PMID- 32509092 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200611 IS - 1936-2625 (Electronic) IS - 1936-2625 (Linking) VI - 13 IP - 5 DP - 2020 TI - Aberrant expression of WWOX and its association with cancer stem cell biomarker expression. PG - 1176-1184 AB - BACKGROUND: Nanog and CD133 are biomarkers of cancer stem cells (CSCs) that regulate cancer progression. The WW domain-containing oxidoreductase (WWOX) is a tumor suppressor protein that can inhibit tumor cell proliferation. The purpose of this study was to investigate the expression and clinical significance of Nanog, CD133, and WWOX in infiltrating breast cancer (IBC). METHODS: Expressions of Nanog, CD133, and WWOX in 204 IBC specimens and their corresponding control specimens were detected by immunohistochemistry. Patients' clinicopathologic and follow-up data were also collected. RESULTS: The rates of positive expression of Nanog and CD133 were significantly higher in IBC specimens than in control specimens, and their expression was positively associated with tumor size, grade, and tumor stages, lymph node metastasis (LNM), and tumor-node-metastasis (TNM) stage. The rate of positive expression of WWOX was significantly lower in IBC specimens than in control specimens, and its expression was inversely associated with tumor size, grade, and tumor stages, LNM, and TNM stage. Patients whose specimens expressed Nanog, CD133, or HER2 had a reduced overall survival (OS) when compared with patients not expressing these proteins. However, patients whose specimens expressed WWOX, ER, or PR had an increased OS when compared with patients who did not show expression. Multivariate analysis demonstrated that expression of Nanog, CD133, WWOX, ER, and HER2, and the TNM stage were independent prognostic factors for IBC patients. CONCLUSIONS: Therefore, Nanog, CD133, and WWOX should be considered as promising prognostic factors and therapeutic targets in IBC. CI - IJCEP Copyright (c) 2020. FAU - Zhai, Yunzhi AU - Zhai Y AD - Department of Medical Oncology, Pathology, The First Affiliated Hospital of Bengbu Medical College Anhui, China. FAU - Han, Yajuan AU - Han Y AD - Department of Medical Oncology, Pathology, The First Affiliated Hospital of Bengbu Medical College Anhui, China. FAU - Han, Zhengquan AU - Han Z AD - Department of Medical Oncology, Pathology, The First Affiliated Hospital of Bengbu Medical College Anhui, China. LA - eng PT - Journal Article DEP - 20200501 PL - United States TA - Int J Clin Exp Pathol JT - International journal of clinical and experimental pathology JID - 101480565 PMC - PMC7270669 OTO - NOTNLM OT - CD133 OT - Infiltrating breast cancer OT - Nanog OT - WWOX OT - cancer stem cells OT - prognosis COIS- None. EDAT- 2020/06/09 06:00 MHDA- 2020/06/09 06:01 PMCR- 2020/05/01 CRDT- 2020/06/09 06:00 PHST- 2020/03/14 00:00 [received] PHST- 2020/04/16 00:00 [accepted] PHST- 2020/06/09 06:00 [entrez] PHST- 2020/06/09 06:00 [pubmed] PHST- 2020/06/09 06:01 [medline] PHST- 2020/05/01 00:00 [pmc-release] PST - epublish SO - Int J Clin Exp Pathol. 2020 May 1;13(5):1176-1184. eCollection 2020.