HER2 expression and pathway status in male breast cancer patients: results of an integrated analysis among 6,150 patients

Abstract The role of human epidermal growth factor 2 (HER2) in male breast cancer (MBC) is poorly defined. A comprehensive description of HER2 status was conducted. A total of 6,015 MBC patients from 45 studies and 135 MBC patients with sequencing data were identified. HER2 positive rates and hazard...

Full description

Saved in:
Bibliographic Details
Main Authors: Boqiang Lyu, Shidi Zhao, Hui Wang, Shouping Gong, Biyuan Wang
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-86556-0
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832571767431888896
author Boqiang Lyu
Shidi Zhao
Hui Wang
Shouping Gong
Biyuan Wang
author_facet Boqiang Lyu
Shidi Zhao
Hui Wang
Shouping Gong
Biyuan Wang
author_sort Boqiang Lyu
collection DOAJ
description Abstract The role of human epidermal growth factor 2 (HER2) in male breast cancer (MBC) is poorly defined. A comprehensive description of HER2 status was conducted. A total of 6,015 MBC patients from 45 studies and 135 MBC patients with sequencing data were identified. HER2 positive rates and hazard ratios (HR) for overall survival (OS) were combined using Metaprop. The prevalence of HER2 + MBC was 10.0% (95% CI: 8.0-13.0%). Subgroup analyses showed that 7% (95% CI: 2.0-14.0%) had HER2 + protein overexpression. 10% of MBC patients had HER2 + overexpression and/or gene amplification. Asian MBC patients had the highest HER2 + incidence of 17% (95% CI: 12.0-22.0%). The prevalence of HER2 positive MBC fluctuated widely from 2001 to 2015 and then stabilized at 10%. HER2 positivity was significantly correlated with worse OS than negative ones (HR = 1.92, 1.47–2.51). The proportion of HER2 + MBC was inconsistent with the results for the intrinsic HER2-enriched subtype. Altered genes in HER2 + MBC, such as ERBB2, AGO2, RECQL4, and CLTC, were not detected in HER2-MBC. Genomic analysis revealed differences between the patients with HER2 + MBC and those with HER2 + FBC. The percentage of HER2 + MBC was slightly lower than that of women. Multiple approaches may be needed to jointly assess HER2 status in MBC.
format Article
id doaj-art-00a958ed8992470f873afa57f224d5ea
institution Kabale University
issn 2045-2322
language English
publishDate 2025-01-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-00a958ed8992470f873afa57f224d5ea2025-02-02T12:18:59ZengNature PortfolioScientific Reports2045-23222025-01-0115111410.1038/s41598-025-86556-0HER2 expression and pathway status in male breast cancer patients: results of an integrated analysis among 6,150 patientsBoqiang Lyu0Shidi Zhao1Hui Wang2Shouping Gong3Biyuan Wang4Department of Neurosurgery, the Second Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Medical Oncology, The First Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Gastroenterology, the Second Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Neurosurgery, the Second Affiliated Hospital of Xi’an Jiaotong UniversityDepartment of Gastroenterology, the Second Affiliated Hospital of Xi’an Jiaotong UniversityAbstract The role of human epidermal growth factor 2 (HER2) in male breast cancer (MBC) is poorly defined. A comprehensive description of HER2 status was conducted. A total of 6,015 MBC patients from 45 studies and 135 MBC patients with sequencing data were identified. HER2 positive rates and hazard ratios (HR) for overall survival (OS) were combined using Metaprop. The prevalence of HER2 + MBC was 10.0% (95% CI: 8.0-13.0%). Subgroup analyses showed that 7% (95% CI: 2.0-14.0%) had HER2 + protein overexpression. 10% of MBC patients had HER2 + overexpression and/or gene amplification. Asian MBC patients had the highest HER2 + incidence of 17% (95% CI: 12.0-22.0%). The prevalence of HER2 positive MBC fluctuated widely from 2001 to 2015 and then stabilized at 10%. HER2 positivity was significantly correlated with worse OS than negative ones (HR = 1.92, 1.47–2.51). The proportion of HER2 + MBC was inconsistent with the results for the intrinsic HER2-enriched subtype. Altered genes in HER2 + MBC, such as ERBB2, AGO2, RECQL4, and CLTC, were not detected in HER2-MBC. Genomic analysis revealed differences between the patients with HER2 + MBC and those with HER2 + FBC. The percentage of HER2 + MBC was slightly lower than that of women. Multiple approaches may be needed to jointly assess HER2 status in MBC.https://doi.org/10.1038/s41598-025-86556-0Human epidermal growth factor receptorImmunohistochemistryFluorescence in situ hybridization
spellingShingle Boqiang Lyu
Shidi Zhao
Hui Wang
Shouping Gong
Biyuan Wang
HER2 expression and pathway status in male breast cancer patients: results of an integrated analysis among 6,150 patients
Scientific Reports
Human epidermal growth factor receptor
Immunohistochemistry
Fluorescence in situ hybridization
title HER2 expression and pathway status in male breast cancer patients: results of an integrated analysis among 6,150 patients
title_full HER2 expression and pathway status in male breast cancer patients: results of an integrated analysis among 6,150 patients
title_fullStr HER2 expression and pathway status in male breast cancer patients: results of an integrated analysis among 6,150 patients
title_full_unstemmed HER2 expression and pathway status in male breast cancer patients: results of an integrated analysis among 6,150 patients
title_short HER2 expression and pathway status in male breast cancer patients: results of an integrated analysis among 6,150 patients
title_sort her2 expression and pathway status in male breast cancer patients results of an integrated analysis among 6 150 patients
topic Human epidermal growth factor receptor
Immunohistochemistry
Fluorescence in situ hybridization
url https://doi.org/10.1038/s41598-025-86556-0
work_keys_str_mv AT boqianglyu her2expressionandpathwaystatusinmalebreastcancerpatientsresultsofanintegratedanalysisamong6150patients
AT shidizhao her2expressionandpathwaystatusinmalebreastcancerpatientsresultsofanintegratedanalysisamong6150patients
AT huiwang her2expressionandpathwaystatusinmalebreastcancerpatientsresultsofanintegratedanalysisamong6150patients
AT shoupinggong her2expressionandpathwaystatusinmalebreastcancerpatientsresultsofanintegratedanalysisamong6150patients
AT biyuanwang her2expressionandpathwaystatusinmalebreastcancerpatientsresultsofanintegratedanalysisamong6150patients