PMID- 27272779 OWN - NLM STAT- MEDLINE DCOM- 20170126 LR - 20220331 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 36 IP - 6 DP - 2016 Jun TI - Activation of the PERK-eIF2alpha Pathway Is Associated with Tumor-infiltrating Lymphocytes in HER2-Positive Breast Cancer. PG - 2705-11 AB - BACKGROUND: We evaluated endoplasmic reticulum stress and unfolded protein response (UPR) activation, as possible mechanisms for influx of tumor infiltrating lymphocytes (TILs), and the correlation between UPR activation and mammalian target of rapamycin (mTOR) pathway activation. MATERIALS AND METHODS: TILs and the immunohistochemical expression of protein kinase RNA-like endoplasmic reticulum kinase (PERK), phospho-eukaryotic translation initiation factor 2alpha (p-eIF2alpha) and phosphorylated S6 (pS6) were evaluated in 447 human epidermal growth factor receptor 2 (HER2)-positive breast cancer tissues. RESULTS: High expression of PERK, p-eIF2alpha and pS6 was observed in 270 (60.4%), 259 (57.9%), and 187 (41.8%) cases, respectively, and was significantly associated with a high histological grade, high numbers of TILs, peritumoral lymphocytic infiltration, and tertiary lymphoid structures in HER2-positive breast cancer tissues. CONCLUSION: The results suggest endoplasmic reticulum stress and UPR activation as possible mechanisms for the influx of TILs in HER2-positive breast cancer. Evaluation of PERK and p-eIF2alpha expression might be important in identifying targets for cancer therapies in modulating endoplasmic reticulum stress. CI - Copyright(c) 2016 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved. FAU - Kim, Joo Young AU - Kim JY AD - Department of Pathology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea. FAU - Heo, Sun-Hee AU - Heo SH AD - Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. FAU - Song, In Hye AU - Song IH AD - Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. FAU - Park, In Ah AU - Park IA AD - Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. FAU - Kim, Young-Ae AU - Kim YA AD - Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. FAU - Gong, Gyungyub AU - Gong G AD - Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea. FAU - Lee, Hee Jin AU - Lee HJ AD - Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea backlila@gmail.com. LA - eng PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.10.1 (ERBB2 protein, human) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - EC 2.7.11.1 (EIF2AK3 protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.1 (eIF-2 Kinase) SB - IM MH - Adult MH - Aged MH - Breast Neoplasms/mortality/*pathology MH - Endoplasmic Reticulum Stress MH - Female MH - Humans MH - Lymphocytes, Tumor-Infiltrating/*physiology MH - Middle Aged MH - Receptor, ErbB-2/*analysis MH - Signal Transduction/*physiology MH - TOR Serine-Threonine Kinases/physiology MH - Unfolded Protein Response MH - eIF-2 Kinase/*physiology OTO - NOTNLM OT - Breast cancer OT - HER2 OT - PERK OT - p-eIF2alpha OT - pS6 OT - tumor-infiltrating lymphocytes EDAT- 2016/06/09 06:00 MHDA- 2017/01/27 06:00 CRDT- 2016/06/09 06:00 PHST- 2016/04/06 00:00 [received] PHST- 2016/05/12 00:00 [accepted] PHST- 2016/06/09 06:00 [entrez] PHST- 2016/06/09 06:00 [pubmed] PHST- 2017/01/27 06:00 [medline] AID - 36/6/2705 [pii] PST - ppublish SO - Anticancer Res. 2016 Jun;36(6):2705-11.