Background: Invasive micropapillary carcinoma (IMPC) is a rare malignant breast tumor and a variant form of invasive ductal carcinoma that is an aggressive neoplasm of the human breast and canine mammary gland. The importance of the tumor microenvironment in cancer development has gradually been recognized, but little is known about the cell types outlining the cystic space of canine IMPC. This study aimed to characterize the neoplastic cells outlining the cystic space of IMPC.
Methods: Immunohistochemistry (IHC), immunofluorescence (IF), superresolution and transmission electron microscopy (TEM) were used to assess the cell types in the cystic areas of IMPCs.
Results: Cells expressing the mesenchymal markers alpha-smooth muscle actin (aSMA), Vimentin, and S100A4 outlined the cystic space of IMPC. Furthermore, loss of epithelial cell polarity in IMPC was shown by the localization of MUC1 at the stroma-facing surface. This protein modulates lumen formation and inhibits the cell-stroma interaction. Immunohistochemical and IF staining for the myoepithelial cell marker p63 were negative in IMPC samples, and TEM revealed morphological aspects of myoepithelial-like cells with thin cytoplasmic extensions outlining the cystic space.
Conclusions: The cells outlining the cystic space of IMPC in the canine mammary gland were characterized using IHC, IF and TEM. The presence of cells expressing aSMA, Vimentin, and S100A4 in the IMPC stroma suggested a role for tumor-associated fibroblasts in the IMPC microenvironment. The reversal of cell polarity revealed by the limited basal localization of MUC1 may be an important factor contributing to the invasiveness of IMPC. For the first time, the cystic space of canine mammary gland IMPC was shown to be delimited by myoepithelial-like cells that had lost p63 expression. These findings may enhance our understanding of the cellular microenvironment of invasive tumors to improve cancer diagnosis and treatment.

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This is a list of supplementary files associated with this preprint. Click to download.
Supplementary Figure 1. Photomicrographs illustrating p63, CD31, Vimentin and Cytokeratin (AE1/AE3) immunostaining in normal canine mammary glands. (a) Positive staining for normal myoepithelial cell markers is observed in cells lining the mammary gland ducts. (b) Positive staining for CD31 on the plasma membrane of endothelial cells. (c) Positive staining for Vimentin in stromal cells. (d) Representative image of IHC staining in the negative control (NC) sample. (e) Positive staining for CK (AE1/AE3) in ductal epithelial cells. Scale bars = 20 µm and 50 µm. (Novolink™ Polymer Detection System, counterstained with Harris’s hematoxylin).
Supplementary Figure 2. Representative images of S100A4, αSMA, Vimentin and MUC1 expression in invasive areas of canine IMPCs. (a-c) Superresolution images of the nuclear envelope markers Lamin B1/B2 (green), S100A4, αSMA, and Vimentin (red); nuclei were stained with Hoechst (blue) in invasive areas. (d) Stroma-facing positive staining for MUC1 (red) in canine IMPCs. The merged images show the overlapping signals. Representative images from n=4 discrete primary tumor cases are shown, and 5 images were acquired from invasive areas in each sample. Scale bars = 20 μm.
Supplementary Figure 3. Negative staining for von Willebrand factor, CD31, and p63 in cells outlining the cystic spaces of invasive micropapillary areas in the canine mammary gland. (a) Superresolution images of the nuclear envelope markers Lamin B1/B2 (green), von Willebrand factor, CD31 (b), and p63 (c) (red); nuclei were stained with Hoechst (blue). Note that staining is negative for endothelial and lymphatic cell markers (CD31 and von Willebrand factor) in micropapillary areas. Staining for the myoepithelial cell marker p63 is positive in the normal mammary gland control sample (d). The merged images show the overlapping signals. € Representative image of IF staining in the negative control sample. Representative images from n=4 discrete primary tumor cases are shown, and 5 images were acquired from invasive areas in each sample. Scale bars = 20 μm.
