Correlative imaging reveals physiochemical heterogeneity of microcalcifications in human breast carcinomas Journal Article


Authors: Kunitake, J. A. M. R.; Choi, S.; Nguyen, K. X.; Lee, M. M.; He, F.; Sudilovsky, D.; Morris, P. G.; Jochelson, M. S.; Hudis, C. A.; Muller, D. A.; Fratzl, P.; Fischbach, C.; Masic, A.; Estroff, L. A.
Article Title: Correlative imaging reveals physiochemical heterogeneity of microcalcifications in human breast carcinomas
Abstract: Microcalcifications (MCs) are routinely used to detect breast cancer in mammography. Little is known, however, about their materials properties and associated organic matrix, or their correlation to breast cancer prognosis. We combine histopathology, Raman microscopy, and electron microscopy to image MCs within snap-frozen human breast tissue and generate micron-scale resolution correlative maps of crystalline phase, trace metals, particle morphology, and organic matrix chemical signatures within high grade ductal carcinoma in situ (DCIS) and invasive cancer. We reveal the heterogeneity of mineral-matrix pairings, including punctate apatitic particles (<2 µm) with associated trace elements (e.g., F, Na, and unexpectedly Al) distributed within the necrotic cores of DCIS, and both apatite and spheroidal whitlockite particles in invasive cancer within a matrix containing spectroscopic signatures of collagen, non-collagen proteins, cholesterol, carotenoids, and DNA. Among the three DCIS samples, we identify key similarities in MC morphology and distribution, supporting a dystrophic mineralization pathway. This multimodal methodology lays the groundwork for establishing MC heterogeneity in the context of breast cancer biology, and could dramatically improve current prognostic models. © 2017 Elsevier Inc.
Keywords: human tissue; histopathology; electron microscopy; tumor localization; tumor volume; cell heterogeneity; dna; breast carcinoma; collagen; stroma; cholesterol; trace element; crystallization; sodium; intraductal carcinoma; mineral; breast necrosis; carotenoid; breast calcification; fluorine; multimodal imaging; tumor invasion; mineralization; raman spectrometry; aluminum; cancer prognosis; raman microscopy; human; priority journal; article; breast tissue; biogenic whitlockite; dystrophic mineralization; label-free nondestructive chemical imaging; pathological mineralization; apatite
Journal Title: Journal of Structural Biology
Volume: 202
Issue: 1
ISSN: 1047-8477
Publisher: Academic Press, Elsevier Inc  
Date Published: 2018-04-01
Start Page: 25
End Page: 34
Language: English
DOI: 10.1016/j.jsb.2017.12.002
PROVIDER: scopus
PMCID: PMC5835408
PUBMED: 29221896
DOI/URL:
Notes: Article -- Export Date: 2 April 2018 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Patrick Glyn Morris
    116 Morris
  2. Clifford Hudis
    905 Hudis
  3. Maxine Jochelson
    135 Jochelson