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. 2022 Jan;191(1):63-75.
doi: 10.1007/s10549-021-06426-x. Epub 2021 Oct 26.

KIF21A regulates breast cancer aggressiveness and is prognostic of patient survival and tumor recurrence

Anton J Lucanus  1   2 , Aye Aye Thike  3 , Xing Fei Tan  1 , Kee Wah Lee  1 , Shiyuan Guo  1 , Victoria P C King  1 , Von Bing Yap  4 , Boon Huat Bay  1 , Puay Hoon Tan  3 , George W Yip  5
Affiliations

KIF21A regulates breast cancer aggressiveness and is prognostic of patient survival and tumor recurrence

Anton J Lucanus et al. Breast Cancer Res Treat. 2022 Jan.

Abstract

Purpose: Invasion of carcinoma cells into surrounding tissue affects breast cancer staging, influences choice of treatment, and impacts on patient outcome. KIF21A is a member of the kinesin superfamily that has been well-studied in congenital extraocular muscle fibrosis. However, its biological relevance in breast cancer is unknown. This study investigated the functional roles of KIF21A in this malignancy and examined its expression pattern in breast cancer tissue.

Methods: The function of KIF21A in breast carcinoma was studied in vitro by silencing its expression in breast cancer cells and examining the changes in cellular activities. Immunohistochemical staining of breast cancer tissue microarrays was performed to determine the expression patterns of KIF21A.

Results: Knocking down the expression of KIF21A using siRNA in MDA-MB-231 and MCF7 human breast cancer cells resulted in significant decreases in tumor cell migration and invasiveness. This was associated with reduced Patched 1 expression and F-actin microfilaments. Additionally, the number of focal adhesion kinase- and paxillin-associated focal adhesions was increased. Immunohistochemical staining of breast cancer tissue microarrays showed that KIF21A was expressed in both the cytoplasmic and nuclear compartments of carcinoma cells. Predominance of cytoplasmic KIF21A was significantly associated with larger tumors and high grade cancer, and prognostic of cause-specific overall patient survival and breast cancer recurrence.

Conclusion: The data demonstrates that KIF21A is an important regulator of breast cancer aggressiveness and may be useful in refining prognostication of this malignant disease.

Keywords: Breast cancer; Cancer invasion; Cancer recurrence; Disease-free survival; KIF21A; Overall survival.

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