(A) Immunohistochemical analysis of VRK1 expression in breast tissue microarray. VRK1 score was determined by multiplying the VRK1 staining intensity × percentage of VRK1 positive staining. Fig 8A includes the data from all primary tumor and lymph node samples. Bars indicate the median. (Mann-Whitney test, ***p<0.001). (B) VRK1 protein expression is higher in the vast majority of lymph node metastases (24 of 28) than in patient-matched primary tumors. (C)
Oncomine.org was used to probe the complete Curtis Breast dataset (2,136 samples) in order to determine whether the VRK1 mRNA was within the top 10% of overexpressed transcripts in breast cancer samples vs. normal breast tissue. The overall median rank of VRK1 mRNA overexpression was 947 (out of 19,273 measured genes) (p = 3.64x10-28). Data for cancer subtypes are shown in boxes numbered 1–11: 1: benign breast neoplasm (rank 6459, 1.4 fold-change, NS), 2: breast carcinoma (rank 833, 1.5 fold-change, p = 3.83x10-5), 3: breast phyllodes tumor (rank 512, 1.2 fold-change, p = 0.002), 4: ductal breast carcinoma in situ (rank 1969, 1.5 fold-change, p = 0.002), 5: invasive breast carcinoma (rank 1060, 1.6 fold-change, p = 1.28x10-5), 6: invasive ductal and invasive lobular breast carcinoma (rank 941, 1.5 fold-change, p = 6.76x10-22), 7: invasive ductal breast carcinoma (rank 613, 1.5-fold change, p = 2.71x10-71), 8: invasive lobular breast carcinoma (rank 947, 1.3 fold-change, p = 3.64x10-28), 9: medullary breast carcinoma (rank 400, 1.8 fold-change, p = 3.25x10-12), 10: mucinous breast carcinoma (rank 1932, 1.4 fold-change, p = 7.41x10-10) and 11: tubular breast carcinoma (rank 1253, 1.4 fold-change, p = 1.24x10-17). The median rank of overexpression is shown by the spectrum of white-pink-red colors shown in the legend; VRK1 is in the top 5% of overexpressed mRNAs in subsets 2,3,6–9 and in the top 10% of overexpressed mRNAs in subsets 5 and 11. (D-F) Correlation of VRK1 overexpression and decreased relapse-free survival of breast cancer patients. Data analysis using Kaplan-Meier plotter reveal the probability of relapse-free survival for 3,951 breast cancer patients with low (black line) or high (red line) VRK1 expression. (D) HR [hazard ratio] of 1.72, p<1x10-16). (E) Similar analysis of 2,061 patients with ER+ breast cancer (HR 1.48, p = 5.5x10-6). (F) Similar analysis of 801 patients with ER- breast cancer (HR 1.05, p = 0.65). A significant correlation between high VRK1 expression and reduced relapse–free survival is seen for patients with ER+ breast cancer.