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Shao, Wanting; Koepke, Melitta B.; Vilsmaier, Theresa; Zehni, Alaleh Zati; Kessler, Mirjana; Sixou, Sophie; Schneider, Mariella; Ditsch, Nina; Cavailles, Vincent und Jeschke, Udo (2022): Cytoplasmic Colocalization of RXR alpha and PPAR gamma as an Independent Negative Prognosticator for Breast Cancer Patients. In: Cells, Bd. 11, Nr. 7, 1244

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Abstract

Retinoid X receptor alpha (RXR alpha) is a nuclear receptor (NR) which functions as the primary heterodimeric partner of other NRs including the peroxisome proliferator-activated receptor gamma (PPAR gamma). We previously reported that, in breast cancers (BC), the subcellular localization of these two receptors was strongly associated with patient prognosis. In the present work, we investigated the prognosis value of the combined cytoplasmic expression of RXR alpha and PPAR gamma using a retrospective cohort of 250 BC samples. Patients with tumors expressing both NRs in tumor cell cytoplasm exhibited a significant shorter overall (OS) and disease-free survival (DFS). This was also observed for patients with stage 1 tumors. Cox univariate analysis indicated that patients with tumors coexpressing RXR alpha and PPAR gamma in the cytoplasm of tumor cells have a decreased 5 y OS rate. Cytoplasmic co-expression of the two NRs significantly correlated with HER2 positivity and with NCAD and CD133, two markers of tumor aggressiveness. Finally, in Cox multivariate analysis, the co-expression of RXR alpha and PPAR gamma in the cytoplasm appeared as an independent OS prognosticator. Altogether, this study demonstrates that the cytoplasmic co-expression of RXR alpha and PPAR gamma could be of relevance for clinicians by identifying high-risk BC patients, especially amongst those with early and node-negative disease.

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