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Gal S, Pavan MJ, Vidavsky N. Characterization of dolomite and calcite microcalcifications in human breast tissue. RSC Adv 2024; 14:28741-28752. [PMID: 39257663 PMCID: PMC11384324 DOI: 10.1039/d4ra04137b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2024] [Accepted: 09/03/2024] [Indexed: 09/12/2024] Open
Abstract
Pathological crystallization within soft tissues often yields biominerals with properties differing from those of their geological or synthetic counterparts. Microcalcifications (MCs) are abundant in breast tumors, particularly in non-invasive lesions, such as ductal carcinoma in situ (DCIS). Given the challenge of predicting DCIS progression into invasive cancer, it has been suggested that MCs can be leveraged to inform DCIS prognosis. The predominant type of breast MCs are those containing calcium phosphates (CaP), whose crystal properties are commonly held to correlate with malignancy. Less common are non-CaP minerals, which have received less attention, as they are associated mainly with benign lesions. Here, we conducted a retrospective study of tissue samples collected from patients who were originally diagnosed with DCIS and whose current medical status is known. We examined the elemental composition, morphology, and crystal phases of 398 MCs, aiming to investigate potential correlations between MC crystal properties and the progression of DCIS. Our findings revealed primarily non-CaP MCs, an observation that was likely made possible only by the tissue processing methodology employed, which did not involve harsh conditions. We found that non-CaP MCs were abundant in DCIS lesions, that they exhibited diverse morphologies and sizes, and that they were composed of calcite and dolomite. Dolomite formation in cancer has not been reported previously and may be linked to pH fluctuations in the tumor microenvironment. The small size of DCIS lesions often requires pathologists to use the entire sample, thus reducing the number of samples available for further research. Nonetheless, despite our limited sample size, the observed trend indicated an association of dolomite MCs with DCIS lesions that progressed into invasive cancer over time.
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Affiliation(s)
- Sahar Gal
- Department of Chemical Engineering, Ben-Gurion University of the Negev Beer-Sheva 8410501 Israel
| | - Mariela J Pavan
- Ilse Katz Institute for Nanoscale Science & Technology, Ben-Gurion University of the Negev Beer-Sheva 8410501 Israel
| | - Netta Vidavsky
- Department of Chemical Engineering, Ben-Gurion University of the Negev Beer-Sheva 8410501 Israel
- Ilse Katz Institute for Nanoscale Science & Technology, Ben-Gurion University of the Negev Beer-Sheva 8410501 Israel
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Gosling SB, Arnold EL, Davies SK, Cross H, Bouybayoune I, Calabrese D, Nallala J, Pinder SE, Fu L, Lips EH, King L, Marks J, Hall A, Grimm LJ, Lynch T, Pinto D, Stobart H, Hwang ES, Wesseling J, Geraki K, Stone N, Lyburn ID, Greenwood C, Rogers KD. Microcalcification crystallography as a potential marker of DCIS recurrence. Sci Rep 2023; 13:9331. [PMID: 37291276 PMCID: PMC10250538 DOI: 10.1038/s41598-023-33547-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 04/14/2023] [Indexed: 06/10/2023] Open
Abstract
Ductal carcinoma in-situ (DCIS) accounts for 20-25% of all new breast cancer diagnoses. DCIS has an uncertain risk of progression to invasive breast cancer and a lack of predictive biomarkers may result in relatively high levels (~ 75%) of overtreatment. To identify unique prognostic biomarkers of invasive progression, crystallographic and chemical features of DCIS microcalcifications have been explored. Samples from patients with at least 5-years of follow up and no known recurrence (174 calcifications in 67 patients) or ipsilateral invasive breast cancer recurrence (179 microcalcifications in 57 patients) were studied. Significant differences were noted between the two groups including whitlockite relative mass, hydroxyapatite and whitlockite crystal maturity and, elementally, sodium to calcium ion ratio. A preliminary predictive model for DCIS to invasive cancer progression was developed from these parameters with an AUC of 0.797. These results provide insights into the differing DCIS tissue microenvironments, and how these impact microcalcification formation.
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Affiliation(s)
- Sarah B Gosling
- School of Chemical and Physical Sciences, Keele University, Keele, UK.
