-474, T-74D, ZR-75-1, MDA-MB-175VII, MDA-MB 361, BT-483, ZR-75-30, MCF7, and MDA-MB415 classified as luminal cell lines were analysed by RT-PCR. Higher PTK7 expression in BC cell lines which lack expression of ER and are grouped as basal-like. (B) Heat map of genes co-expressed with PTK7 in primary breast carcinomas (van de Vijver, Oncomine), which were grouped by ER status. The colors relate to expression units which are z-normalized to depict relative values within rows. (C) Heat map of genes co-expressed with oncogene HER3 in primary breast carcinomas (van de Vijver, Oncomine).</p

Clinico-pathological features of patients.

<p>Clinico-pathological features of patients.</p

Co-expression of Breast Cancer Related Genes and PTK7.

<p>PTK7 and BC-related genes (Her2, Her3, Pai1, MMP1, CK19 and CD44) expression was assessed by RT-PCR and compared in LN metastasis (LNmet) and tumorfree LN (LNtfr) of 128 patients. All genes (PTK7, Her2, Her3, Pai1, MMP1, CK19) showed an overexpression in LN metastasis compared to tumorfree LN.</p

Association of PTK7 expression and patient's clinico-pathological variables in primary tumors and lymph nodes of 128 breast cancer patients.

<p>Association of PTK7 expression and patient's clinico-pathological variables in primary tumors and lymph nodes of 128 breast cancer patients.</p