Table 1 Summary of molecular features of MBCs

From: Genomic and transcriptomic heterogeneity in metaplastic carcinomas of the breast

 

Metaplastic breast cancer

Triple-negative breast cancer of no special type

Histologic subtype

Chondroid

Spindle

Squamous

 

Intrinsic subtype

Predominantly basal-like

Claudin-low

Basal-like, claudin-low and normal breast-like

Predominantly basal-like

Triple-negative breast cancer subtypes

Mesenchymal

Predominantly mesenchymal stem-like and unstable

Various, except luminal androgen receptor and immunomodulatory

All types

Integrative clusters

Preferentially 9

Predominantly 4

Various

Predominantly 10, 4, 9

BRCAness

Preferentially non-BRCAness

Preferentially non-BRCAness

Preferentially BRCAness

Roughly equal

TP53 mutations

75%

50%

78%

81%

Mutations in PI3K/AKT/mTOR pathway

44%

70%

67%

22%

Mutations in canonical Wnt pathway

56%

50%

44%

28%

Chromosomal instability

+

+

++

++

Copy number alterations

Frequent gains of 1q and 8q, losses of 5q and 12q

Frequent high-level gain of 8q21.11-24.3a

Infrequent copy number gain of CLDN3/4a

Infrequent amplification of 8q24, frequent losses of 7q and 12qa

 

Gene expression

Up-regulation of genes involved in chondrocyte differentiationa

Down-regulation of claudins, E-cadherin and EpCAMa

Up-regulation of cell cycle-related genesa

 

Pathognomonic fusion gene

Lack of pathognomonic fusion gene

  1. The main molecular features of metaplastic breast carcinomas (MBCs) according to histologic subtypes, compared to those of triple-negative breast cancers of no special type. The table summarizes the main findings from Weigelt et al.,5 Ng et al.9 and the current study
  2. a Compared to other histologic subtypes of metaplastic breast cancer.