Aurora Kinase A Is an Independent Predictor of Invasive Recurrence in Breast Ductal Carcinoma in situ

Miligy, IM; Toss, MS; Gorringe, KL; Ellis, IO; Green, AR; Rakha, EA

Author(s): Miligy, IM; Toss, MS; Gorringe, KL; Ellis, IO; Green, AR; Rakha, EA;
Details: Publication Year 2022-12,Volume 89,Issue #6,Page 382-392
Journal Title: Pathobiology
Publication Type: Research article
Abstract: INTRODUCTION: Aurora Kinase A (AURKA/STK15) has a role in centrosome duplication and is a regulator of mitotic cell proliferation. It is over-expressed in breast cancer and other cancers, however; its role in ductal carcinoma in situ (DCIS) remains to be defined. This study aims to characterize AURKA protein expression in DCIS and evaluate its prognostic significance. METHODS: AURKA was assessed immunohistochemically in a large well-characterized cohort of DCIS (n = 776 pure DCIS and 239 DCIS associated with invasive breast cancer [DCIS-mixed]) with long-term follow-up data (median = 105 months) and basic molecular characterization. RESULTS: High AURKA expression was observed in 15% of DCIS cases and was associated with features of aggressiveness including larger tumour size, high nuclear grade, hormone receptor negativity, HER2 positivity, and high Ki67 proliferation index. AURKA expression was higher in DCIS associated with invasive breast cancer than in pure DCIS (p < 0.0001). In the DCIS-mixed cohort, the invasive component showed higher AURKA expression than the DCIS component (p < 0.0001). Outcome analysis revealed that AURKA was a predictor of invasive recurrence (p = 0.002). CONCLUSION: High AURKA expression is associated with poor prognosis in DCIS and might be a potential marker to predict DCIS progression to invasive disease.
Keywords: Female; Humans; *Aurora Kinase A/genetics/metabolism; Biomarkers, Tumor/genetics/metabolism; *Breast Neoplasms/genetics/metabolism/pathology; Carcinoma, Ductal, Breast/genetics/metabolism/pathology; *Carcinoma, Intraductal, Noninfiltrating/genetics/metabolism/pathology; Cell Proliferation; *Neoplasm Recurrence, Local/genetics/metabolism/pathology; Disease Progression; Prognosis; Aurora Kinase A; Ductal carcinoma in situ; Invasive recurrence; Poor prognosis
Department(s): Laboratory Research
PubMed ID: 35533650
Publisher's Version: https://doi.org/10.1159/000522244
Terms of Use/Rights Notice: Refer to copyright notice on published article.

Creation Date: 2025-02-07 03:35:26

Last Modified: 2025-02-07 03:38:02