Thyroglobulin as a negative marker for malignancy in canine and human breast tumors

Mol Carcinog. 2021 Jul;60(7):455-468. doi: 10.1002/mc.23304. Epub 2021 May 18.

Abstract

Canine mammary gland tumors (CMTs) are the most common tumor type in female dogs. This study evaluated the expression pattern and role of thyroglobulin (Tg) in CMT and in human breast cancer (HBC). CMT samples were subjected to fine-needle aspiration, primary cell culture, and histopathology. The expression level of Tg was higher in benign CMT than in malignant CMT (mCMT) primary cells, particularly in the epithelial lineage. Moreover, treatment with Tg enhanced the sensitivity of doxorubicin in mCMT epithelial cells and mitigated proinflammatory response by increasing nuclear factor erythroid 2-related factor 2 (Nrf2). The proximal region of the Tg promoter was hypermethylated in mCMT epithelial cells, silencing Tg expression with concurrent downregulation of Nrf2-mediated antioxidant signaling. An identical pattern of Tg expression was observed in cytological and tissue samples. Tissue microarray analysis showed that Tg was highly expressed in normal and benign tissues when compared with their malignant counterparts, which was diminished along with higher histological grades. The survival rate was significantly higher in HBC patients with high Tg expression than those with low Tg expression. This study also showed that the progression of HBC is accompanied by the reduction of Tg expression along with augmentation of proinflammatory signaling. Our data suggested that Tg could be a negative indicator of malignancy in canine and human breast neoplasia.

Keywords: Nrf2; benign; breast cancer; malignant.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology
  • Biomarkers, Tumor / metabolism*
  • Breast Neoplasms / metabolism
  • Breast Neoplasms / mortality
  • Breast Neoplasms / pathology*
  • Cell Line, Tumor
  • Dog Diseases / metabolism
  • Dog Diseases / pathology*
  • Dogs
  • Doxorubicin / pharmacology
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Mammary Neoplasms, Animal / drug therapy
  • Mammary Neoplasms, Animal / metabolism
  • Mammary Neoplasms, Animal / pathology*
  • Methylation
  • NF-E2-Related Factor 2 / metabolism
  • Promoter Regions, Genetic
  • Survival Rate
  • Thyroglobulin / genetics
  • Thyroglobulin / metabolism*
  • Thyroglobulin / pharmacology

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Biomarkers, Tumor
  • NF-E2-Related Factor 2
  • Doxorubicin
  • Thyroglobulin