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2022, Volume 38, Number 2, Page(s) 114-121
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DOI: 10.5146/tjpath.2021.01557 |
GLUT-1 Expression in Breast Cancer |
Oguzhan OKCU1, Bayram SEN2, Cigdem OZTURK1, Gulname FINDIK GUVENDI1, Recep BEDIR1 |
1Department of Pathology, Recep Tayyip Erdošan University Training and Research Hospital, RIZE, TURKEY 2Department of Biochemistry, Recep Tayyip Erdošan University Training and Research Hospital, RIZE, TURKEY |
Keywords:
Breast cancer, Immunohistochemistry, GLUT-1 |
Objective: Numerous studies have been conducted to predict the prognosis of breast cancers. The effect of glucose transporter protein 1
(GLUT-1), the main carrier protein responsible for glucose transport, was investigated in breast cancer patients.
Material and Method: 170 patients operated for breast carcinoma were included in this study. We analysed the prognostic significance of
GLUT-1 immune-expression in 149 patients without neoadjuvant therapy, and in 21 patients with neoadjuvant therapy.
Results: GLUT-1 expression was correlated with poor prognostic factors such as estrogen receptor and progesterone receptor negativity, high
Ki-67 proliferation index, and high histological and nuclear grade (p<0.001). GLUT-1 was expressed at a statistically higher rate in invasive ductal
carcinomas, compared to invasive lobular carcinomas (p <0.001), and was expressed at a higher rate in luminal B, human epidermal growth
factor receptor 2 and triple-negative molecular subtypes compared to luminal A subtype tumors (p <0.001). There was no statistically significant
difference between GLUT-1 expression and presence of neoadjuvant therapy. Univariate survival analysis showed high GLUT1 expression was
associated with low disease-free survival.
Conclusion: GLUT-1 expression was found to be associated with poor pathological prognostic factors in breast carcinoma patients. The
results suggest that GLUT-1 expression can be considered as a prognostic marker in breast cancers, and it may be used as a target molecule in
personalized treatment approaches.
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