| | - Emily L Arnold
- Cranfield Forensic Institute, Cranfield University, Shrivenham, UK
| | | | - Hannah Cross
- School of Chemical and Physical Sciences, Keele University, Keele, UK
| | - Ihssane Bouybayoune
- School of Cancer and Pharmaceutical Sciences, King's College London, Guy's Hospital, London, UK
| | | | | | - Sarah E Pinder
- School of Cancer and Pharmaceutical Sciences, King's College London, Guy's Hospital, London, UK
| | - Liping Fu
- Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
| | - Esther H Lips
- Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
| | - Lorraine King
- Department of Surgery, Duke University Medical Center, Durham, NC, UK
| | - Jeffrey Marks
- Department of Surgery, Duke University Medical Center, Durham, NC, UK
| | - Allison Hall
- Department of Pathology, University of British Colombia, Vancouver, BC, Canada
| | - Lars J Grimm
- Department of Radiology, Duke University, Durham, NC, UK
| | - Thomas Lynch
- Department of Surgery, Duke University Medical Center, Durham, NC, UK
| | | | | | - E Shelley Hwang
- Department of Surgery, Duke University Medical Center, Durham, NC, UK
| | - Jelle Wesseling
- Division of Molecular Pathology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
- Divisions of Diagnostic Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands
- Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands
| | - Kalotina Geraki
- Diamond Light Source, Harwell Science and Innovation Campus, Didcot, UK
| | - Nicholas Stone
- School of Physics and Astronomy, University of Exeter, Exeter, UK
| | - Iain D Lyburn
- Cranfield Forensic Institute, Cranfield University, Shrivenham, UK
- Thirlestaine Breast Centre, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, Gloucestershire, UK
- Cobalt Medical Charity, Cheltenham, UK
| | | | - Keith D Rogers
- Cranfield Forensic Institute, Cranfield University, Shrivenham, UK.
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Bouzy P, Lyburn ID, Pinder SE, Scott R, Mansfield J, Moger J, Greenwood C, Bouybayoune I, Cornford E, Rogers K, Stone N. Exploration of utility of combined optical photothermal infrared and Raman imaging for investigating the chemical composition of microcalcifications in breast cancer. ANALYTICAL METHODS : ADVANCING METHODS AND APPLICATIONS 2023; 15:1620-1630. [PMID: 36880909 PMCID: PMC10065137 DOI: 10.1039/d2ay01197b] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 02/21/2023] [Indexed: 06/02/2023]
Abstract
Microcalcifications play an important role in cancer detection. They are evaluated by their radiological and histological characteristics but it is challenging to find a link between their morphology, their composition and the nature of a specific type of breast lesion. Whilst there are some mammographic features that are either typically benign or typically malignant often the appearances are indeterminate. Here, we explore a large range of vibrational spectroscopic and multiphoton imaging techniques in order to gain more information about the composition of the microcalcifications. For the first time, we validated the presence of carbonate ions in the microcalcifications by O-PTIR and Raman spectroscopy at the same time, the same location and the same high resolution (0.5 μm). Furthermore, the use of multiphoton imaging allowed us to create stimulated Raman histology (SRH) images which mimic histological images with all chemical information. In conclusion, we established a protocol for efficiently analysing the microcalcifications by iteratively refining the area of interest.
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Affiliation(s)
- Pascaline Bouzy
- School of Physics and Astronomy, University of Exeter, Exeter, UK.
| | - Iain D Lyburn
- Cranfield Forensic Institute, Cranfield University, Shrivenham, UK
- Gloucestershire Hospitals NHS Foundation Trust, UK
| | - Sarah E Pinder
- King's College London, Comprehensive Cancer Centre at Guy's Hospital, London, UK
| | - Robert Scott
- Cranfield Forensic Institute, Cranfield University, Shrivenham, UK
| | | | - Julian Moger
- School of Physics and Astronomy, University of Exeter, Exeter, UK.
| | - Charlene Greenwood
- School of Chemical and Physical Sciences, Keele University, Keele, Staffordshire, UK
| | - Ihssane Bouybayoune
- King's College London, Comprehensive Cancer Centre at Guy's Hospital, London, UK
| | | | - Keith Rogers
- Cranfield Forensic Institute, Cranfield University, Shrivenham, UK
| | - Nick Stone
- School of Physics and Astronomy, University of Exeter, Exeter, UK.
- Gloucestershire Hospitals NHS Foundation Trust, UK
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Bazin D, Bouderlique E, Tang E, Daudon M, Haymann JP, Frochot V, Letavernier E, Van de Perre E, Williams JC, Lingeman JE, Borondics F. Using mid infrared to perform investigations beyond the diffraction limits of microcristalline pathologies: advantages and limitation of Optical PhotoThermal IR spectroscopy. CR CHIM 2022. [DOI: 10.5802/crchim.196] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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5
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Bazin D, Lucas IT, Rouzière S, Elkaim E, Mocuta C, Réguer S, Reid DG, Mathurin J, Dazzi A, Deniset-Besseau A, Petay M, Frochot V, Haymann JP, Letavernier E, Verpont MC, Foy E, Bouderlique E, Colboc H, Daudon M. Profile of an “at cutting edge” pathology laboratory for pathological human deposits: from nanometer to in vivo scale analysis on large scale facilities. CR CHIM 2022. [DOI: 10.5802/crchim.199] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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Petay M, Cherfan M, Bouderlique E, Reguer S, Mathurin J, Dazzi A, L’Heronde M, Daudon M, Letavernier E, Deniset-Besseau A, Bazin D. Multiscale approach to provide a better physicochemical description of women breast microcalcifications. CR CHIM 2022. [DOI: 10.5802/crchim.210] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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