Changes in HER3 expression profiles between primary and recurrent gynecological cancers

Abstract Background Human epidermal growth factor receptor-3 (HER3) is a member of the epidermal growth factor receptor family of receptor tyrosine kinases, and its overexpression is associated with inferior prognosis in several cancers. However, it is unclear whether HER3 expression status changes...

Full description

Bibliographic Details
Main Authors: Yuki Kojima, Kazuki Sudo, Hiroshi Yoshida, Shu Yazaki, Momoko Tokura, Chiharu Mizoguchi, Hitomi S. Okuma, Shosuke Kita, Kasumi Yamamoto, Tadaaki Nishikawa, Emi Noguchi, Tatsunori Shimoi, Yasuhito Tanase, Masaya Uno, Mitsuya Ishikawa, Tomoyasu Kato, Kumiko Koyama, Maki Kobayashi, Tomoya Kakegawa, Yasuhiro Fujiwara, Kan Yonemori
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Cancer Cell International
Subjects:
Online Access:https://doi.org/10.1186/s12935-022-02844-z
_version_ 1811171516797157376
author Yuki Kojima
Kazuki Sudo
Hiroshi Yoshida
Shu Yazaki
Momoko Tokura
Chiharu Mizoguchi
Hitomi S. Okuma
Shosuke Kita
Kasumi Yamamoto
Tadaaki Nishikawa
Emi Noguchi
Tatsunori Shimoi
Yasuhito Tanase
Masaya Uno
Mitsuya Ishikawa
Tomoyasu Kato
Kumiko Koyama
Maki Kobayashi
Tomoya Kakegawa
Yasuhiro Fujiwara
Kan Yonemori
author_facet Yuki Kojima
Kazuki Sudo
Hiroshi Yoshida
Shu Yazaki
Momoko Tokura
Chiharu Mizoguchi
Hitomi S. Okuma
Shosuke Kita
Kasumi Yamamoto
Tadaaki Nishikawa
Emi Noguchi
Tatsunori Shimoi
Yasuhito Tanase
Masaya Uno
Mitsuya Ishikawa
Tomoyasu Kato
Kumiko Koyama
Maki Kobayashi
Tomoya Kakegawa
Yasuhiro Fujiwara
Kan Yonemori
author_sort Yuki Kojima
collection DOAJ
description Abstract Background Human epidermal growth factor receptor-3 (HER3) is a member of the epidermal growth factor receptor family of receptor tyrosine kinases, and its overexpression is associated with inferior prognosis in several cancers. However, it is unclear whether HER3 expression status changes in tumor tissue at recurrence. Therefore, this study aimed to evaluate the changes in HER3 expression between primary and recurrent status in gynecological cancers. Methods This retrospective study used matched-pair tissues of gynecological cancer patients at initial diagnosis and at recurrence. Immunohistochemical (IHC) scores of 3 + or 2 + were termed “HER3-high”, while IHC scores of 1 + or 0 were designated as “HER3-low/zero”. Results A total of 86 patients (40 with ovarian cancers, 32 with endometrial cancers, and 14 with cervical cancers) were included in this study. In ovarian cancer, 67.5% and 80.0% of the patients received a HER3-high at initial and recurrent diagnosis, respectively. The H-score was significantly increased at recurrence (p = 0.004). The proportion of HER3-high endometrial cancer patients increased from 46.9% at initial diagnosis to 68.8% at recurrence, and the H-score tended to increase at recurrence (p = 0.08). The fraction of HER3-high-rated cervical cancer patients remained unchanged at 85.7% both at initial and recurrent diagnosis. The discordance rate of HER3 expression detection in initial and recurrent diagnosis samples was 27.5%, 53.1%, and 14.3% for ovarian, endometrial, and cervical cancers, respectively. Ovarian and endometrial cancers with a HER3-high recurrent score tended to show shorter median survival time than those with a HER3-low/zero recurrent rating. Conclusion Our findings suggest that, in main types of gynecological cancers, the proportion of patients having a HER3-high score increased from initial to recurrent diagnosis.
first_indexed 2024-04-10T17:16:21Z
format Article
id doaj.art-906d68d622e2442285a457d155246fd0
institution Directory Open Access Journal
issn 1475-2867
language English
last_indexed 2024-04-10T17:16:21Z
publishDate 2023-02-01
publisher BMC
record_format Article
series Cancer Cell International
spelling doaj.art-906d68d622e2442285a457d155246fd02023-02-05T12:24:29ZengBMCCancer Cell International1475-28672023-02-012311910.1186/s12935-022-02844-zChanges in HER3 expression profiles between primary and recurrent gynecological cancersYuki Kojima0Kazuki Sudo1Hiroshi Yoshida2Shu Yazaki3Momoko Tokura4Chiharu Mizoguchi5Hitomi S. Okuma6Shosuke Kita7Kasumi Yamamoto8Tadaaki Nishikawa9Emi Noguchi10Tatsunori Shimoi11Yasuhito Tanase12Masaya Uno13Mitsuya Ishikawa14Tomoyasu Kato15Kumiko Koyama16Maki Kobayashi17Tomoya Kakegawa18Yasuhiro Fujiwara19Kan Yonemori20Department of Medical Oncology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalDepartment of Diagnostic Pathology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalDepartment of Gynecology, National Cancer Center HospitalDepartment of Gynecology, National Cancer Center HospitalDepartment of Gynecology, National Cancer Center HospitalDepartment of Gynecology, National Cancer Center HospitalTranslational Science Department I, Daiichi Sankyo Co., Ltd.Translational Research Department, Daiichi Sankyo RD Novare Co., Ltd.Translational Research Department, Daiichi