PMID- 36996051 OWN - NLM STAT- MEDLINE DCOM- 20230404 LR - 20230417 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 18 IP - 3 DP - 2023 TI - GATA-3 expression in breast cancer is related to intratumoral M2 macrophage infiltration and tumor differentiation. PG - e0283003 LID - 10.1371/journal.pone.0283003 [doi] LID - e0283003 AB - Accumulating evidence indicates that tumor-associated macrophages promote tumor progression and that high macrophage infiltration is correlated with advanced tumor stages and poor prognosis in breast cancer. GATA binding protein 3 (GATA-3) is a differentiation marker related to differentiated states in breast cancer. In this study, we explore how the extent of MI relates to GATA-3 expression, hormonal status, and the differentiation grade of breast cancer. To examine breast cancer in early development, we selected 83 patients that were treated with radical breast-conserving surgery (R0), without lymph node metastases (N0) or distant metastases (M0), with and without postoperative radiotherapy. Immunostaining of M2-macrophage-specific antigen CD163 was used to detect tumor-associated macrophages, and macrophage infiltration was estimated semi-quantitatively into no/low, moderate, and high infiltration. The macrophage infiltration was compared to GATA-3, estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor 2 (HER-2), and Ki-67 expression in cancer cells. GATA-3 expression is associated with ER and PR expression but inversely correlated to macrophage infiltration and Nottingham histologic grade. High macrophage infiltration in advanced tumor grade was associated with low GATA-3 expression. The disease-free survival is inversely related to Nottingham histologic grade in patients having tumors with no/low macrophage infiltration, a difference that is not found in patients with moderate/high macrophage infiltration. These findings indicate that macrophage infiltration might impact the differentiation, malignant behavior, and prognosis of breast cancer, regardless of the morphological and hormonal states of the cancer cells in the primary tumor. CI - Copyright: (c) 2023 Oda et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. FAU - Oda, Husam AU - Oda H AD - Institution of Medical Biosciences, Clinical Pathology, Umea University, Umea, Sweden. FAU - Hedayati, Elham AU - Hedayati E AD - Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden. AD - Department of Breast, Endocrine Tumors, and Sarcoma, Karolinska University Hospital, Stockholm, Sweden. FAU - Lindstrom, Annelie AU - Lindstrom A AUID- ORCID: 0000-0003-2130-5375 AD - Division of Cell Biology, Department of Biomedical and Clinical Sciences, Faculty of Medicine and Health Sciences, Linkoping University, Linkoping, Sweden. FAU - Shabo, Ivan AU - Shabo I AUID- ORCID: 0000-0002-9866-4192 AD - Department of Breast, Endocrine Tumors, and Sarcoma, Karolinska University Hospital, Stockholm, Sweden. AD - Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden. LA - eng PT - Journal Article DEP - 20230330 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (Receptor, ErbB-2) RN - 0 (Receptors, Progesterone) RN - 0 (GATA3 protein, human) SB - IM MH - Female MH - Humans MH - Biomarkers, Tumor/metabolism MH - *Breast Neoplasms/pathology MH - Cell Differentiation MH - Disease-Free Survival MH - Macrophages/metabolism MH - Prognosis MH - Receptor, ErbB-2/metabolism MH - Receptors, Progesterone/metabolism PMC - PMC10062580 COIS- NO authors have competing interests. EDAT- 2023/03/31 06:00 MHDA- 2023/04/03 06:41 PMCR- 2023/03/30 CRDT- 2023/03/30 13:42 PHST- 2022/11/27 00:00 [received] PHST- 2023/02/28 00:00 [accepted] PHST- 2023/04/03 06:41 [medline] PHST- 2023/03/30 13:42 [entrez] PHST- 2023/03/31 06:00 [pubmed] PHST- 2023/03/30 00:00 [pmc-release] AID - PONE-D-22-32657 [pii] AID - 10.1371/journal.pone.0283003 [doi] PST - epublish SO - PLoS One. 2023 Mar 30;18(3):e0283003. doi: 10.1371/journal.pone.0283003. eCollection 2023.