Open Access Highly Accessed Research article

CD44 isoforms are heterogeneously expressed in breast cancer and correlate with tumor subtypes and cancer stem cell markers

Eleonor Olsson1*, Gabriella Honeth15, Pär-Ola Bendahl1, Lao H Saal12, Sofia Gruvberger-Saal1, Markus Ringnér12, Johan Vallon-Christersson12, Göran Jönsson1, Karolina Holm12, Kristina Lövgren1, Mårten Fernö1, Dorthe Grabau4, Åke Borg123 and Cecilia Hegardt13

Author Affiliations

1 Department of Oncology, Clinical Sciences, Lund University, Lund, Sweden

2 CREATE Health Strategic Center for Translational Cancer Research, Lund University, Lund, Sweden

3 Lund Strategic Research Center for Stem Cell Biology and Cell Therapy, Lund University, Sweden

4 Department of Pathology, Lund University Hospital, Lund, Sweden

5 Department of Research Oncology, Division of Cancer Studies, King's College London, London, UK

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BMC Cancer 2011, 11:418  doi:10.1186/1471-2407-11-418

Published: 29 September 2011

Abstract

Background

The CD44 cell adhesion molecule is aberrantly expressed in many breast tumors and has been implicated in the metastatic process as well as in the putative cancer stem cell (CSC) compartment. We aimed to investigate potential associations between alternatively spliced isoforms of CD44 and CSCs as well as to various breast cancer biomarkers and molecular subtypes.

Methods

We used q-RT-PCR and exon-exon spanning assays to analyze the expression of four alternatively spliced CD44 isoforms as well as the total expression of CD44 in 187 breast tumors and 13 cell lines. ALDH1 protein expression was determined by IHC on TMA.

Results

Breast cancer cell lines showed a heterogeneous expression pattern of the CD44 isoforms, which shifted considerably when cells were grown as mammospheres. Tumors characterized as positive for the CD44+/CD24- phenotype by immunohistochemistry were associated to all isoforms except the CD44 standard (CD44S) isoform, which lacks all variant exons. Conversely, tumors with strong expression of the CSC marker ALDH1 had elevated expression of CD44S. A high expression of the CD44v2-v10 isoform, which retain all variant exons, was correlated to positive steroid receptor status, low proliferation and luminal A subtype. The CD44v3-v10 isoform showed similar correlations, while high expression of CD44v8-v10 was correlated to positive EGFR, negative/low HER2 status and basal-like subtype. High expression of CD44S was associated with strong HER2 staining and also a subgroup of basal-like tumors. Unsupervised hierarchical cluster analysis of CD44 isoform expression data divided tumors into four main clusters, which showed significant correlations to molecular subtypes and differences in 10-year overall survival.

Conclusions

We demonstrate that individual CD44 isoforms can be associated to different breast cancer subtypes and clinical markers such as HER2, ER and PgR, which suggests involvement of CD44 splice variants in specific oncogenic signaling pathways. Efforts to link CD44 to CSCs and tumor progression should consider the expression of various CD44 isoforms.