1
|
Mahoney M, Sriranganathan S, Dowden J, Seal M. A Population Description of Young Women with Breast Cancer in Newfoundland and Labrador. Curr Oncol 2023; 30:9602-9610. [PMID: 37999115 PMCID: PMC10670738 DOI: 10.3390/curroncol30110695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 10/25/2023] [Accepted: 10/25/2023] [Indexed: 11/25/2023] Open
Abstract
It has been well established in the literature that young women tend to carry more aggressive subtypes of breast cancer than their older-aged counterparts. The objective of this study was to describe the characteristics and outcomes of young women with breast cancer. In this retrospective analysis, data were collected for women under the age of 40 years who were diagnosed with breast cancer between 2008 and 2018 in the province of Newfoundland and Labrador. Specifically, data were collected on demographics, staging, pathological characteristics, treatment, and survival outcomes for young women with this disease. Results demonstrate that most of these women were diagnosed between the age of 35 and 39 years (91.2%). Most women presented with early-stage disease (stage I and II-66.4%), while 24% were stage III and 9.6% presented with stage IV metastatic disease. The prevalence of hormone-receptor-positive disease represented 41.9% of the cohort, with triple-negative and HER2+ measuring 27.7% and 30.4%, respectively. Five-year disease-free survival was 80.5% and overall survival was 82.7%. These findings provoke discussion regarding the intersecting roles of genetics, environment, and lifestyle in a region with some of the highest rates of malignancy in the country.
Collapse
Affiliation(s)
- Meghan Mahoney
- Discipline of Oncology, St. John’s, NL A1B 3V6, Canada;
- Faculty of Medicine, Memorial University, St. John’s, NL A1B 3V6, Canada;
| | | | - Jeff Dowden
- Cancer Care Program, Newfoundland & Labrador Health Services (NLHS), St. John’s, NL A1B 3V6, Canada;
| | - Melanie Seal
- Discipline of Oncology, St. John’s, NL A1B 3V6, Canada;
- Faculty of Medicine, Memorial University, St. John’s, NL A1B 3V6, Canada;
| |
Collapse
|
2
|
Ismail OZ, Sriranganathan S, Zhang X, Bonventre JV, Zervos AS, Gunaratnam L. Tctex-1, a novel interaction partner of Kidney Injury Molecule-1, is required for efferocytosis. J Cell Physiol 2018; 233:6877-6895. [PMID: 29693725 DOI: 10.1002/jcp.26578] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Revised: 03/01/2018] [Indexed: 02/04/2023]
Abstract
Kidney injury molecule-1 (KIM-1) is a phosphatidylserine receptor that is specifically upregulated on proximal tubular epithelial cells (PTECs) during acute kidney injury and mitigates tissue damage by mediating efferocytosis (the phagocytic clearance of apoptotic cells). The signaling molecules that regulate efferocytosis in TECs are not well understood. Using a yeast two-hybrid screen, we identified the dynein light chain protein, Tctex-1, as a novel KIM-1-interacting protein. Immunoprecipitation and confocal imaging studies suggested that Tctex-1 associates with KIM-1 in cells at baseline, but, dissociates from KIM-1 within 90 min of initiation of efferocytosis. Interfering with actin or microtubule polymerization interestingly prevented the dissociation of KIM-1 from Tctex-1. Moreover, the subcellular localization of Tctex-1 changed from being microtubule-associated to mainly cytosolic upon expression of KIM-1. Short hairpin RNA-mediated silencing of endogenous Tctex-1 in cells significantly inhibited efferocytosis to levels comparable to that of knock down of KIM-1 in the same cells. Importantly, Tctex-1 was not involved in the delivery of KIM-1 to the cell-surface. On the other hand, KIM-1 expression significantly inhibited the phosphorylation of Tctex-1 at threonine 94 (T94), a post-translational modification which is known to disrupt the binding of Tctex-1 to dynein on microtubules. In keeping with this, we found that KIM-1 bound less efficiently to the phosphomimic (T94E) mutant of Tctex-1 compared to wild type Tctex-1. Surprisingly, expression of Tctex-1 T94E did not influence KIM-1-mediated efferocytosis. Our studies uncover a previously unknown role for Tctex-1 in KIM-1-dependent efferocytosis in epithelial cells.
Collapse
Affiliation(s)
- Ola Z Ismail
- Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, Lawson Health Research Institute, London, Ontario, Canada
| | - Saranga Sriranganathan
- Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, Lawson Health Research Institute, London, Ontario, Canada
| | - Xizhong Zhang
- Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, Lawson Health Research Institute, London, Ontario, Canada
| | - Joseph V Bonventre
- Renal Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts
| | - Antonis S Zervos
- Burnett School of Biomedical Sciences, University of Central Florida College of Medicine, Orlando, Florida
| | - Lakshman Gunaratnam
- Matthew Mailing Center for Translational Transplant Studies, London Health Sciences Center, Lawson Health Research Institute, London, Ontario, Canada.,Division of Nephrology, Department of Medicine, Schulich School of Medicine and Dentistry, London, Western University, Ontario, Canada
| |
Collapse
|
3
|
Abstract
This is a retrospective study of 354 suspected cases of dengue haemorrhagic fever (DHF), admitted to Lady Ridgeway Hospital (LRH), Colombo during 1996. The objective of the study was to determine the correlation between clinical, laboratory, radiological and serological diagnosis of DHF. Diagnosis was based on the haemagglutination inhibition test. Serologically, 177 cases had dengue infection and, of these, 143 children had DHF. There was only a 50% correlation between clinical suspicion of DHF and positive serology. There was 100% correlation between laboratory and radiological diagnosis of DHF and positive serology.
Collapse
Affiliation(s)
- G N Lucas
- Lady Ridgeway Hospital, Colombo, Sri Lanka
| | | | | |
Collapse
|