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Heublein, Sabine; Egger, Markus; Zhu, Junyan; Berger, Luisa; Mayr, Doris; Schindlbeck, Christian; Kuhn, Christina; Hofmann, Simone S.; Schuetz, Florian; Jeschke, Udo und Ditsch, Nina (2020): Evaluation of the anti-Thomsen-Friedenreich antibodies Nemod-TF1 and Nemod-TF2 as prognostic markers in breast cancer. In: Breast Cancer Research and Treatment, Bd. 179, Nr. 3: S. 643-652

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Abstract

Purpose: The TF (Thomsen-Friedenreich, CD176, Gal beta 1-3GalNAc) carbohydrate moiety is known as a specific oncofetal carbohydrate epitope present in fetal and neoplastic tissue as well as in stem cells. TF was demonstrated to mediate tumor-promoting features and to be highly immunogenic. The current study aimed to evaluate whether presence of the TF antigen is associated with clinico-pathological parameters and prognosis of early breast cancer (BC). Methods Primary BC tissue (n = 226) was stained for TF using two monoclonal anti-TF antibodies (Nemod-TF1, Nemod-TF2). Staining results were correlated to clinical data including survival. Results Nemod-TF1 staining was positively correlated to lymph node metastasis (p = 0.03) and the presence of tumor-associated MUC1 (TA-MUC1;p = 0.003). Further, the presence of the Nemod-TF1 epitope predicted worse prognosis in TA-MUC1 positive (overall survival: p = 0.026) as well as in triple negative (overall survival: p = 0.002;distant metastasis-free survival: p = 0.012) BC. Conclusions: The data presented here further support a role of TF in BC tumor biology. Whether anti-TF directed treatment approaches may gain clinical relevance in those cases determined as triple negative or TA-MUC1 positive remains to be determined.

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