Supplementary Figure 4. Representative images of S100A4, αSMA, Vimentin and MUC1 expression in invasive areas of human IMPCs. (a-c) Superresolution images of the nuclear envelope markers Lamin B1/B2 (green), S100A4, αSMA, and Vimentin (red); nuclei were stained with Hoechst (blue) in invasive areas. (d) Stroma-facing positive staining for MUC1 (red) is observed in human IMPC. The merged images show the overlapping signals. Representative images from one primary tumor case are shown, and 5 images of staining with each antibody were acquired from invasive areas. Scale bars = 20 μm.
Supplementary Figure 5. Negative staining for von Willebrand factor, CD31, and p63 in cells outlining the cystic spaces of invasive micropapillary areas in the human breast. (a) Superresolution images of the nuclear envelope markers Lamin B1/B2 (green), von Willebrand factor, CD31 (b), and p63 (c) (red channel); nuclei were stained with Hoechst (blue). Note that the staining is negative for endothelial and lymphatic cell markers (CD31 or von Willebrand factor) in micropapillary areas. (d) Representative images of IF staining in the negative control sample. The merged images show the overlapping signals. Representative images from one primary tumor case are shown, and 5 images of staining with each antibody were acquired from invasive areas. Scale bars = 20 μm.
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Posted 07 Jan, 2021
On 29 Jan, 2021
Received 15 Jan, 2021
Received 15 Jan, 2021
On 27 Dec, 2020
Invitations sent on 27 Dec, 2020
On 27 Dec, 2020
On 21 Dec, 2020
On 21 Dec, 2020
On 21 Dec, 2020
On 07 Oct, 2020
Received 02 Oct, 2020
Received 10 Sep, 2020
On 27 Aug, 2020
On 21 Aug, 2020
Invitations sent on 09 Aug, 2020
On 21 Jul, 2020
On 20 Jul, 2020
On 20 Jul, 2020
On 20 Jul, 2020
Posted 07 Jan, 2021
On 29 Jan, 2021
Received 15 Jan, 2021
Received 15 Jan, 2021
On 27 Dec, 2020
Invitations sent on 27 Dec, 2020
On 27 Dec, 2020
On 21 Dec, 2020
On 21 Dec, 2020
On 21 Dec, 2020
On 07 Oct, 2020
Received 02 Oct, 2020
Received 10 Sep, 2020
On 27 Aug, 2020
On 21 Aug, 2020
Invitations sent on 09 Aug, 2020
On 21 Jul, 2020
On 20 Jul, 2020
On 20 Jul, 2020
On 20 Jul, 2020
Background: Invasive micropapillary carcinoma (IMPC) is a rare malignant breast tumor and a variant form of invasive ductal carcinoma that is an aggressive neoplasm of the human breast and canine mammary gland. The importance of the tumor microenvironment in cancer development has gradually been recognized, but little is known about the cell types outlining the cystic space of canine IMPC. This study aimed to characterize the neoplastic cells outlining the cystic space of IMPC.
Methods: Immunohistochemistry (IHC), immunofluorescence (IF), superresolution and transmission electron microscopy (TEM) were used to assess the cell types in the cystic areas of IMPCs.
Results: Cells expressing the mesenchymal markers alpha-smooth muscle actin (aSMA), Vimentin, and S100A4 outlined the cystic space of IMPC. Furthermore, loss of epithelial cell polarity in IMPC was shown by the localization of MUC1 at the stroma-facing surface. This protein modulates lumen formation and inhibits the cell-stroma interaction. Immunohistochemical and IF staining for the myoepithelial cell marker p63 were negative in IMPC samples, and TEM revealed morphological aspects of myoepithelial-like cells with thin cytoplasmic extensions outlining the cystic space.