Sankyo RD Novare Co., Ltd.Department of Medical Oncology, National Cancer Center HospitalDepartment of Medical Oncology, National Cancer Center HospitalAbstract Background Human epidermal growth factor receptor-3 (HER3) is a member of the epidermal growth factor receptor family of receptor tyrosine kinases, and its overexpression is associated with inferior prognosis in several cancers. However, it is unclear whether HER3 expression status changes in tumor tissue at recurrence. Therefore, this study aimed to evaluate the changes in HER3 expression between primary and recurrent status in gynecological cancers. Methods This retrospective study used matched-pair tissues of gynecological cancer patients at initial diagnosis and at recurrence. Immunohistochemical (IHC) scores of 3 + or 2 + were termed “HER3-high”, while IHC scores of 1 + or 0 were designated as “HER3-low/zero”. Results A total of 86 patients (40 with ovarian cancers, 32 with endometrial cancers, and 14 with cervical cancers) were included in this study. In ovarian cancer, 67.5% and 80.0% of the patients received a HER3-high at initial and recurrent diagnosis, respectively. The H-score was significantly increased at recurrence (p = 0.004). The proportion of HER3-high endometrial cancer patients increased from 46.9% at initial diagnosis to 68.8% at recurrence, and the H-score tended to increase at recurrence (p = 0.08). The fraction of HER3-high-rated cervical cancer patients remained unchanged at 85.7% both at initial and recurrent diagnosis. The discordance rate of HER3 expression detection in initial and recurrent diagnosis samples was 27.5%, 53.1%, and 14.3% for ovarian, endometrial, and cervical cancers, respectively. Ovarian and endometrial cancers with a HER3-high recurrent score tended to show shorter median survival time than those with a HER3-low/zero recurrent rating. Conclusion Our findings suggest that, in main types of gynecological cancers, the proportion of patients having a HER3-high score increased from initial to recurrent diagnosis.https://doi.org/10.1186/s12935-022-02844-zHER3Ovarian cancerEndometrial cancerCervical cancer; biomarker
spellingShingle Yuki Kojima
Kazuki Sudo
Hiroshi Yoshida
Shu Yazaki
Momoko Tokura
Chiharu Mizoguchi
Hitomi S. Okuma
Shosuke Kita
Kasumi Yamamoto
Tadaaki Nishikawa
Emi Noguchi
Tatsunori Shimoi
Yasuhito Tanase
Masaya Uno
Mitsuya Ishikawa
Tomoyasu Kato
Kumiko Koyama
Maki Kobayashi
Tomoya Kakegawa
Yasuhiro Fujiwara
Kan Yonemori
Changes in HER3 expression profiles between primary and recurrent gynecological cancers
Cancer Cell International
HER3
Ovarian cancer
Endometrial cancer
Cervical cancer; biomarker
title Changes in HER3 expression profiles between primary and recurrent gynecological cancers
title_full Changes in HER3 expression profiles between primary and recurrent gynecological cancers
title_fullStr Changes in HER3 expression profiles between primary and recurrent gynecological cancers
title_full_unstemmed Changes in HER3 expression profiles between primary and recurrent gynecological cancers
title_short Changes in HER3 expression profiles between primary and recurrent gynecological cancers
title_sort changes in her3 expression profiles between primary and recurrent gynecological cancers
topic HER3
Ovarian cancer
Endometrial cancer
Cervical cancer; biomarker
url https://doi.org/10.1186/s12935-022-02844-z
work_keys_str_mv AT yukikojima changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT kazukisudo changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT hiroshiyoshida changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT shuyazaki changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT momokotokura changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT chiharumizoguchi changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT hitomisokuma changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT shosukekita changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT kasumiyamamoto changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT tadaakinishikawa changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT eminoguchi changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT tatsunorishimoi changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT yasuhitotanase changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT masayauno changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT mitsuyaishikawa changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT tomoyasukato changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT kumikokoyama changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT makikobayashi changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT tomoyakakegawa changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT yasuhirofujiwara changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers
AT kanyonemori changesinher3expressionprofilesbetweenprimaryandrecurrentgynecologicalcancers