p-STAT3 expression in breast cancer correlates negatively with tumor size and HER2 status

Medicine (Baltimore). 2021 Mar 12;100(10):e25124. doi: 10.1097/MD.0000000000025124.

Abstract

Although some studies have reported the expression and clinical significance of phosphorylated signal transducer and activator of transcription 3 (p-STAT3) in breast cancer tissues, it is still controversial whether p-STAT3 play a role in promoting or suppressing cancer. Here, we used immunohistochemistry analysis to explore expression of p-STAT3 in 407 cases of breast cancer, and analyzed the relationship between p-STAT3 expression and the clinicopathological characteristics and prognosis of breast cancer patients. Positive p-STAT3 expression was seen in 112 cases (27.5%) of breast cancer. p-STAT3 expression was negatively correlated with tumor size, tumor stage and human epidermal growth factor receptor 2 (HER2) status, and the positive rate of p-STAT3 was lowest in HER2-enriched subtype breast cancer (15.3%), while other subtypes were luminal B (23.0%), luminal A (30.2%), and triple-negative breast cancer (TNBC) (37.5%). Logistic regression model multivariate analysis showed that the independent correlation factor of p-STAT3 expression in breast cancer was tumor size (OR = 0.187, 95% CI = 0.042-0.839, P = .029) and HER2 status (OR = 0.392, 95% CI = 0.216-0.710, P = .002). In this study, no clear relationship was observed between patients' prognosis and expression of p-STAT3. Therefore, we suggest that p-STAT3 expression in breast cancer is negatively correlated with tumor size and HER2 status, but appears to have no effect on survival.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers, Tumor / analysis
  • Biomarkers, Tumor / metabolism*
  • Breast / pathology
  • Breast / surgery
  • Breast Neoplasms / mortality
  • Breast Neoplasms / pathology*
  • China / epidemiology
  • Disease-Free Survival
  • Female
  • Humans
  • Immunohistochemistry
  • Kaplan-Meier Estimate
  • Mastectomy
  • Middle Aged
  • Phosphorylation
  • Prognosis
  • Receptor, ErbB-2 / analysis
  • Receptor, ErbB-2 / metabolism*
  • STAT3 Transcription Factor / analysis
  • STAT3 Transcription Factor / metabolism*
  • Tissue Array Analysis
  • Tumor Burden

Substances

  • Biomarkers, Tumor
  • STAT3 Transcription Factor
  • STAT3 protein, human
  • ERBB2 protein, human
  • Receptor, ErbB-2