Conclusions: The cells outlining the cystic space of IMPC in the canine mammary gland were characterized using IHC, IF and TEM. The presence of cells expressing aSMA, Vimentin, and S100A4 in the IMPC stroma suggested a role for tumor-associated fibroblasts in the IMPC microenvironment. The reversal of cell polarity revealed by the limited basal localization of MUC1 may be an important factor contributing to the invasiveness of IMPC. For the first time, the cystic space of canine mammary gland IMPC was shown to be delimited by myoepithelial-like cells that had lost p63 expression. These findings may enhance our understanding of the cellular microenvironment of invasive tumors to improve cancer diagnosis and treatment.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6
This is a list of supplementary files associated with this preprint. Click to download.
Supplementary Figure 1. Photomicrographs illustrating p63, CD31, Vimentin and Cytokeratin (AE1/AE3) immunostaining in normal canine mammary glands. (a) Positive staining for normal myoepithelial cell markers is observed in cells lining the mammary gland ducts. (b) Positive staining for CD31 on the plasma membrane of endothelial cells. (c) Positive staining for Vimentin in stromal cells. (d) Representative image of IHC staining in the negative control (NC) sample. (e) Positive staining for CK (AE1/AE3) in ductal epithelial cells. Scale bars = 20 µm and 50 µm. (Novolink™ Polymer Detection System, counterstained with Harris’s hematoxylin).
Supplementary Figure 2. Representative images of S100A4, αSMA, Vimentin and MUC1 expression in invasive areas of canine IMPCs. (a-c) Superresolution images of the nuclear envelope markers Lamin B1/B2 (green), S100A4, αSMA, and Vimentin (red); nuclei were stained with Hoechst (blue) in invasive areas. (d) Stroma-facing positive staining for MUC1 (red) in canine IMPCs. The merged images show the overlapping signals. Representative images from n=4 discrete primary tumor cases are shown, and 5 images were acquired from invasive areas in each sample. Scale bars = 20 μm.
Supplementary Figure 3. Negative staining for von Willebrand factor, CD31, and p63 in cells outlining the cystic spaces of invasive micropapillary areas in the canine mammary gland. (a) Superresolution images of the nuclear envelope markers Lamin B1/B2 (green), von Willebrand factor, CD31 (b), and p63 (c) (red); nuclei were stained with Hoechst (blue). Note that staining is negative for endothelial and lymphatic cell markers (CD31 and von Willebrand factor) in micropapillary areas. Staining for the myoepithelial cell marker p63 is positive in the normal mammary gland control sample (d). The merged images show the overlapping signals. € Representative image of IF staining in the negative control sample. Representative images from n=4 discrete primary tumor cases are shown, and 5 images were acquired from invasive areas in each sample. Scale bars = 20 μm.
Supplementary Figure 4. Representative images of S100A4, αSMA, Vimentin and MUC1 expression in invasive areas of human IMPCs. (a-c) Superresolution images of the nuclear envelope markers Lamin B1/B2 (green), S100A4, αSMA, and Vimentin (red); nuclei were stained with Hoechst (blue) in invasive areas. (d) Stroma-facing positive staining for MUC1 (red) is observed in human IMPC. The merged images show the overlapping signals. Representative images from one primary tumor case are shown, and 5 images of staining with each antibody were acquired from invasive areas. Scale bars = 20 μm.
Supplementary Figure 5. Negative staining for von Willebrand factor, CD31, and p63 in cells outlining the cystic spaces of invasive micropapillary areas in the human breast. (a) Superresolution images of the nuclear envelope markers Lamin B1/B2 (green), von Willebrand factor, CD31 (b), and p63 (c) (red channel); nuclei were stained with Hoechst (blue). Note that the staining is negative for endothelial and lymphatic cell markers (CD31 or von Willebrand factor) in micropapillary areas. (d) Representative images of IF staining in the negative control sample. The merged images show the overlapping signals. Representative images from one primary tumor case are shown, and 5 images of staining with each antibody were acquired from invasive areas. Scale bars = 20 μm.
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